{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T03:36:42Z","timestamp":1777001802264,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","award":["2024KY1160"],"award-info":[{"award-number":["2024KY1160"]}],"id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Nursing"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Adherence to supportive periodontal care (SPC) is essential for preventing disease recurrence and maintaining oral health. Psychological and emotional support from family members may play a vital role in sustaining long-term adherence, yet the influence of family function on SPC adherence and outcomes remains underexplored.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>To evaluate the impact of family function on adherence to SPC and its subsequent effect on periodontal prognosis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This retrospective study included 400 patients aged 20\u201373 years who received active periodontal therapy between January 2018 and January 2020 and entered SPC for at least one year. Family functioning was assessed using the Apgar score. Patient adherence was evaluated based on adherence to scheduled follow-up visits within a 3-month period. Clinical parameters, including probing depth and bleeding on probing, were recorded at baseline and follow-up visits. Multivariable logistic regression was used to assess the relationship between family functioning, patient adherence, and treatment outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>\n              The regular adherence group had an adherence rate of 38%, and their family care index was significantly higher than that of the irregular group (9.58\u2009\u00b1\u20090.58 vs. 9.00\u2009\u00b1\u20090.90,\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u2009.01). Both groups showed improvements in periodontal prognosis following SPC (\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u2009.01). Patients with a higher family care index exhibited better adherence, with a more pronounced improvement in prognosis (\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u2009.01). Logistic regression analysis identified gender (odds ratio [OR]\u2005=\u20052.730, 95% CI [1.683, 4.430],\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u2009.01), age (OR\u2009=\u20090.999, 95% CI [0.970, 1.02],\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u2009.01), and orthodontic history (OR\u2009=\u20097.941, 95% CI [1.497, 42.116],\n              <jats:italic>p<\/jats:italic>\n              \u2009&lt;\u2009.05) as significant factors influencing SPC adherence.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Patients with higher family function scores demonstrate better adherence with SPC, resulting in more favorable treatment outcomes. The involvement of family members plays a critical role in enhancing patient adherence to treatment protocols, thereby improving both oral health and overall quality of life.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1177\/23779608251372322","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T15:27:17Z","timestamp":1756135637000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Family Function-Based Adherence on Supportive Periodontal Care Prognosis: A Retrospective Analysis"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1667-9842","authenticated-orcid":false,"given":"Fei","family":"Lu","sequence":"first","affiliation":[{"name":"Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enhong","family":"Li","sequence":"additional","affiliation":[{"name":"Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feiruo","family":"Hong","sequence":"additional","affiliation":[{"name":"Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Fang","sequence":"additional","affiliation":[{"name":"Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dongni","family":"Shen","sequence":"additional","affiliation":[{"name":"Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuefen","family":"Yu","sequence":"additional","affiliation":[{"name":"Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Zhejiang Key Laboratory of Oral Biomedical, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12420"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13204"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pecinn.2022.100092"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.34172\/japid.2020.010"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)33016-8"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-022-04466-1"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-52116-6"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-017-0630-4"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12290"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2015.140520"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034512457373"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/njcp.njcp_1952_21"},{"issue":"1","key":"e_1_3_2_14_1","article-title":"Periodontitis and number of teeth in the risk of coronary heart disease: An updated meta-analysis","volume":"27","author":"Gao S.","year":"2021","unstructured":"Gao S., Tian J., Li Y., Liu T., Li R., Yang L., Xing Z. (2021). Periodontitis and number of teeth in the risk of coronary heart disease: An updated meta-analysis. Medical Science Monitor, 27(1), e930112. https:\/\/doi.org\/10.12659\/MSM.930112","journal-title":"Medical Science Monitor"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12478"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.5457"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-38894-0"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.5051\/jpis.2019.49.2.76"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.5051\/jpis.2103020151"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009376.pub2"},{"issue":"11","key":"e_1_3_2_21_1","article-title":"Factors related to compliance with periodontal disease treatment appointments: A literature review","volume":"14","author":"Mar\u00edn-Jaramillo R. A.","year":"2022","unstructured":"Mar\u00edn-Jaramillo R. A., Agudelo-Su\u00e1rez A. A. (2022). Factors related to compliance with periodontal disease treatment appointments: A literature review. Journal of Clinical and Experimental Dentistry, 14(11), e967\u2013e971. https:\/\/doi.org\/10.4317\/jced.59752","journal-title":"Journal of Clinical and Experimental Dentistry"},{"issue":"10","key":"e_1_3_2_22_1","first-page":"1283","article-title":"Psychometric properties of APGAR-family scale in a multiethnic sample of Chilean older people","volume":"147","author":"Mayorga-Mu\u00f1oz C.","year":"2019","unstructured":"Mayorga-Mu\u00f1oz C., Gallardo-Peralta L., Galvez-Nieto J. L. (2019). Psychometric properties of APGAR-family scale in a multiethnic sample of Chilean older people. Revista M\u00e9dica de Chile, 147(10), 1283\u20131290. https:\/\/doi.org\/10.4067\/s0034-98872019001001283","journal-title":"Revista M\u00e9dica de Chile"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1991.62.12.731"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2017.170135"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-022-01145-0"},{"issue":"1","key":"e_1_3_2_26_1","article-title":"Adherence to supportive periodontal treatment in relation to patient awareness","volume":"14","author":"Navarro-Pardo M.","year":"2022","unstructured":"Navarro-Pardo M., M\u00e1rquez-Arrico C. F., Pallar\u00e9s-Serrano A., Silvestre F. J. (2022). Adherence to supportive periodontal treatment in relation to patient awareness. Journal of Clinical and Experimental Dentistry, 14(1), e1\u2013e8. https:\/\/doi.org\/10.4317\/jced.59035","journal-title":"Journal of Clinical and Experimental Dentistry"},{"issue":"16","key":"e_1_3_2_27_1","article-title":"Managing oral hygiene as a risk factor for periodontal disease: A systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management","volume":"42","author":"Newton J. T.","year":"2015","unstructured":"Newton J. T., Asimakopoulou K. (2015). Managing oral hygiene as a risk factor for periodontal disease: A systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management. Journal of Clinical Periodontology, 42(Suppl 16(1)), S36\u2013S46. https:\/\/doi.org\/10.1111\/jcpe.12356","journal-title":"Journal of Clinical Periodontology"},{"key":"e_1_3_2_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2016.904"},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.21-0056"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.15562\/bmj.v12i1.2991"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2024.vol38.0119"},{"key":"e_1_3_2_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12352"},{"key":"e_1_3_2_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40359-020-00402-8"},{"key":"e_1_3_2_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.13252"},{"key":"e_1_3_2_35_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj13010028"},{"key":"e_1_3_2_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03626-3"},{"issue":"20","key":"e_1_3_2_37_1","article-title":"Staging and grading of periodontitis: Framework and proposal of a new classification and case definition","volume":"45","author":"Tonetti M. S.","year":"2018","unstructured":"Tonetti M. S., Greenwell H., Kornman K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of Clinical Periodontology, 45(Suppl 20(1)), S149\u2013s161. https:\/\/doi.org\/10.1111\/jcpe.12945","journal-title":"Journal of Clinical Periodontology"},{"key":"e_1_3_2_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12732"},{"key":"e_1_3_2_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.13026"},{"key":"e_1_3_2_40_1","doi-asserted-by":"crossref","unstructured":"Wartberg L. Kriston L. Kegel K. & Thomasius R. (2016). Adaptation and psychometric evaluation of the Young Diagnostic Questionnaire (YDQ) for parental assessment of adolescent problematic internet use. Journal of Behavioral Addictions 5(2) 311\u2013317. https:\/\/doi.org\/10.1556\/2006.5.2016.049","DOI":"10.1556\/2006.5.2016.049"},{"key":"e_1_3_2_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-017-0692-6"}],"container-title":["SAGE Open Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23779608251372322","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23779608251372322","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23779608251372322","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T01:15:33Z","timestamp":1756343733000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23779608251372322"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":40,"alternative-id":["10.1177\/23779608251372322"],"URL":"https:\/\/doi.org\/10.1177\/23779608251372322","relation":{},"ISSN":["2377-9608","2377-9608"],"issn-type":[{"value":"2377-9608","type":"print"},{"value":"2377-9608","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"article-number":"23779608251372322"}}