| Comparison of three forms of teaching - a prospective randomized pilot trial for the enhancement of adherence. | |
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MedLine Citation:
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PMID: 22356661 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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To cite this article: Int J Dent Hygiene 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. |
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Authors:
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Ch Reinhardt; Mj Noack; G Wassmer; J Dumit; A Rolfs; K Klein |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-2-23 |
Journal Detail:
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Title: International journal of dental hygiene Volume: - ISSN: 1601-5037 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-2-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101168070 Medline TA: Int J Dent Hyg Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 John Wiley & Sons A/S. |
Affiliation:
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Authors' affiliations: CH Reinhardt, Department of Biology Teaching, State Teacher Training Center, Köln, Germany CH Reinhardt, MJ Noack, Centre of Dental Medicine, University of Cologne, Köln, Germany G Wassmer, Institute of Biostatistics, Informatics and Epidemiology, University of Cologne, Köln, Germany J Dumit, Science Technology and Society Department, Massachusetts Institute of Technology, Cambridge, MA, USA A Rolfs, Albrecht-Kossel-Institute for Neuroregeneration, University of Rostock, Rostock, Germany K Klein, Institute of Biology and Biology Teaching, University of Cologne, Köln, Germany. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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