COGNITIVE BEHAVIORAL ENHANCEMENT OF ORAL HEALTH STATUS

在很大程度上，积极的健康行为是自我调节的过程 受信仰、态度和知识决定和限制的；身体上和 社会环境；以及技能或表演行为。这些因素 包括两个主要理论的主要组成部分，用于解释 行为与行为变化：菲什宾和阿岑的理性理论 行动和班杜拉的社会学习理论。这样做的目的是 调查是为了测试社会学习的相对有效性 理解和预测的理性行动理论和理论 并测试一种口腔健康行为的有效性 提高长期生活质量的认知-行为干预策略 坚持家庭护理养生法。基于社会学习理论的 干预利用绩效暴露和参与者建模 体验绩效成就的归纳。研究参与者 将通过相差显微镜观察口腔病原体，收到 纠正反馈，执行自我评级，并对现场直播进行评级 具有最佳口腔卫生的模型。前测、多次后测随机化 将采用对照组设计。共有249名成人受试者将 接受口服预防和指示(对照)或预防， 指导和认知-行为增强，包括 性能曝光(相差显微镜、校正反馈、 自我评级)或绩效暴露加参与者建模(阶段 对比显微镜、矫正反馈、自我评级、现场评级 具有最佳口腔卫生的模型)。所有科目都将反复评估 对于口腔健康状况，与理性行动理论相关的变量， 以及与社会学习理论解释行为相关的变量。 这项调查将提供更好的了解认知， 行为和环境变量与长期遵守 积极的口腔健康养生法。这项研究也是必要的先导。 用于设计临床相关的行为改变技术。

To a great extent, positive health behaviors are self-regulatory processes determined and limited by beliefs, attitudes, and knowledge; physical and social environments; and skill or performance behaviors. These factors comprise the main components of two major theories for the explanation of behavior and behavior change: Fishbein and Ajzen's theory of reasoned action and Bandura's social learning theory. The purpose of this investigation is to test the relative effectiveness of social learning theory and the theory of reasoned action for understanding and predicting oral health behavior and to test the effectiveness of a cognitive-behavioral intervention strategy for enhancing long-term adherence to a homecare regimen. Based on social learning theory the intervention utilizes performance exposure and participant modeling induction for experiencing performance accomplishments. Study participants will view oral pathogens through phase contrast microscopy, receive corrective feedback, perform self-ratings, and perform ratings of a live model with optimal oral hygiene. A pre-test, multiple post-test randomized control group design will be used. A total of 249 adult subjects will receive oral prophylaxis and instruction (control) or prophylaxis, instruction, and cognitive-behavioral enhancement involving either performance exposure (phase contrast microscopy, corrective feedback, self-rating) or performance exposure plus participant modeling (phase contrast microscopy, corrective feedback, self-rating, ratings of a live model with optimal oral hygiene). All subjects will be repeatedly assessed for oral health status, variables pertinent to theory of reasoned action, and variables relevant to social learning theory explanations of behavior. This investigation will provide a better understanding of the cognitive, behavioral, and environmental variables related to long-term adherence to a positive oral health regimen. This research is also a required precursor for the design of clinically relevant behavior changes techniques.