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Randomized Controlled Trial of a One-minute Intervention Changing Oral Self-care Behavior

¹ University of Aberdeen, College of Life Sciences and Medicine, King’s College, William Guild Building, Aberdeen, AB24 2UB, Scotland, UK;
² The Robert Gordon University, Scotland; and
³ Alliance for Self Care Research, Scotland

^* corresponding author, f.sniehotta{at}abdn.ac.uk

Non-compliance with oral self-care recommendations, despite education and motivation, is a major problem in preventive dentistry. Forming concrete if-then action plans has been successful in changing self-care behavior in other areas of preventive medicine. This is the first trial to test the effects of a brief planning intervention on interdental hygiene behavior. Two hundred thirty-nine participants received a packet of floss, information, and a flossing guide. They were randomly assigned to a control or an intervention group. The intervention took 1.16 minutes and consisted of forming a concrete plan of where, when, and how to floss. Baseline measures and two-week and two-month follow-ups included self-report, residual floss, and theory of planned behavior variables. The intervention significantly affected flossing in that group at two-week and two-month follow-ups, as compared with the control group. This study provides evidence for the effects of a concise intervention on oral self-care behavior.

KEY WORDS: self-care • prevention • behavioral intervention • oral hygiene • theory of planned behavior

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