Department of Periodontology, Adams School of Dentistry, University of North Carolina, Chapel Hill, North Carolina.
Department of Dental Ecology, Adams School of Dentistry, University of North Carolina, Chapel Hill, North Carolina.
Int J Dent Hyg. 2019 Nov;17(4):369-380. doi: 10.1111/idh.12410. Epub 2019 Jun 27.
This mixed-methods study assessed patients' oral health literacy, motivation level and barriers regarding interdental plaque control.
Participants (n = 49) from a study comparing the use of Glide® Pro-Health Floss Original (F) or GUM® Curved Soft-Picks® Advance (SP) completed daily diaries and questionnaires regarding motivation, tiredness, confidence and satisfaction for their deplaquing method. The Mantel-Haenszel chi-square test was utilized. Data were also collected from 19 participants who attended focus group discussions regarding their oral health habits, knowledge, motivators and barriers with interdental plaque control. Discussions were digitally recorded, transcribed and imported into ATLAS.ti 7.5.15 to identify themes.
There were no statistically significant differences between the two groups in relation to age, sex or ethnicity. F users reported statistically significant higher agreement about ability to remove food/debris (P = 0.01), cleaning thoroughly (P = 0.02) and clean feeling of the mouth (P = 0.01). SP users reported higher ease/efficiency of use (P = 0.01), convenience (P = 0.003), easy to hold (P = 0.0001) and easy use away from home (P = 0.008). Daily diaries revealed higher motivation and compliance/ease of use (SP). During the focus groups, some reported that they did not feel clean unless they deplaqued interdentally; however, most reported that they lacked motivation due to constraints on time, no desire due to lack of immediate or tangible rewards, and lack of knowledge on proper use of interdental devices or the benefits of using them.
This study showed that the lack of compliance may be due to poor literacy and lack of motivation in patients due to gaps in patient education.
本混合方法研究评估了患者在控制牙间菌斑方面的口腔健康素养、动机水平和障碍。
参与一项比较使用 Glide® Pro-Health Floss Original（F）和 GUM® Curved Soft-Picks® Advance（SP）效果的研究的 49 名患者完成了关于其去菌斑方法的动机、疲劳、信心和满意度的日常日记和问卷调查。采用 Mantel-Haenszel χ²检验。还从 19 名参加焦点小组讨论的参与者那里收集了关于他们的口腔健康习惯、知识、控制牙间菌斑的动机和障碍的数据。讨论内容被数字记录、转录并导入 ATLAS.ti 7.5.15 以识别主题。
两组在年龄、性别或种族方面无统计学差异。F 使用者在去除食物/碎屑的能力（P=0.01）、彻底清洁（P=0.02）和口腔清洁感（P=0.01）方面报告了更高的一致性。SP 用户报告了更高的易用性/效率（P=0.01）、便利性（P=0.003）、易于握持（P=0.0001）和便于离家使用（P=0.008）。日常日记显示 SP 组的动机和依从性/易用性更高。在焦点小组中，一些人表示，除非他们进行牙间清洁，否则他们不会感到清洁；然而，大多数人表示，由于时间限制、缺乏即时或有形奖励的愿望、缺乏正确使用牙间器械的知识或使用它们的好处，他们缺乏动力。
本研究表明，依从性差可能是由于患者的文化程度低和缺乏动力，这是由于患者教育存在差距。
