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Comparison of three forms of teaching - a prospective randomized pilot trial for the enhancement of adherence.
MedLine Citation:
PMID:  22356661     Owner:  NLM     Status:  Publisher    
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.
Ch Reinhardt; Mj Noack; G Wassmer; J Dumit; A Rolfs; K Klein
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-23
Journal Detail:
Title:  International journal of dental hygiene     Volume:  -     ISSN:  1601-5037     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101168070     Medline TA:  Int J Dent Hyg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 John Wiley & Sons A/S.
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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