Effectiveness of an Integrated Behaviour Change Model to Enhance Sense of Coherence and Oral Health Status among School Students in Chennai City – An Interventional Study

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Authors

  • R. Pavithra
     Department of Public Health Dentistry, Sri Venkateswara Dental College and Hospital, Thalambur, Chennai – 600130, Tamil Nadu ,IN
  • P. D. Madan Kumar
     Department of Public Health Dentistry, Ragas Dental College and Hospital, Uthandi, Chennai – 600119 ,IN

DOI:

https://doi.org/10.18311/jpfa/2024/36518

Keywords:

Oral Health Belief, Oral Health Promotion, Oral Health Status, School Children, Sense of Coherence

Abstract

Aim: To evaluate the effectiveness of an Integrated Behaviour Change model in enhancing Sense Of Coherence and oral health status among school students in Chennai city. Materials and Methods: 200 school children aged 13-15 years, were randomly allocated into the study and control group. The Integrated Behaviour Change Model was used to improve students’ Sense of Coherence and Oral Health Status in the study group. Students in the control group received conventional oral health education using lecture method, peer teaching and audio-visual method. The Sense of Coherence of students in the study group was recorded using the 13-item Scale and Simplified Oral Hygiene Index (OHI-S), Gingival Index (GI) and Plaque Index (PlI) were used to assess Oral Health Status. Oral Health Belief was also recorded. After six months, Oral Health Status and Oral Health Beliefs were assessed. Sense Of Coherence of students in the study group was assessed. Results: The per cent decrease in the OHI-S score was 51% in the study group and 36% in the control group (p=0.001). PlI scores showed 66% and 63% reduction in the study and control group, respectively. After six months, the Oral Health Belief in the study group increased by 59% and the control group showed a 51% increase (p=0.013). Sense Of Coherence score showed a 10% increase in the study group. Further, improvement in the OHI-S score was found to be associated with the Sense Of Coherence score of students in the study group. Conclusion: The intervention established in this study improved the Sense Of Coherence and Oral Health Status of school students. The improvement in Oral Health Status obtained in the study group was higher than in the control group.

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Published

2024-08-26

How to Cite

Pavithra, R., & Kumar, P. D. M. (2024). Effectiveness of an Integrated Behaviour Change Model to Enhance Sense of Coherence and Oral Health Status among School Students in Chennai City – An Interventional Study. Journal of Pierre Fauchard Academy (India Section), 38(1-2), 9–16. https://doi.org/10.18311/jpfa/2024/36518

Issue

Volume 38, Issue 1-2, January - June 2024

Section

Original Research Article

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All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).

 

References

Islam SMS, Purnat TD, Phuong NTA, Mwingira U, Schacht K, Froschl G. Non-Communicable Diseases (NCDs) in developing countries: A symposium report. Glob Health. 2014; 10:1-8. https://doi.org/10.1186/s12992-014-0081-9 PMid:25498459 PMCid:PMC4267750

World Health Organization. Global status report on noncommunicable diseases 2010. Geneva: World Health Organization; 2011. https://iris.who.int/handle/10665/44579

Peterson PE, Bourgeois D, Ogawa H. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005; 83:661-69. http://doi.org/10.1590/S004296862005000900011

World Health Organization. Report of the working group on disease burden for 12th five year plan [Internet]. 2011. [cited 2024 Feb 6]. Available from: http://planningcommission.gov.in/aboutus/committee/wrkgrp12/health/WG_3_2non_ communicable.pdf.

PRB. Fact Sheet: Global burden of noncommunicable diseases. Population reference bureau 2012 [Internet]. 2012. [cited 2024 Feb 6]. Available from: https://www.prb.org/ resources/global-burden-of-noncommunicable-diseases/

Shenoy RP, Salam ATA, Agarwal R, Shenay PK. Oral hygiene practices and their influence on oral health of adolescents. Int J Community Med Public Health. 2020; 7:2556-61. https://doi.org/10.18203/2394-6040.ijcmph20202976

Nagarajappa R, Naik D, Ramesh G. Sources of oral health information and its relationship on knowledge among Indian adolescents. Pesqui Bras Odontopediatria Clin Integr. 2021: 21:e0099. https://doi.org/10.1590/pboci.2021.011

Freire MCM, Sheiham A, Hardy R. Adolescents’ Sense Of Coherence, oral health status, and oral health-related behaviours. Community Dent Oral Epidemiol. 2001; 29:20412. https://doi.org/10.1034/j.1600-0528.2001.290306.x PMid:11409679

Antonovsky A. Health, stress and coping. San Francisco: Jossey-Bass; 1979.

Elysai M, Abreu LG, Badri P, Saltaji H, Flores-Mir C, Amin M. Impact of Sense Of Coherence on oral health behaviours: A systematic review. PLoS One. 2015; 10:e0133918. https://doi.org/10.1371/journal.pone.0133918 PMid:26275064 PMCid:PMC4537196

Lindstrom B, Eriksson M. Salutogenesis. J Epidemiol Community Health. 2005; 59:440-42. https://doi.org/10.1136/jech.2005.034777 PMid:15911636 PMCid:PMC1757059

Antonovsky A. The structure and properties of the Sense Of Coherence scale. Soc Sci Med. 1993; 36:725-33.

Antonovsky A. Unraveling the mystery of health. How people manage stress and stay well. San Francisco: JosseyBass; 1987. https://doi.org/10.1016/0277-9536(93)90033-Z PMid:8480217

Savolainen J, Suominen-Taipale AL, Hausen H, Harju P, Uutela A, Martelin T. Sense Of Coherence as a determinant of the oral health related quality of life: A national study in Finnish adults. Eur J Oral Sci. 2005; 113:121-7. https://doi.org/10.1111/j.1600-0722.2005.00201.x PMid:15819817

Dorri M, Sheiham A, Hardy R, Watt RG. The relationship between Sense Of Coherence and toothbrushing behaviours in Iranian adolescents in Mashhad. J Clin Periodontol. 2010; 37:46-52. https://doi.org/10.1111/ j.1600-051X.2009.01497.x PMid:19958443

Lindmark U, Hakeberg M, Hugoson A. Sense Of Coherence and oral health status in an adult Swedish population. Acta Odontol Scand. 2011; 69:12-20. https://doi.org/10.3109/00 016357.2010.517553 PMid:20860429

Kay E, Locker D. A systematic review of the effectiveness of health promotion aimed at improving oral health. Community Dent Health. 1998; 15:132-44. PMID: 10645682

Ayo-Yusuf OA, Reddy PS, Van den Borne BW. Longitudinal association of adolescents’ Sense Of Coherence with toothbrushing using an integrated behaviour change model. Community Dent Oral Epidemiol. 2009; 37:68-77. https://doi.org/10.1111/j.1600-0528.2008.00444.x PMid:19046336

Pavithra R, Lalithambigai G, Junaid M, Kumar PDM. Content validation and reliability of the 13 item Sense Of Coherence scale among 13-15 year old school children in Chennai city. Int J of Indian Psychol. 2015; 3:43-50. https://doi.org/10.25215/0301.006

Nammontri O, Robinson PG, Baker SR. Enhancing oral health via Sense Of Coherence: A cluster randomized trial. J Dent Res. 2013; 92:26-31. https://doi.org/10.1177/0022034512459757 PMid:23018820

Buddeberg-Fischer B, Klaghofer R, Schnyder U. Sense Of Coherence in adolescents. Soc Preventiv Med. 2001; 46:404-10. https://doi.org/10.1007/BF01321667 PMid:11851075

Sheiham A, Watt RG. Oral health promotion and policy. In: Murray JJ, Nunn JH, Steele JG, editors. Prevention of oral disease. Oxford: Oxford University Press; 2003. p. 241-58. https://doi.org/10.1093/oso/9780192632791.003.0015

Daly B, Watt RG, Batchelor P, Treasure ET. Essential dental public health. Oxford: Oxford University Press; 2005.

Chin LS, Chung JC-Y. Self esteem, oral health behaviours and clinical oral health status in Chinese adults: An exploratory study. Health Educ J. 2012; 72:684-94. https://doi.org/10.1177/0017896912460928

Basak CA, Nilufer K, Murtomaa H. Self-efficacy perspective on oral health among Turkish pre-adolescents. Oral Health Prev Dent. 2005; 3:209-15. PMID: 16475449