Impact of Brief Motivational Interviewing During Continuous Patient Care to Enhance Oral Hygiene
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Minnesota
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Plaque score
Study Overview
Brief Summary
The goal of this research study is to determine if the utilization of brief motivational interviewing (BMI) during continuous care is superior compared to traditional oral hygiene instruction (OHI) to reduce patients' plaque score, bleeding on probing (BOP), and gingival index (GI) longitudinal. An additional goal is to investigate chairside time of implementing BMI.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Male or Female
- •≥ 18 years old
- •Periodontal maintenance phase (at least one year)
- •Plaque score ≥30% (O'Leary plaque score)
- •Minimum of two sites with BOP
- •Willingness to fulfill all study requirements
- •Patient of Record at the University of Minnesota School of Dentistry
Exclusion Criteria
- •Current smoker or quit smoking less than one year
- •Pregnant, planning to become pregnant, or unsure of pregnancy status (self-reported)
- •Uncontrolled diabetes (HbA1C > 7)
- •Medical conditions that may influence the outcome of the study (neurologic or psychiatric disorders, systemic infections, cancer, and/or HIV/AIDS)
- •Current use of oral bisphosphonates
- •History of IV bisphosphonates
- •Require pre-medication or on long-term antibiotics
- •Current orthodontic treatment or planning to begin orthodontic treatment during the study
- •Unable to comply with the study protocol
Arms & Interventions
Traditional OHI (Control)
Advice giving method of OHI known as "tell-show-do" to inform, demonstrate, and expect patient compliance.
BMI (Test)
A derivative of motivational interviewing (MI), which is a patient-centered, collaborative counseling approach to strengthen an individual's intrinsic motivation towards a positive behavior change. BMI is intended for healthcare providers with limited time (5-10 minutes) to support a positive behavior change.
Intervention: BMI (Behavioral)
Outcomes
Primary Outcomes
Plaque score
Time Frame: Recorded four times over a one year time frame
Excellent hygiene: 0-20%, Good hygiene: 21-40%, Fair hygiene: 41-60%, Poor hygiene: 61-100%
Bleeding on probing (BOP)
Time Frame: Recorded four times over a one year time frame
Presence of bleeding (yes) or absent of bleeding (no)
Gingival Index
Time Frame: Recorded four times over a one year time frame
0= normal gingiva, 1=mild inflammation (no BOP), 2=moderate inflammation (BOP), 3=severe inflammation (spontaneous bleeding)
Secondary Outcomes
No secondary outcomes reported