Dentistry Includes Nutrition Reminders (DINR)

描述(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行为，为口腔和一般健康。如果饮食习惯能够得到改善，在牙科环境中就健康的饮食习惯提供有效的简短建议和咨询的努力可以使患者的口腔健康和整体健康受益。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。青少年是甜味饮料(SB)的常客，运动饮料正在成为SB的一种主要类型。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。这项计划拨款的总体目标是证明以患者为中心的咨询干预措施的可行性和可接受性，以减少牙科诊所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，并充分说明试验方案和设计，以测试干预措施在牙科实践环境中对行为改变和口腔健康结果的疗效机制。规划赠款活动将侧重于评估MI知情的方法，以促使青少年患者减少含糖饮料的摄入量，在小范围的患者群体中反复实施干预措施，并对假设的调解人和行为结果进行定量和定性测量。该干预使用针对知识、态度、意图和自我效能的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改变负有最大的责任。青少年将从皇冠实践研究网络的牙科办公室招募和招募。将对干预前后关于知识、态度、意图和自我效能的调查进行比较，并检查它们对制定和遵守减少含糖饮料的改变计划的结果的影响。至少对结果有适度影响的调解人将成为在更大规模试验中进一步测试的候选对象。这种方法的重要意义在于有可能产生一种提供者接受的、对办公室友好的激励方法，这种方法激活了患者，并只包括必要的元素，允许进行最简短有效的干预。

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.