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  • 1. Abrahamsson, K H
    et al.
    Stenman, J
    Ohrn, K
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Attitudes to dental hygienists: evaluation of the Dental Hygienist Beliefs Survey in a Swedish population of patients and students.2007Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 5, nr 2, s. 95-102Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to evaluate and test the psychometric properties of the Dental Hygienist Beliefs Survey (DHBS) in a Swedish sample of different patient groups and students. It was hypothesized that negative dental hygienist beliefs would discriminate between fearful and non-fearful study groups. The DHBS was distributed together with the revised Dental Beliefs Survey (DBS-R) and the Dental Anxiety Scale (DAS). The study sample included 394 subjects (130 students, 144 general dental patients, 90 periodontal patients and 30 patients on a waiting list for dental fear treatment). The results verified that the DHBS discriminates well between dentally fearful and non-fearful study groups. The DHBS had high internal consistency (Cronbach's alpha = 0.96-0.98) in all the groups. The correlation between the DHBS and the DBS-R was high (rho = 0.82, P < 0.001). Furthermore, the DHBS correlated significantly with the DAS, as well as with a low but significant correlation to age (more negative attitudes in younger age groups) and gender (more negative attitudes amongst women). Regression analysis showed that gender and the DHBS items: 23, 16 and 28, i.e. items related to feeling helpless, worries/fears not being taken seriously and fear about 'bad news' possibly preventing treatment, were the most important predictors of dental fear. The results suggest that the DHBS may be a valid and reliable scale to use in order to assess patient's specific attitudes to dental hygienists. However, the psychometric properties including test-retest analysis and the underlying factor structure of the DHBS need to be further explored.

  • 2. Hellqvist, L
    et al.
    Rolandsson, M
    Birkhed, D
    Hugoson, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Tobacco use in relation to socioeconomic factors and dental care habits among Swedish individuals 15-70 years of age, 1983-20032009Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 7, nr 1, s. 62-70Artikkel i tidsskrift (Fagfellevurdert)
  • 3.
    Johansson, Isabelle
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Torgé, Cristina Joy
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Is an oral health coaching programme a way to sustain oral health for elderly people in nursing homes: A feasibility study2020Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, s. 107-115Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives

    This study examines the feasibility of an oral health coaching programme involving practical support on individual level to staff in a nursing home in Sweden, aiming to improve oral health care‐related beliefs of nursing staff and the oral health of residents.

    Methods

    This intervention study consisted of three wards from one nursing home, and both staff (n = 48) and residents (n = 58) were invited. In the control ward, 9 staff and 16 residents participated; in test ward 1, 10 staff and 13 residents participated; and at test ward 2, 14 staff and 17 residents participated. An oral health coaching programme was performed 4 h/wk for 3 months. The staff completed the nursing Dental Coping Beliefs Scale at baseline and after 9 months. Oral health of the residents was assessed using the Revised Oral Assessment Guide and mucosal‐plaque score at baseline and after 3, 6 and 9 months.

    Results

    At baseline, 33 staff participated and 22 at 9 months follow‐up. For the residents, the figures were 48 and 32, respectively. After the intervention, the nursing DCBS revealed changes related to usage of fluoride, oral health support, gum disease and approximal cleaning. The most frequently reported oral health problems among the residents pertained to teeth and gums. The residents’ relatively high level of oral health was stable during the study period.

    Conclusions

    Despite limitations in the programme, an oral health coaching programme can support nursing staff in maintaining a high level of oral health in residents. The programme was shown feasible, although design improvements are needed.

  • 4. Karlsson, Ewelina
    et al.
    Lymer, Ulla-Britt
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Periodontitis from the patient's perspective, a qualitative study2009Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 7, nr 1, s. 23-30Artikkel i tidsskrift (Fagfellevurdert)
  • 5.
    Karlsson, Frida
    et al.
    Public Dental Service, Region Kronoberg, Lammhult, Sweden..
    Stensson, Malin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Centrum för oral hälsa.
    Jansson, Henrik
    Department of Periodontology, Faculty of Odontology, Malmö University, Malmö, Sweden..
    Caries incidence and risk assessment during a five-year period in adolescents living in south-eastern Sweden2020Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 18, nr 1, s. 92-98Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: The aim was to examine the caries incidence in adolescents using the Public Dental Service (PDS) during a 5-year period in relation to their caries experience at baseline and risk classification.

    METHODS: A five-year retrospective cohort study based of the dental records from 17 PDS clinics in southeastern Sweden was conducted; 159 individuals born in 1997 were included, and their caries risk was classified at 12 and 17 years of age. Caries prevalence and documented risk groups were assessed at baseline and after five years.

    RESULTS: The increment of caries (both initial and manifest caries) was higher, to a statistically significant degree, after five years in adolescents who were recorded as caries-free at baseline compared to individuals with caries at baseline (p<0.001). In individuals with caries at baseline, the greatest increment of caries was found at approximal sites (p<0.001). At baseline, individuals were classified as low (94%), medium (6%) and high risk (0%). After five years, the figures were 74%, 20% and 6%, respectively. Although classified in a low-caries-risk group, 9% had ≥ 6 decayed or filled surfaces at baseline, and 23% did after five years. Approximately 62% of individuals were registered as caries-free at baseline, and 45% were after five years.

    CONCLUSIONS: There was an increase in caries over five years, especially among adolescents without caries experience at baseline. The majority of adolescents had the same risk classification after five years. Further research with a larger sample size is needed to evaluate risk assessment for caries.

  • 6.
    Lindmark, Ulrika
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Abrahamsson, Kajsa H.
    Göteborgs Universitet.
    Oral health-related resources - a salutogenic perspective on Swedish 19-year-olds2015Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 13, nr 1, s. 56-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to explore health-oriented resources among 19-year-olds and, specifically, how these resources interact with oral health-related attitudes and behaviour. To represent individuals with various psychosocial environments and socioeconomic areas, the participants were selected from different geographical locations of the Public Dental Service clinics in the county of Jönköping, Sweden. A structured questionnaire was distributed, including the instrument ‘sense of coherence’, for description of the study group, followed by a semi-structured thematized interview. The qualitative method used for sampling and analyses was grounded theory. Data sampling and analysis were performed in parallel procedures and ended up in a sample of ten informants (five women). In the analysis of interview data, a core category was identified, ‘Resources of Wealth and Balance in Life – a Foundation for Healthy Choices’, describing the central meaning of the informants’ perceptions of resources with an essential beneficial impact on oral health. The core category was built on five themes, which in turn had various subthemes, describing different dimensions of resources interacting with beneficial oral health-related attitudes and behaviour: ‘Security-building Resources and Support’, ‘Driving force and Motivation’,Maturity and Insight’,Health Awareness’ and ‘Environmental influences.’ The results elucidate personal and environmental health-oriented resources with influence on oral health-related attitudes and behaviours of young individuals. Such beneficial recourses should be recognized by dental personnel to promote oral health.

    Fulltekst (pdf)
    fulltext
  • 7.
    Lindmark, Ulrika
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Wagman, Petra
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Wåhlin, Charlotte
    Intervention and Implementation Research Unit, Karolinska Institutet, Linköping, Sweden.
    Rolander, Bo
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. SALVE (Socialt arbete, Livssammanhang, Välfärd). Futurum, Academy for Health and Care, Jönköping County Council, Jöonköping, Sweden.
    Workplace health in dental care – a salutogenic approach2018Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 16, nr 1, s. 103-113Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    The purpose was to explore self-reported psychosocial health and work environments among different dental occupations and workplaces from a salutogenic perspective. A further purpose was to analyse possible associations between three salutogenic measurements: The Sense of Coherence questionnaire (SOC), the Salutogenic Health Indicator Scale (SHIS) and the Work Experience Measurement Scale (WEMS).

    Methods

    Employees in the Public Dental Service in a Swedish county council (n = 486) were invited to respond to a self-reported web survey including demographics, work-related factors, the SOC, the SHIS and the WEMS.

    Results

    This study showed positive associations between employee characteristics and self-reported overall psychosocial health as well as experienced work environment. Autonomy was reported more among men than women (P < 0.000) and to a higher degree by dentists and dental hygienists than dental nurses (P < 0.000). Meaningfulness, happiness, job satisfaction, autonomy and positive to reorganization were reported by personnels aged less than 40 years (P ≤ 0.047). Clinical coordinators reported significant better health (SOC, SHIS) and experienced more autonomy, better management and more positive to reorganization than other dental professions. Dental hygienists and nurses experienced less time pressure than dentists (P ≤ 0.007). Better health and positive work experiences were also seen in smaller clinics (P ≤ 0.29).

    Conclusion

    Dental professionals reported a high degree of overall psychosocial health as well as a positive work experience. Some variations could be seen between employee characteristics such as gender, years in dental care, professionals, managing position and workplace size. Identify resources and processes at each workplace are important and should be included in the employee's/employers dialogue.

    Fulltekst (pdf)
    Fulltext
  • 8. Ohrn, K
    et al.
    Hakeberg, Magnus
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Abrahamsson, K H
    Dental beliefs, patients' specific attitudes towards dentists and dental hygienists: a comparative study.2008Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 6, nr 3, s. 205-213Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Interpersonal relationships are important for communication, oral health education and patients' satisfaction with dental care. To assess patients' attitudes towards dental caregivers, a Swedish version of the revised Dental Belief Survey (DBS-R) and a comparable and partly new instrument the Dental Hygienist Belief Survey (DHBS) have been evaluated. The aim of the present study was to investigate if patients' attitudes towards dental hygienists (DH) and dentists (D) differ with regard to the separate items in DBS-R and DHBS. The study was a comparative cross-sectional study with 364 patients (students, general patients and patients with periodontal disease). All patients completed the DBS-R and DHBS surveys. The overall pattern in the results showed that participants in general had a less negative attitude towards DH when compared with that towards D. This was most pronounced among students and least pronounced among patients with periodontal disease. No statistically significant difference could be found in items with regard to feelings of shame and guilt in dental care situations, indicating that these items were rated on a more negative level also for DH. The conclusion is that participants had a less negative attitude towards DH with the exception of situations which may give rise to feelings of shame and guilt, an important finding for future dental hygiene care.

  • 9.
    Pakpour, AH
    et al.
    Department of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran.
    Hidarnia, A
    Department of Health Education, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
    Hajizadeh, E
    Department of Biostatistics, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
    Kumar, S
    Department of Preventive and Community Dentistry, Vishnu Dental College, Bhimavaram, Andhra Pradesh, India.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Why Iranian adolescents do not brush their teeth: a qualitative study2012Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 10, nr 2, s. 86-90Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: To explore and describe attitudes towards tooth-brushing among Iranian adolescents.

    Methods: A series of focus-group sessions were held with 37 Iranian adolescents in schools. The groups comprised five to eight adolescents. All focus-group discussions were tape-recorded and then transcribed verbatim. All transcripts, codes and categories were read several times to extract a theme. Data were analysed using a qualitative content analysis approach.

    Results: Four major categories emerged from the analysis: brushing teeth is a necessary evil, parental influence on not brushing teeth, brushing teeth is insignificant, and brushing teeth is a health hazard. The theme identified in the latent content described that tooth-brushing is not part of the adolescents’ activities of daily living.

    Conclusions: Health educators should stress on the engagement of parents, awareness of the adolescents on brushing techniques and causes of toothache, and address any misconceptions regarding tooth-brushing.

  • 10.
    Scheerman, Janneke F. M.
    et al.
    Inholland University of Applied Sciences, Amsterdam, Netherlands.
    van Meijel, Berno
    Inholland University of Applied Sciences, Amsterdam, Netherlands.
    van Empelen, Pepijn
    TNO Research Group, Leiden, Netherlands.
    Verrips, Gijsbert H. W.
    TNO Research Group, Leiden, Netherlands.
    van Loveren, Cor
    Academic Center for Dentistry Amsterdam, Amsterdam, Netherlands.
    Twisk, Jos W. R.
    VU Medical Center Amsterdam, Amsterdam, Netherlands.
    Pakpour, Amir H.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
    van den Braak, Matheus C. T.
    Academic Center for Dentistry Amsterdam, Amsterdam, Netherlands.
    Kramer, Gem J. C.
    Academic Center for Dentistry Amsterdam, Amsterdam, Netherlands.
    The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene: A randomized controlled trial2020Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 18, nr 1, s. 73-83Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To evaluate the effectiveness of the WhiteTeeth mobile app, a theory-based mobile health (mHealth) program for promoting oral hygiene in adolescent orthodontic patients.

    Methods: In this parallel randomized controlled trial, the data of 132 adolescents were collected during three orthodontic check-ups: at baseline (T0), at 6-week follow-up (T1) and at 12-week follow-up (T2). The intervention group was given access to the WhiteTeeth app in addition to usual care (n = 67). The control group received usual care only (n = 65). The oral hygiene outcomes were the presence and the amount of dental plaque (Al-Anezi and Harradine plaque index), and the total number of sites with gingival bleeding (Bleeding on Marginal Probing Index). Oral health behaviour and its psychosocial factors were measured through a digital questionnaire. We performed linear mixed-model analyses to determine the intervention effects.

    Results: At 6-week follow-up, the intervention led to a significant decrease in gingival bleeding (B = −3.74; 95% CI −6.84 to −0.65) and an increase in the use of fluoride mouth rinse (B = 1.93; 95% CI 0.36 to 3.50). At 12-week follow-up, dental plaque accumulation (B = −11.32; 95% CI −20.57 to −2.07) and the number of sites covered with plaque (B = −6.77; 95% CI −11.67 to −1.87) had been reduced significantly more in the intervention group than in the control group.

    Conclusions: The results show that adolescents with fixed orthodontic appliances can be helped to improve their oral hygiene when usual care is combined with a mobile app that provides oral health education and automatic coaching. Netherlands Trial Registry Identifier: NTR6206: 20 February 2017.

  • 11.
    Stenebrand, Agneta
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Oral hälsa.
    Wide Boman, Ulla
    Department of Behavioral and Community Dentistry Institute of Odontology, The Sahlgrenska Academy University of Gothenburg, Sweden.
    Hakeberg, Magnus
    Department of Behavioral and Community Dentistry Institute of Odontology, The Sahlgrenska Academy University of Gothenburg, Sweden.
    Dental anxiety and symptoms of general anxiety and depression in 15-year-olds2013Inngår i: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 11, nr 2, s. 99-104Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives:  The objective of the study was to analyse the relationship between dental anxiety and symptoms of general anxiety and depression among 15-year-old individuals. Methods:  The sample analysed included 221 randomly selected 15-year-old individuals living in the city of Jönköping, Sweden. One questionnaire captured sociodemography and dental history, while dental anxiety was assessed by the Dental Fear Survey (DFS) and symptoms of general anxiety and depression by the Hospital Anxiety and Depression Scale (HADS). Results:  About 6% of the adolescents were classified as dentally anxious. Symptoms of general anxiety and depression were significantly correlated with dental anxiety in both the bivariate and multivariate analyses. The latter analyses were adjusted for gender and previous painful experiences of dental care. Individuals with high dental anxiety showed general anxiety scores on a clinical level (mean = 9.8, SD = 4.3). Conclusions:  Symptoms of general anxiety and depression were shown to be significantly correlated with dental anxiety among 15-year-old individuals.

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