J Korean Acad Oral Health.  2017 Mar;41(1):56-64. 10.11149/jkaoh.2017.41.1.56.

Evaluation of a Community-based participatory professional periodontal care program for hypertension and diabetes patients

Affiliations
  • 1Graduate School, Department of Dental Hygiene, Yonsei University, Seoul, Korea.
  • 2Department of Health Administration, Yonsei University, Wonju, Korea.
  • 3Department of Preventive Medicine, Yonsei University, Seoul, Korea.
  • 4Hongcheon-gun Health Center, Hongcheon, Korea.
  • 5Hongcheon-gun Registration & Education Center for Hypertension and Diabetes, Hongcheon, Korea.
  • 6Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 7Department of Nursing, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 8Department of Dental Hygiene, Yonsei University Wonju College of Medicine, Wonju, Korea. nami71@yonsei.ac.kr

Abstract

OBJECTIVES: To evaluate the Community-Based Participatory Research (CBPR) professional periodontal care program model for patients with hypertension and diabetes.
METHODS
This descriptive case study included 151 participants of the professional periodontal care program. The CBPR-based professional periodontal care program consists of 5-steps: ‘Issue identification and prioritization’ (Step 1), ‘Strategy development’ (Step 2), ‘Entry into community’ (Step 3), ‘Implementation’ (Step 4), and ‘Transition’ (Step 5). Quantitative data were analyzed using frequency analysis, and descriptive data with PASW 23.0 (SPSS Inc., Chicago, IL, USA). The results of the Focus group interview (FGI) were classified as ‘general opinions regarding the program planning and operation receptiveness’, ‘sustainability’, ‘potential spread of the program’, and ‘improvement of program’. The interviews were qualitative research involving seven people.
RESULTS
1. Participants increased their interest in health and oral health by managing their hypertension, diabetes, and periodontal disease using community resources. Through this, healthy practices and improved awareness helped to prevent complications and manage periodontal diseases. 2. Community organizations actively cooperated, resulting in positive changes in oral health practices (increased registration of patients in education centers for hypertension and diabetes, and increased number of patients visiting the local dental clinic). In the future, it was positive to participate in the program continuously.
CONCLUSIONS
The most important step is ‘Entry into community’, which has led to active participation and cooperation of community organizations and participants. Therefore, community organizations and strategy development should be discussed, and the role of community leaders should be emphasized to build cooperative relationships. In addition, participation in and collaboration with health-based projects should be achieved through a search of various community organizations.

Keyword

Chronic disease; Community-based participatory research (CBPR); Community participation; Oral health; Periodontal disease
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