Intentional use of the Hawthorne effect to improve oral hygiene compliance in orthodontic patients.

Philip H. Feil, Jennifer Sherah Grauer, Cynthia C. Gadbury-Amyot, Katherine Kula, Michael D. McCunniff

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

The purpose of this study was to evaluate whether the home care of noncompliant adolescent orthodontic patients with "poor" oral hygiene could be improved through the use of a deception strategy designed to intentionally induce the Hawthorne effect. This effect is often cited as being responsible for oral health improvements of control groups that receive placebo treatments. It is thought that participating in and fulfilling the requirements of a study alters subjects' behavior, thereby contributing to the improvement. Forty patients with histories of poor oral hygiene were assigned, in a quasi-random fashion, to two groups. Experimental subjects (n = 20) were presented with a situation that simulated participation in an experiment. These included the use of a consent form; distribution of tubes of toothpaste labeled "experimental"; instructions to brush twice a day for two minutes using a timer; and a request to return unused toothpaste. Control subjects (n = 20) had no knowledge of study participation. Tooth surface area covered with plaque was used as a proxy measure of home care behavior. It was measured at baseline, three months, and six months. Mean percentages of tooth surface covered with plaque for the experimental and control groups were 71 (+/- 11.52) and 74 (+/- 11.46) at baseline; 54 (+/- 13.79) and 78 (+/- 12.18) at three months; and 52 (+/- 13.04) and 79 (+/- 10.76) at six months. No statistically significant difference (p > .05) was obtained between groups at baseline. Statistically significant differences (p <.05) were found between groups at three and six months. Significant differences (p <.05) were also found only for the experimental subjects between baseline and each of the two subsequent observation periods. The efficiency and potential effectiveness of this strategy suggest that additional research be conducted to assess oral health improvements and possible applications to the private practice setting.

Original languageEnglish (US)
Pages (from-to)1129-1135
Number of pages7
JournalJournal of Dental Education
Volume66
Issue number10
StatePublished - 2002
Externally publishedYes

Fingerprint

Epidemiologic Effect Modifiers
Toothpastes
Oral Hygiene
Oral Health
hygiene
Home Care Services
Orthodontics
Tooth
Consent Forms
Control Groups
Private Practice
Proxy
Deception
home care
Group
Placebos
Observation
Research
participation
health

Cite this

Feil, P. H., Grauer, J. S., Gadbury-Amyot, C. C., Kula, K., & McCunniff, M. D. (2002). Intentional use of the Hawthorne effect to improve oral hygiene compliance in orthodontic patients. Journal of Dental Education, 66(10), 1129-1135.

Intentional use of the Hawthorne effect to improve oral hygiene compliance in orthodontic patients. / Feil, Philip H.; Grauer, Jennifer Sherah; Gadbury-Amyot, Cynthia C.; Kula, Katherine; McCunniff, Michael D.

In: Journal of Dental Education, Vol. 66, No. 10, 2002, p. 1129-1135.

Research output: Contribution to journalArticle

Feil, PH, Grauer, JS, Gadbury-Amyot, CC, Kula, K & McCunniff, MD 2002, 'Intentional use of the Hawthorne effect to improve oral hygiene compliance in orthodontic patients.', Journal of Dental Education, vol. 66, no. 10, pp. 1129-1135.
Feil PH, Grauer JS, Gadbury-Amyot CC, Kula K, McCunniff MD. Intentional use of the Hawthorne effect to improve oral hygiene compliance in orthodontic patients. Journal of Dental Education. 2002;66(10):1129-1135.
Feil, Philip H. ; Grauer, Jennifer Sherah ; Gadbury-Amyot, Cynthia C. ; Kula, Katherine ; McCunniff, Michael D. / Intentional use of the Hawthorne effect to improve oral hygiene compliance in orthodontic patients. In: Journal of Dental Education. 2002 ; Vol. 66, No. 10. pp. 1129-1135.
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