Department of Primary Dental Care, Division of Dental Hygiene, University of Minnesota School of Dentistry, Minneapolis, Minnesota, USA.
Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, Minneapolis, Minnesota, USA.
Int J Dent Hyg. 2023 Nov;21(4):738-746. doi: 10.1111/idh.12739. Epub 2023 Sep 27.
The goal of this study was to analyse transcription of audio recordings to determine health topics that emerged from brief-motivational interviewing (MI) compared to traditional oral hygiene instructions (OHI).
Fifty-eight periodontal maintenance patients were randomized to a brief-MI or traditional OHI group for a longitudinal 1-year clinical trial. Both groups received four patient education sessions per their assigned group. Audio recordings were transcribed and coded. The overarching themes and subthemes emerged were quantified and reported as the number of instances per participant. Global scores and behavioural counts were compared across baseline, 4, 8, and 12-month research visits using mixed-effect models.
Of the six overarching themes, the brief-MI group evoked more topics toward total health. Oral home care behaviours (15 vs. 10.2) and oral diseases/conditions (3.3 vs. 1.9) were discussed more in the brief-MI group compared to the traditional OHI group. This positive outcome for the average number of times a health topic was discussed in the brief-MI group compared to the traditional OHI group continued for the remaining major themes: lifestyle behaviours (1.0 vs. 0.4), nutrition (2.6 vs. 0.8), emotional/mental health (1.8 vs. 0.8) and general health (1.2 vs. 0.4).
This study identified that brief-MI was a more successful communication approach to increase discussions of oral home care behaviours, oral diseases/conditions, lifestyle behaviours, nutrition, emotional/mental health and general health compared to traditional OHI in individuals with periodontitis.
本研究旨在通过分析录音转录，确定简短动机访谈（MI）与传统口腔卫生指导（OHI）相比所产生的健康主题。
58 名牙周维护患者被随机分为简短-MI 组或传统 OHI 组，进行为期 1 年的纵向临床试验。两组均根据其分组接受了四次患者教育课程。对录音进行转录和编码。出现的总体主题和子主题被量化并报告为每个参与者的实例数。使用混合效应模型比较基线、4、8 和 12 个月研究访问时的总体评分和行为计数。
在六个总体主题中，简短-MI 组唤起了更多关于整体健康的主题。与传统 OHI 组相比，口腔家庭护理行为（15 次与 10.2 次）和口腔疾病/状况（3.3 次与 1.9 次）在简短-MI 组中讨论得更多。与传统 OHI 组相比，简短-MI 组讨论健康主题的平均次数更多，这种积极结果在其余主要主题中持续存在：生活方式行为（1.0 次与 0.4 次）、营养（2.6 次与 0.8 次）、情感/心理健康（1.8 次与 0.8 次）和一般健康（1.2 次与 0.4 次）。
与传统 OHI 相比，本研究表明简短-MI 是一种更成功的沟通方法，可以增加牙周炎患者对口腔家庭护理行为、口腔疾病/状况、生活方式行为、营养、情感/心理健康和一般健康的讨论。
