Jönsson B, Ohrn K, Oscarson N, Lindberg P
Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden.
Int J Dent Hyg. 2009 Aug;7(3):166-75. doi: 10.1111/j.1601-5037.2008.00350.x.
To describe and evaluate an individually tailored treatment programme based on a behavioural medicine approach to oral hygiene self-care for patients with chronic periodontitis.
Two experimental single-case studies with multiple-baseline design across different self-administered oral hygiene behaviours were conducted. Cognitive Behavioural techniques were used to organize the strategies for the intervention and the approach to counselling was inspired by and structured in accordance with Motivational Interviewing. The central features in the programme were the individual analysis of knowledge and oral hygiene habits, individually set goals for oral hygiene behaviour, practice of manual dexterity for oral hygiene aids, continuous self-monitoring of the behaviour and prevention of relapse.
Both participants reached the predecided criteria for clinical significance in reducing plaque and bleeding on probing. Reductions of periodontal probing depth were achieved as well. The positive results remained stable throughout the 2-year study period.
The successful application of this educational model suggests that it could be used as a method for tailoring interventions targeted to oral hygiene for patients with periodontal conditions. The programme will now be tested in a larger randomized controlled trial.
描述并评估一种基于行为医学方法的个性化治疗方案，该方案用于慢性牙周炎患者的口腔卫生自我护理。
开展了两项单病例实验研究，采用多基线设计，涉及不同的自我口腔卫生行为。运用认知行为技术来组织干预策略，咨询方法受动机性访谈启发并依其构建。该方案的核心特点包括对知识和口腔卫生习惯的个体分析、为口腔卫生行为单独设定目标、练习使用口腔卫生辅助工具的手部灵活性、持续自我监测行为以及预防复发。
两名参与者均达到了预先确定的在减少菌斑和探诊出血方面具有临床意义的标准。牙周探诊深度也有所降低。在整个两年的研究期间，积极结果保持稳定。
该教育模式的成功应用表明，它可作为一种为牙周疾病患者量身定制口腔卫生干预措施的方法。该方案现将于一项更大规模的随机对照试验中进行测试。
