Bryne Emilie, Bergum Kathrine Høyvik, Gjedrem William Gilje
Oral Health Centre of Expertise Rogaland, Stavanger, Norway.
Faculty of Health and Social Sciences, University of South-Eastern Norway, Kongsberg, Norway.
JMIR Res Protoc. 2024 Dec 11;13:e60817. doi: 10.2196/60817.
People living in prisons often experience poor oral health, which could be attributed to their limited access to (dental) care, financial constraints, and a general lack of awareness and prioritization toward their oral hygiene. A pilot study involving motivational interviewing (MI) has shown promising results for improving the oral health outcomes of people living in prisons.
The protocol for this study aims to assess the efficacy of integrated MI and oral hygiene packages in improving oral health among people living in prisons, compared to controls without added MI.
This oral health in prisons study is a multicenter, randomized, double-blinded controlled trial that recruited inmates from 4 prisons in Rogaland County. The trial aimed to recruit 320 participants before randomly allocating them to either a control or intervention group. The intervention group received MI, consisting of a 30-minute session encouraging inmates to discuss their current and desired oral health behaviors and attitudes, highlighting discrepancies to motivate change. Assessments were conducted at 4 and 12 weeks after initiation. The primary outcome measurement is the mucosal-plaque scores to assess oral health behaviors, attitudes, and oral hygiene. Secondary outcome measurements are oral hygiene routines, sugary food and drink intake, oral health perception, and oral health-related questions.
Data collection started in November 2021 and ended in June 2023. A total of 327 participants were recruited, of which 126 received the intervention.
Integrating MI in oral health programs at prisons can significantly improve the oral health of incarcerated individuals. Should the results from this study demonstrate efficacy, it could be valuable insight for policy makers, oral health practitioners, and correctional services in addressing the needs of a traditionally underserved group before being scaled up to enhance dental care practices in prisons.
ClinicalTrials.gov NCT05695443; https://clinicaltrials.gov/study/NCT05695443.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/60817.
监狱中的居民口腔健康往往较差，这可能归因于他们获得（牙科）护理的机会有限、经济限制以及对口腔卫生普遍缺乏认识和重视。一项涉及动机性访谈（MI）的试点研究显示，在改善监狱居民的口腔健康结果方面取得了令人鼓舞的成果。
本研究方案旨在评估与未增加MI的对照组相比，综合MI和口腔卫生套餐在改善监狱居民口腔健康方面的效果。
这项监狱口腔健康研究是一项多中心、随机、双盲对照试验，从罗加兰郡的4所监狱招募囚犯。该试验旨在招募320名参与者，然后将他们随机分配到对照组或干预组。干预组接受MI，包括一次30分钟的课程，鼓励囚犯讨论他们当前和期望的口腔健康行为及态度，强调差异以激发改变。在开始后的4周和12周进行评估。主要结局测量是黏膜菌斑评分，以评估口腔健康行为、态度和口腔卫生。次要结局测量包括口腔卫生习惯、含糖食物和饮料摄入量、口腔健康认知以及与口腔健康相关的问题。
数据收集于2021年11月开始，2023年6月结束。共招募了327名参与者，其中126人接受了干预。
将MI纳入监狱口腔健康项目可显著改善被监禁者的口腔健康。如果本研究结果证明有效，对于政策制定者、口腔健康从业者和惩教服务部门在满足这一传统上服务不足群体的需求方面可能具有宝贵的见解，然后再扩大规模以加强监狱中的牙科护理实践。
ClinicalTrials.gov NCT05695443；https://clinicaltrials.gov/study/NCT05695443。
国际注册报告识别码（IRRID）：DERR1-10.2196/60817。
