ORIGINAL ARTICLE CLINICAL PERIODONTOLOGY

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

Corresponding Author

Vanessa Machado

[email protected]

orcid.org/0000-0003-2503-260X

Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Almada, Portugal

Clinical Research Unit (CRU), CiiEM, IUEM, Almada, Portugal

Correspondence

Vanessa Machado, Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz, Egas Moniz Cooperativa de Ensino Superior, Campus Universitário, Quinta da Granja, 2829 - 511 Almada, Portugal.

Email: [email protected]

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João Botelho,

João Botelho

orcid.org/0000-0002-1019-8263

Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Almada, Portugal

Clinical Research Unit (CRU), CiiEM, IUEM, Almada, Portugal

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Luís Proença,

Luís Proença

orcid.org/0000-0002-8482-5936

Quantitative Methods for Health Research (MQIS), CiiEM, IUEM, Almada, Portugal

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José João Mendes,

José João Mendes

orcid.org/0000-0003-0167-4077

Clinical Research Unit (CRU), CiiEM, IUEM, Almada, Portugal

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Vanessa Machado,

Corresponding Author

Vanessa Machado

[email protected]

orcid.org/0000-0003-2503-260X

Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Almada, Portugal

Clinical Research Unit (CRU), CiiEM, IUEM, Almada, Portugal

Correspondence

Email: [email protected]

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João Botelho,

João Botelho

orcid.org/0000-0002-1019-8263

Periodontology Department, Clinical Research Unit (CRU), Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Almada, Portugal

Clinical Research Unit (CRU), CiiEM, IUEM, Almada, Portugal

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Luís Proença,

Luís Proença

orcid.org/0000-0002-8482-5936

Quantitative Methods for Health Research (MQIS), CiiEM, IUEM, Almada, Portugal

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José João Mendes,

José João Mendes

orcid.org/0000-0003-0167-4077

Clinical Research Unit (CRU), CiiEM, IUEM, Almada, Portugal

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First published: 27 June 2020

https://doi.org/10.1111/jcpe.13337

Citations: 17

Funding information

As part of their interaction with the community and social responsibility, Egas Moniz—Cooperativa de Ensino Superior, CRL granted a triage appointment, orthopantomography, a dental cleaning visit, and, in the case of diagnosis of periodontal disease, the treatment until the first revaluation.

Clinical Relevance

Scientific rationale for the study: To investigate how periodontal disease perception and its impact in quality of life influence initial periodontal treatment adherence along with a number of covariates.

Principal findings: Initial periodontal treatment adherence is influenced by patients perception on periodontal disease treatment and identity domains and by functional impact domain.

Practical implications: These self-reported measures might be significant to predict initial periodontal treatment adherence and shed light in future treatment adherence tools.

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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.

CONFLICT OF INTEREST

The authors declare no conflict of interests.

Supporting Information

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Volume47, Issue10

October 2020

Pages 1209-1218

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

Clinical Relevance

Abstract

Aim

Material and Methods

Results

Conclusions

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Information

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

Clinical Relevance

Abstract

Aim

Material and Methods

Results

Conclusions

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

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