The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up)
The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up)
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DOI：
10.1111/j.1600-051x.2009.01453.x
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发表时间：
2009-12-01
影响因子：
6.7
通讯作者：
Lindberg, P.
中科院分区：
文献类型：
--
作者：
Jonsson, B.;Ohrn, K.;Lindberg, P.
目的评估与标准treatment.Material和MethodA随机，评价者盲法，对照试验与两种不同的积极治疗的113名受试者（60名女性和53名男性）随机分配到实验组或对照组的有效性为个体定制的口腔卫生自我护理的口腔健康教育计划与慢性牙周炎患者相比。个体定制的口腔健康教育计划是基于认知行为的原则和个人定制的每个参与者是基于参与者的想法，中期和长期目标，以及口腔健康状况。牙龈炎[牙龈指数（GI）]，口腔卫生[菌斑指数（PLI）和自我报告]，和参与者的全球评级的治疗方案的效果进行了评估3和12个月后，口腔健康教育和非手术treatment.ResultsBetween基线和12个月的后续行动，实验组改善GI和PLI超过对照组。总体GI的平均增益评分差异为0.27 [99.2%置信区间（CI）：0.16-0.39，p < 0.001]，近端GI为0.40（99.2% CI：0.27-0.53，p < 0.001）。总体PlI的平均增益评分差异为0.16（99.2% CI：0.03-0.30，p=0.001），近端PlI为0.26（99.2% CI：0.10-0.43，p < 0.001）。在实验组中的科目报告了更高的频率，每天牙间清洁，更肯定的是，他们可以保持达到的水平的行为changes.ConclusionThe个性化定制的口腔健康教育计划是有效的，在提高长期坚持口腔卫生牙周治疗。最大的差异是邻面。
P>AimTo evaluate the effectiveness of an individually tailored oral health educational programme for oral hygiene self-care in patients with chronic periodontitis compared with the standard treatment.Material and MethodA randomized, evaluator-blinded, controlled trial with two different active treatments were used with 113 subjects (60 females and 53 males) randomly allocated to an experimental or a control group. The individually tailored oral health educational programme was based on cognitive behavioural principles and the individual tailoring for each participant was based on participants' thoughts, intermediate, and long-term goals, and oral health status. The effect of the programmes on gingivitis [gingival index (GI)], oral hygiene [plaque indices (PlI) and self-report], and participants' global rating of treatment was evaluated 3 and 12months after oral health education and non-surgical treatment.ResultsBetween baseline and the 12-month follow-up, the experimental group improved both GI and PlI more than the control group. The mean gain-score difference was 0.27 for global GI [99.2% confidence interval (CI): 0.16-0.39, p < 0.001] and 0.40 for proximal GI (99.2% CI: 0.27-0.53, p < 0.001). The mean gain-score difference was 0.16 for global PlI (99.2% CI: 0.03-0.30, p=0.001), and 0.26 for proximal PlI (99.2% CI: 0.10-0.43, p < 0.001). The subjects in the experimental group reported a higher frequency of daily inter-dental cleaning and were more certain that they could maintain the attained level of behaviour change.ConclusionThe individually tailored oral health educational programme was efficacious in improving long-term adherence to oral hygiene in periodontal treatment. The largest difference was for interproximal surfaces.