Dentistry Includes Nutrition Reminders (DINR)

描述（由申请人提供）：牙科迫切需要有效的，基于办公室的咨询干预，以鼓励患者采取健康的口腔和全身健康行为。如果饮食习惯得到改善，在牙科环境中就健康饮食习惯提供有效的简短建议和咨询，对患者的口腔健康和整体健康都有好处。目前，这些类型的干预措施并不存在。经常食用含糖食品和饮料与龋齿风险有关。青少年是含糖饮料（SB）的频繁消费者，而运动饮料正成为含糖饮料的主要类型。因此，这项干预的目标是减少11-17岁青少年的含糖饮料消费。该计划拨款的总体目标是证明以患者为中心的咨询干预的可行性和可接受性，以减少到牙科诊所就诊的青少年的含糖饮料消费，确定干预活动和中间行为结果之间的中介因素，并充分指定试验的方案和设计，以测试干预在牙科实践环境中行为改变和口腔健康结果的有效性机制。计划赠款活动将侧重于评估一种mi知情方法，以吸引青少年患者减少含糖饮料的摄入量，在一小群患者中反复实施干预，并结合对假设介质和行为结果的定量和定性测量。本研究以知识、态度、意向和自我效能为目标，透过干预策略来改变青少年的饮料选择。迭代的目标将是确定哪些策略对行为更改最负责。青少年将从牙科诊所招募并登记在CROWN基于实践的研究网络中。干预前和干预后对知识、态度、意图和自我效能的调查将进行比较，并检查它们对制定和坚持减少含糖饮料的改变计划的结果的影响。对结果至少有中等影响的介质将在更大的试验中进行进一步的测试。这种方法的重要意义在于，它有可能产生一种被提供者接受的、对办公室友好的激励方法，这种方法可以激活患者，只包括必要的元素，允许最简短有效的干预。

DESCRIPTION (provided by applicant): Dentistry critically needs effective, office-based counseling interventions to encourage patients to adopt healthy behaviors for both oral and general health. Efforts to deliver effective brief advice and counseling on healthy eating habits in the dental setting could benefit both a patient's oral health and general health if dietary habits can be improved. Currently, these types of interventions do not exist. Frequent consumption of sweetened foods and beverages are associated with caries risk. Adolescents are frequent consumers of sweetened beverages (SB), and sports drinks are emerging as a major type of SB. Therefore, this intervention targets the reduction of sweetened beverage consumption among adolescents 11-17 years old. The overall objective of this planning grant is to demonstrate the feasibility and acceptability of a patient- centered counseling intervention to reduce sweetened beverage consumption among adolescents attending the dental office, identify mediators between the intervention activities and intermediate behavioral outcomes, and fully specify the protocol and design of a trial to test the intervention's efficacy mechanism on behavior change and oral health outcomes in a dental practice setting. The Planning Grant activities will focus on the evaluation of an MI-informed approach to engaging adolescent patients to decrease sweetened beverage intake, using iterative implementations of the intervention in small groups of patients, coupled with both quantitative and qualitative measures of hypothesized mediators and behavioral outcomes. The intervention uses strategies to target knowledge, attitudes, intentions, and self- efficacy to change adolescents' beverage choices. The goal of the iterations will be to determine which strategies are most strongly responsible for behavior change. Adolescents will be recruited and enrolled from dental offices in the CROWN practice-based research network. Pre and post intervention surveys on knowledge, attitudes, intentions, and self-efficacy will be compared and examined for their effect on the outcomes of creating and adhering to a change plan to decrease sweetened beverages. Mediators of at least moderate effect on the outcomes will be candidates for further testing in a larger trial. The significance of this approach is the potential to result in a provider-accepted, office-friendly motivational approach that activates patients and includes only the elements that are necessary, allowing for the briefest effective intervention.