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Published in: BMC Public Health 1/2020

Open Access 01-12-2020 | Care | Research article

A randomized controlled trial of an educational intervention to promote oral and dental health of patients with type 2 diabetes mellitus

Authors: Maryam Malekmahmoodi, Mohsen Shamsi, Nasrin Roozbahani, Rahmatollah Moradzadeh

Published in: BMC Public Health | Issue 1/2020

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Abstract

Background

Diabetes is the most prevalent disease resulted from metabolic disorders. This study aimed to investigate the effect of training based on health belief model (HBM) on oral hygiene-related behaviors in patients with type 2 diabetes mellitus.

Methods

This study was conducted as an educational randomized controlled trial (single blind) on 120 patients with type 2 diabetes referring to a diabetes clinic selected through systematic sampling, who were assigned to two groups of control (N = 60) and intervention (N = 60). The data collection tool was a valid and reliable questionnaire based on HBM which was completed by both groups before the intervention. Then, the intervention group received 4 sessions of educational program based on HBM in 1 month, and the same questionnaire was completed again after 3 months and the data were analyzed through SPSS version 20 software with inferential statistics, t-test, paired t-tests, Chi square, Mann-Whitney test, and Wilcoxon test analysis.

Results

Three months after the intervention, awareness of the patients and perceived susceptibility, benefits, self-efficacy, internal cue to action, and performance in oral and dental hygiene-related behaviors had a significant increase in the intervention group (p < 0.05). So that the performance of oral and dental hygiene in the intervention group increased from 2.16 ± 0.71 to 3.25 ± 0.49 (p = 0.001) after the education.

Conclusion

Our results suggest that training patients with diabetes based on HBM as well as through active follow-up can enhance their skills in oral and dental hygiene-related behaviors. Controlling, monitoring and follow-up during the program are also recommended.

Trial registration

Iranian Registry of Clinical Trials, IRCT 2017050733847N1. Prospectively registered 14 June 2017, http://​en.​irct.​ir/​trial/​26011
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Metadata
Title
A randomized controlled trial of an educational intervention to promote oral and dental health of patients with type 2 diabetes mellitus
Authors
Maryam Malekmahmoodi
Mohsen Shamsi
Nasrin Roozbahani
Rahmatollah Moradzadeh
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2020
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-020-8395-4

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