Self-reported illness perception and oral health-related quality of life predict adherence to initial periodontal treatment.

Abstract:

AIM:To investigate the impact of periodontal disease perception and oral health-related quality of life (OHRQoL), towards the initial periodontal treatment adherence (IPTA). MATERIAL AND METHODS:This prospective study included 571 patients (274 males and 297 females, mean age 63.1 ± 14.5) with periodontal disease, from the Study of Periodontal Health in Almada-Seixal (SoPHiAS). We assessed the potential connections, between sociodemographic characteristics, oral hygiene behaviours, periodontal measures, the Brief Illness Perception Questionnaire (IPQ) and the Oral Health Impact Profile (OHIP-14), through a structural equation modelling (SEM). Multivariate logistic regression assessed significant oral health-related variables towards IPTA. RESULTS:Overall, 265 participants had IPTA (46.4%). The SEM had a good fit to the data on all six latent variables (χ2  = 2.221, CFI = 0.921, RMSEA = 0.0.046). Multivariate analysis for IPTA indicated Treatment Control (Odds Ratio [OR] = 1.07) and Identity domains of Brief-IPQ (OR = 1.10) and Functional Limitation domain of OHIP-14 (OR = 1.60) as significant predictors. The obtained tool had a satisfactory prediction of IPTA (61.1%). CONCLUSIONS:Initial periodontal treatment adherence is influenced by patient's perception on periodontal disease treatment and identity domains and by functional impact domain of OHRQoL. Future studies shall investigate the effect of modelling these domains on therapeutic success and public health strategies.

journal_name

J Clin Periodontol

authors

Machado V,Botelho J,Proença L,Mendes JJ

doi

10.1111/jcpe.13337

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1209-1218

issue

10

eissn

0303-6979

issn

1600-051X

journal_volume

47

pub_type

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