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Comparison of three forms of teaching – a prospective randomized pilot trial for the enhancement of adherence
Author(s) -
Reinhardt CH,
Noack MJ,
Wassmer G,
Dumit J,
Rolfs A,
Klein K
Publication year - 2012
Publication title -
international journal of dental hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.674
H-Index - 38
eISSN - 1601-5037
pISSN - 1601-5029
DOI - 10.1111/j.1601-5037.2011.00543.x
Subject(s) - medicine , intervention (counseling) , randomized controlled trial , young adult , physical therapy , surgery , nursing
To cite this article:
Int J Dent Hygiene 10, 2012; 277–283
DOI: 10.1111/j.1601‐5037.2011.00543.x
Reinhardt CH, Noack MJ, Wassmer G, Dumit J, Rolfs A, Klein K. Comparison of three forms of teaching – a prospective randomized pilot trial for the enhancement of adherence. Abstract: Objective: Adherence of young adults to preventive programmes is low. The following study compares three different educational concepts to increase toothbrushing adherence in young adults. Methods: Nine vocational school classes (157 young adults) were randomly assigned to three different 60‐min approaches: (I) Education by a dentist, (II) Peer‐teaching and (III) ‘Adherence triangle concept’ uniting dentists, teachers and participants as equal partners in intervention planning combined with peer teaching. Follow‐up was 1 week for approaches I and II, and 1 week, 3 and 9 months for approach III. Adherence was defined as reported change from the childhood toothbrushing technique to adult technique. Adherence was evaluated using anonymous questionnaires and by diary analysis. Results: After instruction, 90% of participants (approaches I–III) showed the desired behaviour in practice and theory. Reported adherence after 1 week with approach I was 28.5%, with approach II 39% and with approach III 95%. Prolonged follow‐up of approach III yielded 76% after 3 months and 68% after 9 months. Adherence using approach III was significantly higher ( P ≤ 0.001) than using approach I and II after 1 week. Adherence rates with approach III after 9 months were still higher than those of approaches I and II after 1 week. Conclusions: The ‘adherence triangle’ concept enhanced reported adherence significantly in comparison with previous studies and the one‐dimensional concepts of approaches I and II. The tools of the adherence triangle concept seem worthwhile to be considered when planning new preventive action.