Impact of single-session motivational interviewing on clinical outcomes following periodontal maintenance therapy
Impact of single-session motivational interviewing on clinical outcomes following periodontal maintenance therapy
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DOI：
10.1111/idh.12012
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发表时间：
2013-05-01
影响因子：
2.4
通讯作者：
Williams, K.
中科院分区：
文献类型：
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作者：
Brand, V. S.;Bray, K. K.;Williams, K.
目的牙周治疗后，患者参与有效的口腔卫生是长期成功的关键。动机访谈（MI）是一种行为咨询方法，记录了与吸烟，糖尿病控制和药物依从性相关的积极影响行为变化。新出现的证据表明，MI的效用，以改善口腔健康。本研究的目的是评估是否使用简短的动机访谈（BMI）是有效地提高口腔卫生行为的内部动机。方法选择五十六例牙周病患者，采用随机对照的单盲试验方法，对患者进行牙周治疗。患者被随机分配接受BMI与传统口腔健康教育（TOHE），（n=29）或TOHE单独（n=27）。分别于治疗前、治疗6周和治疗12周时进行探诊出血评分（BOP）、菌斑指数（PI）、牙周袋深度（PD）、动机（M）、自主调节（AR）、控制性调节（CR）和口腔健康知识（K）评估。结果两组BOP（P=0.001）、PI（P=0.001）和PD 46 mm（P=0.001）均随时间显著下降。在第6周或第12周，两组之间的临床参数差异不明显。结论结果表明，一次MI会话是不足以改善长期维持患者的口腔卫生。
Objectives Patient engagement in effective oral hygiene following periodontal therapy is essential to long-term success. Motivational interviewing (MI) is a behavioural counselling approach documented to positively influence behaviour change related to smoking, diabetes control and medication adherence. Emerging evidence suggests utility of MI to improve oral health. The objective of this study was to evaluate whether the use of brief motivational interviewing (BMI) is effective in improving internal motivation for oral hygiene behaviour. Methods A convenience sample of fifty-six previously treated periodontal patients who were in maintenance yet presented with signs of clinical inflammation were recruited to participate in this single blind, randomized controlled trial. Patients were randomly assigned to receive either BMI in conjunction with traditional oral health education (TOHE), (n=29) or TOHE alone (n=27). Bleeding on probing scores (BOP), plaque index (PI), pocket depths (PD), motivation (M), autonomous regulation (AR) controlled regulation (CR) and oral health knowledge (K) were assessed at baseline, 6weeks and 12weeks. Results Statistically significant decreases were found over time for BOP (P=0.001), PI (P=0.001) and PD 46mm (P=0.001) for both groups. Differences in clinical parameters between groups were not evident at either 6 or 12weeks. Conclusion Results show that a one-time MI session is insufficient for improving oral hygiene in long-standing maintenance patients.