King's College, London, UK.
J Public Health Dent. 2012 Winter;72(1):1-7. doi: 10.1111/j.1752-7325.2011.00274.x. Epub 2011 Sep 12.
This exploratory study evaluated the effectiveness of an action-control behavioral intervention on adherence to dental flossing in patients with periodontal disease. Action control, that is, monitoring one's behavior and evaluating it against a self-set standard, has been suggested as a self-regulatory strategy that can assist people who intend to engage in behavioral change.
In a single-center, single-blind prospective trial, 73 dental patients received a behavioral intervention, which was either matched or mismatched to their stage of behavioral change. Through responses to a standardized self-report measure, participants were classified either as motivational (i.e., not ready to change) or volitional (i.e., contemplating change) with regard to dental flossing. The intervention consisted of a simple self-monitoring tool for dental flossing in the form of a diary. Flossing frequency, dental plaque, and bleeding scores were measured before and at 4 weeks postintervention.
Flossing frequency, dental plaque, and bleeding scores improved (P < 0.001) in both stage-matched and stage-mismatched patients.
A brief behavioral intervention enhances adherence to dental flossing, regardless of participants' stage of change. Keeping a flossing diary can increase dental flossing and reduce plaque and bleeding scores in patients with periodontal disease, in the short term.
本探索性研究评估了行为控制行为干预对牙周病患者牙线使用依从性的影响。行为控制，即监测自己的行为并对照自我设定的标准进行评估，被认为是一种自我调节策略，可以帮助那些打算进行行为改变的人。
在一项单中心、单盲前瞻性试验中，73 名牙科患者接受了行为干预，该干预与他们的行为改变阶段相匹配或不匹配。通过对标准化自我报告量表的回答，参与者被分为有动机（即尚未准备好改变）或有意愿（即考虑改变）的牙线使用情况。干预措施包括以日记形式简单的牙线自我监测工具。在干预前和干预后 4 周测量牙线使用频率、牙菌斑和出血评分。
在匹配和不匹配阶段的患者中，牙线使用频率、牙菌斑和出血评分均有所改善（P < 0.001）。
简短的行为干预可提高牙线使用的依从性，而与参与者的改变阶段无关。短期来看，使用牙线日记可以增加牙周病患者的牙线使用量，并降低菌斑和出血评分。
