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 由信仰、态度和知识决定和限制;身体和 社会环境;技能或表现行为。 这些因素 包括两个主要理论的主要组成部分， 行为和行为变化：Fishbein和Ajzen的理性理论 班杜拉的社会学习理论。 这样做的目的 调查是为了检验社会学习的相对有效性 理论和理性行动理论 口腔健康行为和测试的有效性， 认知-行为干预策略， 坚持家庭护理方案。 基于社会学习理论， 干预利用表现曝光和参与者建模 体验绩效成就的入职培训。 研究参与者 将通过相差显微镜观察口腔病原体， 纠正反馈，执行自我评级，并执行实时评级 最佳口腔卫生模式。 一个前测，多个后测，随机 将采用对照组设计。 共有249名成人受试者将 接受口服预防和指导（控制）或预防， 指导和认知行为增强， 性能曝光（相差显微镜，校正反馈， 自我评级）或绩效曝光加上参与者建模（阶段 对比显微镜，纠正反馈，自我评级，现场评级 最佳口腔卫生模式）。 所有受试者将接受重复评估 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。 这项研究将提供一个更好的理解的认知， 行为和环境变量相关的长期坚持， 积极的口腔健康方案。 这项研究也是一个必要的先导 临床相关行为改变技术的设计。

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.