Effects of perceived vs actual frequency of rewards on orthodontic patient attitudes and compliance.

IF 3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Alan Yee, Wendy Chu, Pramod Sinha, Amir Mohajeri, Man Hung, Donna Kritz-Silverstein
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Abstract

Objectives: To examine the longitudinal association of different reward schedules on patient compliance (as measured by oral hygiene assessments). The cross-sectional associations of actual vs perceived rewards frequency on patient attitudes were also examined.

Materials and methods: 138 patients undergoing treatment at a university orthodontic clinic were surveyed to collect information on perceived frequency of rewards, likelihood of making patient referrals, and attitudes toward reward programs and orthodontic treatment. Oral hygiene assessment from the most recent appointment and actual frequency of rewards were obtained from patient charts.

Results: Among participants, 44.9% were male, age ranged from 11 to 18 (mean = 14.9 ± 1.7) years; treatment time ranged from 9 to 56 (mean = 23.2 ± 9.8) months. Mean perceived frequency of rewards was 48% while actual frequency of rewards was 19.6%. There were no significant differences in attitudes by actual reward frequency (P > .10). However, those who perceived always receiving rewards were significantly more likely to have more positive opinions of reward programs (P = .004 and P = .024). Age- and treatment-time adjusted analyses showed that always receiving actual rewards was associated with odds of good oral hygiene 3.8 times (95% CI = 1.13, 13.09) higher than those never/rarely receiving actual rewards, but there was no association between perceived rewards and odds of good oral hygiene. Actual and perceived reward frequencies were significantly and positively correlated (r = 0.40, P < .001).

Conclusions: It is beneficial to give rewards to patients as often as possible to maximize compliance (as shown by hygiene ratings) and foster positive attitudes.

感知与实际奖励频率对正畸患者态度和依从性的影响。
目的:研究不同奖励计划对患者依从性的纵向关联(通过口腔卫生评估来衡量)。实际与感知奖励频率对患者态度的横断面关联也被检查。材料和方法:对138名在大学正畸诊所接受治疗的患者进行调查,收集他们对奖励的感知频率、转诊的可能性以及对奖励计划和正畸治疗的态度。根据最近一次就诊的口腔卫生评估和实际奖励频率从患者图表中获得。结果:参与者中男性占44.9%,年龄11 ~ 18岁(平均= 14.9±1.7)岁;治疗时间9 ~ 56个月(平均= 23.2±9.8)个月。平均感知奖励频率为48%,实际奖励频率为19.6%。不同实际奖励频率的态度差异无统计学意义(P > 10)。然而,那些认为总是得到奖励的人更有可能对奖励计划有更积极的看法(P = 0.004和P = 0.024)。年龄和治疗时间调整后的分析显示,总是接受实际奖励与良好口腔卫生的几率比从未或很少接受实际奖励的人高3.8倍(95% CI = 1.13, 13.09),但感知奖励与良好口腔卫生的几率之间没有关联。实际奖励频率与感知奖励频率呈显著正相关(r = 0.40, P < 0.001)。结论:尽可能多地给予患者奖励,有利于最大限度地提高依从性(如卫生评分),培养积极的态度。
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
Angle Orthodontist
Angle Orthodontist 医学-牙科与口腔外科
CiteScore
6.40
自引率
5.90%
发文量
95
审稿时长
3 months
期刊介绍: The Angle Orthodontist is the official publication of the Edward H. Angle Society of Orthodontists and is published bimonthly in January, March, May, July, September and November by The EH Angle Education and Research Foundation Inc. The Angle Orthodontist is the only major journal in orthodontics with a non-commercial, non-profit publisher -- The E. H. Angle Education and Research Foundation. We value our freedom to operate exclusively in the best interests of our readers and authors. Our website www.angle.org is completely free and open to all visitors.
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