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. 1981 Summer;14(2):111–120. doi: 10.1901/jaba.1981.14-111

Behavioral research in preventive dentistry: educational and contingency management approaches to the problem of patient compliance.

B A Iwata, C M Becksfort
PMCID: PMC1308195  PMID: 7287595

Abstract

This study examined the effects of reinforcement on compliance with an oral hygiene education program. Patients 18 years of age or older who enrolled in an ongoing program at a periodontal practice received 3-5 sessions of instruction in preventive dental care. Using a between-subjects design, patients who entered the program during alternating months also had a portion of their fees refunded contingent upon improvements in their dental plaque scores. Pre- and posttreatment data showed that all subjects exhibited lower plaque levels following the program, but that greater improvements were seen in patients who were exposed to the fee reduction contingency. Plaque scores taken at a 6-month follow-up revealed some relapse for the Fee Reduction subjects. However, their scores were still substantially better than pretreatment, and better than those of the Education only subjects, whose data differed little from untreated Controls. Methodological and practical issues related to behavioral research in preventive dentistry are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anaise J. Z. A comparison of two oral hygiene indexes for measuring the effectiveness of dental floss in plaque removal. J Public Health Dent. 1977 Winter;37(1):62–67. doi: 10.1111/j.1752-7325.1977.tb02877.x. [DOI] [PubMed] [Google Scholar]
  2. Ball R. M. National health insurance: comments on selected issues. Science. 1978 May 26;200(4344):864–870. doi: 10.1126/science.417401. [DOI] [PubMed] [Google Scholar]
  3. Breslow L., Somers A. R. The lifetime health-monitoring program. A practical approach to preventive medicine. N Engl J Med. 1977 Mar 17;296(11):601–608. doi: 10.1056/NEJM197703172961104. [DOI] [PubMed] [Google Scholar]
  4. Forrest J. R. The effectiveness of fluoridation in Europe. A review. Br Dent J. 1967 Sep 19;123(6):269–275. [PubMed] [Google Scholar]
  5. Horner R. D., Keilitz I. Training mentally retarded adolescents to brush their teeth. J Appl Behav Anal. 1975 Fall;8(3):301–309. doi: 10.1901/jaba.1975.8-301. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Iwata B. A., Bailey J. S., Brown K. M., Foshee T. J., Alpern M. A performance-based lottery to improve residential care and training by institutional staff. J Appl Behav Anal. 1976 WINTER;9(4):417–431. doi: 10.1901/jaba.1976.9-417. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kohlenberg R., Greenberg D., Reymore L., Hass G. Behavior modification and the management of mentally retarded dental patients. ASDC J Dent Child. 1972 Jan-Feb;39(1):61–67. [PubMed] [Google Scholar]
  8. Lattal K. A. Contingency management of toothbrushing behavior in a summer camp for children. J Appl Behav Anal. 1969 Fall;2(3):195–198. doi: 10.1901/jaba.1969.2-195. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lerner M. H. The three-month recall for children--the "self-prophy" good learning low overhead profit center. J Am Soc Prev Dent. 1976 Oct;6(5):14–17. [PubMed] [Google Scholar]
  10. Levy R. L., Weinstein P., Milgrom P. Behavioral guidelines for plaque control programs. Dent Hyg (Chic) 1977 Jan;51(1):13–18. [PubMed] [Google Scholar]
  11. Lindhe J., Wicén P. O. The effects on the gingivae of chewing fibrous foods. J Periodontal Res. 1969;4(3):193–200. doi: 10.1111/j.1600-0765.1969.tb01966.x. [DOI] [PubMed] [Google Scholar]
  12. Lund A. K., Kegeles S. S., Weisenberg M. Motivational techniques for increasing acceptance of preventive health measures. Med Care. 1977 Aug;15(8):678–692. doi: 10.1097/00005650-197708000-00009. [DOI] [PubMed] [Google Scholar]
  13. Martens L. V., Frazier P. J., Hirt K. J., Meskin L. H., Proshek J. Developing brushing performance in second graders through behavior modification. Health Serv Rep. 1973 Nov;88(9):818–823. [PMC free article] [PubMed] [Google Scholar]
  14. McKAY F. S. Mass control of dental caries through the use of domestic water supplies containing fluorine. Am J Public Health Nations Health. 1948 Jun;38(6):828–832. doi: 10.2105/ajph.38.6.828. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Melamed B. G., Hawes R. R., Heiby E., Glick J. Use of filmed modeling to reduce uncooperative behavior of children during dental treatment. J Dent Res. 1975 Jul-Aug;54(4):797–801. doi: 10.1177/00220345750540041701. [DOI] [PubMed] [Google Scholar]
  16. Podshadley A. G., Haley J. V. A method for evaluating oral hygiene performance. Public Health Rep. 1968 Mar;83(3):259–264. [PMC free article] [PubMed] [Google Scholar]
  17. RUSSELL A. L., ELVOVE E. Domestic water and dental caries. VII. A study of the fluoride-dental caries relationship in an adult population. Public Health Rep. 1951 Oct 26;66(43):1389–1401. [PubMed] [Google Scholar]
  18. Reiss M. L., Piotrowski W. D., Bailey J. S. Behavioral community psychology: encouraging low-income parents to seek dental care for their children. J Appl Behav Anal. 1976 WINTER;9(4):387–397. doi: 10.1901/jaba.1976.9-387. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Saward E., Sorensen A. The current emphasis on preventive medicine. Science. 1978 May 26;200(4344):889–894. doi: 10.1126/science.644331. [DOI] [PubMed] [Google Scholar]
  20. Stokes T. F., Kennedy S. H. Reducing child uncooperative behavior during dental treatment through modeling and reinforcement. J Appl Behav Anal. 1980 Spring;13(1):41–49. doi: 10.1901/jaba.1980.13-41. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Turner A. J., Vernon J. C. Prompts to increase attendance in a community mental-health center. J Appl Behav Anal. 1976 Summer;9(2):141–145. doi: 10.1901/jaba.1976.9-141. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Williams C. L., Wynder E. L. A blind spot in preventive medicine. JAMA. 1976 Nov 8;236(19):2196–2197. [PubMed] [Google Scholar]

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