Lifestyle Change Plus Dental Care (LCDC) Program Improves Knowledge, Attitude, and Practice (KAP) toward Oral Health and Diabetes Mellitus among the Elderly with Type 2 Diabetes
Saruta Saengtipbovorn DDS, MPH*, Surasak Taneepanichskul MD*
Affiliation : * College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
Background : Currently, there is an increased prevalence of diabetes mellitus among the elderly. Chronic inflammation from
diabetes mellitus effects glycemic control and increases risk of diabetes complications.
Objective : To assess the effectiveness of a Lifestyle Change plus Dental Care (LCDC) program by improved knowledge,
attitude, and practice (KAP) toward oral health and diabetes mellitus among the elderly with type 2 diabetes.
Material and Method: A quasi-experimental study was conducted in two Health Centers (HC 54 intervention and HC 59
control) between October 2013 and April 2014. Sixty-six diabetic patients per health center were recruited. At baseline, the
intervention group attended a 20-minute lifestyle and oral health education program, individual lifestyle counseling using
motivational interviewing, application of self-regulation manual, and individual oral hygiene instruction. At 3-month
follow-up, the intervention group received individual lifestyle counseling and oral hygiene instruction. The intervention
group received booster education every visit by viewing a 15-minute educational video. The control group received the
routine program. Participants were assessed at baseline, 3-month, and 6-month follow-up for knowledge, attitude, and
practice (KAP) toward oral health and diabetes mellitus. Data was analyzed by using descriptive statistic, Chi-square test,
Fisher’s exact test, and repeated measure ANOVA.
Results : After the 6-month follow-up, repeated measure ANOVA analysis showed that participants in the intervention group
had significantly higher knowledge and attitude toward oral health and diabetes mellitus. The participants in the intervention
group were more likely to exercise, modify diet, have foot examinations, always wear covered shoes, participate in self-feet
screening, use dental floss, and use inter-proximal brush than the control group with statistically significant differences.
Conclusion : The combination of lifestyle change and dental care in one program improved knowledge, attitude, and practice
(KAP) toward oral health and diabetes mellitus in the elderly with type 2 diabetes.
Trial registration: ClinicalTrials.in.th: TCTR20140602001.
Keywords : Lifestyle change, Dental care, KAP, Oral health, Diabetes mellitus, Aging, DM patients
