AIM: Because patient adherence to oral hygiene is essential for periodontal treatment success, the aim of the study was to assess whether a motivational interview addressing the five dimensions of Leventhal's theory performed better than conventional basic instruction on improving compliance with plaque control among patients with periodontitis. MATERIALS AND METHODS: A randomized controlled clinical trial design was used in which a group of patients underwent a motivational interview in addition to classical consultation. A control group received only the standard consultation. The O'Leary Plaque Index was used to judge the oral hygiene at baseline and at 1 month follow-up. Patient satisfaction with the dental visit was scored using a specific questionnaire. RESULTS: At baseline, the mean full mouth plaque score varied between 55% (experimental group) and 58% (control group). Patients in the experimental group had a higher oral hygiene improvement (21 ± 20% versus 4 ± 5%, p < 0.001) 1 month post-treatment. The motivational interview resulted in greater satisfaction scores compared with those of patients in the control group: 10.55 ± 1.53 versus 8.82 ± 2.40, p = 0.014. CONCLUSIONS: This new concept of motivational interview is a promising approach and can be useful for counselling-related periodontal disorders.
RCT Entities:
AIM: Because patient adherence to oral hygiene is essential for periodontal treatment success, the aim of the study was to assess whether a motivational interview addressing the five dimensions of Leventhal's theory performed better than conventional basic instruction on improving compliance with plaque control among patients with periodontitis. MATERIALS AND METHODS: A randomized controlled clinical trial design was used in which a group of patients underwent a motivational interview in addition to classical consultation. A control group received only the standard consultation. The O'Leary Plaque Index was used to judge the oral hygiene at baseline and at 1 month follow-up. Patient satisfaction with the dental visit was scored using a specific questionnaire. RESULTS: At baseline, the mean full mouth plaque score varied between 55% (experimental group) and 58% (control group). Patients in the experimental group had a higher oral hygiene improvement (21 ± 20% versus 4 ± 5%, p < 0.001) 1 month post-treatment. The motivational interview resulted in greater satisfaction scores compared with those of patients in the control group: 10.55 ± 1.53 versus 8.82 ± 2.40, p = 0.014. CONCLUSIONS: This new concept of motivational interview is a promising approach and can be useful for counselling-related periodontal disorders.
Authors: Vadim V Tachalov; Lyudmila Y Orekhova; Elena R Isaeva; Tatyana V Kudryavtseva; Ekaterina S Loboda; Evgenya V Sitkina Journal: EPMA J Date: 2018-11-13 Impact factor: 6.543
Authors: Lynn Leppla; Sabina De Geest; Katharina Fierz; Barbara Deschler-Baier; Antje Koller Journal: Support Care Cancer Date: 2015-07-21 Impact factor: 3.603
Authors: Francesca A Soldani; Thomas Lamont; Kate Jones; Linda Young; Tanya Walsh; Rizwana Lala; Janet E Clarkson Journal: Cochrane Database Syst Rev Date: 2018-10-31