Changing from disease-centred to person-centred – Swedish dental hygienists' views on a theory-based behavioural intervention for improved oral hygiene among adolescents

IF 1.6 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of dental hygiene Pub Date : 2024-04-24 DOI:10.1111/idh.12811

Sandra L. Dimenäs, Birgitta Jönsson, Mona Lundin, Jesper Lundgren, Kajsa H. Abrahamsson

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引用次数: 0

Abstract

Objectives

To explore dental hygienists' (DHs') views on (i) a person-centred, theory-based, behavioural intervention for improving oral hygiene among adolescents and (ii) professional and organizational factors to consider in the implementation of such an intervention in daily dental practice.

Methods

Semi-structured interviews were conducted with 13 DHs who had applied the person-centred, theory-based, behavioural intervention directed at adolescents with poor oral hygiene in a field study within the Public Dental Service, Region Västra Götaland, Sweden. The interviews were audio-taped, transcribed verbatim and analysed using qualitative content analysis.

Results

The main theme ‘From individual experts to partners – DHs changing direction from a disease-centred towards a person-centred approach’ illustrated a changed professional approach among DHs, from exerting their roles as experts to encouraging partnership in treatment by supporting the adolescents in taking health behavioural decisions and responsibility for their oral health. The DHs considered the changed approach as challenging, but also more enjoyable, compared to conventional information/instruction. Adequate knowledge and skills, personal interest and willingness for a change as well as support from colleagues and clinic management were identified as prerequisites for implementing the person-centred, theory-based, behavioural intervention in daily practice, while the expenditure of time needed in relation to economic demands in care were seen as barriers.

Conclusions

The findings elucidate that DHs considered the application of a person-centred, theory-based, behavioural intervention to be challenging but also enjoyable. For such an intervention to be implemented in daily practice, prerequisites and barriers need to be considered on both personal/professional and organizational levels.

Abstract Image

查看原文本刊更多论文

从 "以疾病为中心 "到 "以人为本"--瑞典牙科保健师对改善青少年口腔卫生的理论行为干预的看法。

目的探讨牙科保健师（DHs）对（i）以人为中心、以理论为基础、旨在改善青少年口腔卫生的行为干预的看法，以及（ii）在日常牙科实践中实施此类干预时需要考虑的专业和组织因素。方法对13名牙科保健师进行了半结构式访谈，他们在瑞典Västra Götaland地区公共牙科服务的一项实地研究中，针对口腔卫生较差的青少年实施了以人为中心、以理论为基础的行为干预。结果 "从个人专家到合作伙伴--牙科医生从以疾病为中心的方法向以人为本的方法转变 "这一主题说明了牙科医生的专业方法发生了变化，他们从发挥专家的作用转变为通过支持青少年做出健康行为决定并对其口腔健康负责来鼓励他们在治疗中建立合作伙伴关系。衞生署署長認為，相對於傳統的資訊／教學方式，這種改變了的方式既富挑戰性，亦更令人感到愉快。充足的知识和技能、个人兴趣和改变的意愿以及同事和诊所管理层的支持被认为是在日常实践中实施以人为本、以理论为基础的行为干预的先决条件，而与护理中的经济需求相关的所需时间支出则被认为是障碍。要在日常实践中实施这种干预，需要从个人/专业和组织两个层面考虑先决条件和障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of dental hygiene DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.00

自引率

8.30%

发文量

审稿时长

>12 weeks

期刊介绍： International Journal of Dental Hygiene is the official scientific peer-reviewed journal of the International Federation of Dental Hygienists (IFDH). The journal brings the latest scientific news, high quality commissioned reviews as well as clinical, professional and educational developmental and legislative news to the profession world-wide. Thus, it acts as a forum for exchange of relevant information and enhancement of the profession with the purpose of promoting oral health for patients and communities. The aim of the International Journal of Dental Hygiene is to provide a forum for exchange of scientific knowledge in the field of oral health and dental hygiene. A further aim is to support and facilitate the application of new knowledge into clinical practice. The journal welcomes original research, reviews and case reports as well as clinical, professional, educational and legislative news to the profession world-wide.