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Journal : JOURNAL OF Mental Health Concerns

Providing tokens as incentives promotes positive behaviors related to oral hygiene and self-care in individuals with mental illness Zaenab; Muslih, Muhammad
JOURNAL OF Mental Health Concerns Vol. 4 No. 4 (2025): December Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i4.1827

Abstract

Background: Mental disorders, particularly schizophrenia, cause a decline in mental function, impacting individuals' inability to perform self-care activities independently, including dental and oral hygiene. This self-care deficit is caused by cognitive impairment, lack of motivation, and the inability to organize and carry out daily activities. Appropriate interventions are essential to support the restoration of independence and improve patients' quality of life. Purpose: To determine the effectiveness of implementing the token economy method in improving oral hygiene in patients with self-care deficits due to mental disorders. Method: An in-depth case study was conducted on one patient diagnosed with self-care deficit using the token economy method as an intervention. Data were collected through observations, a token economy checklist, and self-care (oral hygiene) activity observation sheets for two weeks, from October 20 to November 1, 2025. Analysis focused on improving the patient's oral hygiene score. Results: After two weeks of the token economy intervention, there was a significant improvement in patients' toothbrushing activity, as measured by token scores. Oral hygiene scores improved from poor (10) to fair (30), with patients showing consistent progress in performing self-care independently. Conclusion: This intervention successfully motivated patients to maintain regular and independent oral hygiene. Keywords: Oral Hygiene; Schizophrenia; Self-Care Deficit.
Co-Authors Abdul Bari Azed Ade Sutrimo Afdil, Billy Ahmad Firdaus, Ahmad Alfarizi , Salman Alfarizi, Muhammad Taufiq Amelia, Vivi Leona AMINULLAH Aminullah Aminullah, Aminullah Andrieta Shintia Dewi Arief Hidayat Afendi, Arief Hidayat Auliah, Raudatul Jannah Chung, Min-Huey Dairus, Nofrina Damayanti, Silphia Dillak, Vaya Juliana Dina Nur Anggraini Ningrum Dwiputri, Adelita Vega Era Catur Prasetya Erlina Zahar Faizzatul, Anisa Farida, Yushinta Eka Fathur Rohman, Fathur Fitri Susilowati, Fitri Fitroh Nur Ganjar Mohamad Disastra Halimun, Riana Zenida Hanifa, Fanni Herry Susanto Hutabarat, Zuhri Saputra Ilham, Rizahul Inge Dwisvimiar Irfani, Alifah Nurul Irkadiratna, Aderisti Isna Hudaya, Isna Jannah, Nisma Khoimatul Kemas Abdul Somad, Kemas Abdul Khoerunnisa, Syifa Kirom, Najwatul Krishna Kusumahadi Kurnia KURNIA KURNIA, KURNIA Lathifa, Gita Fitri Lesmana, Mohammad Hendra Setia Marliansyah, Fadly Mohammad Rifqi Junaidi Muhibudin, Agus Muhtadi, Mohammad Muhtar, Muhammad Solihuddin Muzaqi, Muhammad Yazid Nahdiyah, Anis Narulitia, Adinda Nugraha, Adi Satria Nurfauzi, Yogi Pahrurroji, Pahrurroji Paramastri, Rathi Pramana Saputra Pratama, Febrial Puspita, Rosana Eri Putri, Tasya Ayunda RAFIKA DURI, RAFIKA Rahayu, Linda Ratri Wahyuningtyas Rena, Syahidah Rini, Eksi Puspita Rohmat, Saepul Sabila, Yiyin Sahabuddin, Said Saputra, Warfian Secka, Absa Siti Azizah Sri Harini Suhendar, Yusep Supeno Syahputra, Ryan Syahputri, Fika Adetia Syamsud Dhuha Tanzil Tanzil, Tanzil Wahdan Arum Inawati Wicaksana, Wahyu Aji Widya Sastika Yanuarningsih, Riska Zaenab