Evidence map›Paper›PMID 41058244›Full record

ArticleJournal of clinical periodontology2026

Exploring Barriers to Periodontal Treatment Adherence in Patients With Periodontitis to Inform Development of a Digital Companion: A Qualitative Study.

Lina Weinert, Nihad El Sayed, Michel Wensing, Bettina Dannewitz, Stefan Listl

Abstract read
In one paragraph

Article in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lina WeinertHeidelberg Institute of Global Health, Section for Oral Health, Heidelberg University, Heidelberg, Germany.ORCID 0000-0003-2733-1267
Nihad El SayedDepartment of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt/Main, Frankfurt/Main, Germany.
Michel WensingDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Heidelberg, Germany.
Bettina DannewitzDepartment of Periodontology, Center for Dentistry and Oral Medicine (Carolinum), Johann Wolfgang Goethe-University Frankfurt/Main, Frankfurt/Main, Germany.
Stefan ListlHeidelberg Institute of Global Health, Section for Oral Health, Heidelberg University, Heidelberg, Germany.

Funding

Gemeinsamer Bundesauschuss (G-BA) 01VSF21026
6 · The paper itself

Abstract

aimThe objectives of this study were to gain a comprehensive understanding of patients' barriers to adherence to periodontal treatment and to derive intervention functions for a digital companion to support them through their therapy journey. MATERIALS AND

methodsA qualitative study incorporating patient and expert interviews was designed. Data were analysed using thematic analysis. Barriers to therapy adherence and functions for a digital intervention were synthesised with the help of the Capability, Opportunity and Motivation behaviour change model.

resultsBarriers related to periodontal therapy are a lack of awareness of the patients' own responsibility and prioritisation of individual oral health, lack of time to both instruct as well as learn and perform better oral hygiene and lack of knowledge about disease characteristics and ideal habits. Participants expected that a digital intervention should incorporate personalised and comprehensive educational material, possibilities to visually document progress, simple descriptions of oral hygiene tasks, reminders and the inclusion of prompts for self-reflection.

conclusionWhile a digital health companion has the potential to address the aforementioned barriers, future research should also aim to develop strategies to focus on health systems barriers (e.g., financing and workforce arrangements) as these can influence patient engagement and adherence.

Indexed as

Patient CompliancePeriodontitisAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedMotivationOral HygienePatient Education as TopicQualitative Researchbehaviour changemobile healthpatient engagementperiodontal therapyqualitative research

Identifiers

PMID41058244
PMCPMC12695452

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.