42 Chapter 2 A few patients had experiences with a dental hygienist. The patients had no bad experiences. Fear of dentists or dental hygienists was discussed, but in general, it was not an issue. Needs and interventions to increase oral health. All patients confirmed that they require more structure in their daily life so that they can have more insight into their day-to-day activities. They described this aspect as a helping intervention. The patients explained that more structure is necessary to reintroduce things such as brushing their teeth into their system. Additionally, the patients mentioned help with planning daily activities such as taking care of themselves and making appointments. “I think I can improve my oral health by drinking fewer sugary drinks and brushing more often. I had alcohol- and drug abuse. But, really, I do not like to do that, and I am not motivated. When I hear those voices, then there is even more lack of motivation. I live with my partner, I can ask her, but I do not know if that would work.” [part. 11] “I need help with planning; it is not that I do not think it is important, but I forget many things I have to do. It takes much effort, and I would like to have someone to tell or remind me to brush my teeth.” [part. 23] To obtain more structure and better planning, the patients suggested placing all their appointments in a digital agenda or app. A frequent reminder prevents forgetting appointments. “I got a reminder by post from the dentist, but I lost it.” [part. 16] “A week before the appointment, the dentist called me to remember. That was helpful.” [part. 20] Despite reminders from the dentist, the patients forgot their appointments often because they were preoccupied with something else. The patients experienced support from the environment, especially parents. “My mother is important for giving structure to my daily activities.” [part. 6] “If my parents we not there, I probably never would have gone to any appointment in that period.” [part. 24]
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