Brief Motivational Intervention to Promote Oral Health

促进口腔健康的简短动机干预

基本信息

批准号：
7275342
负责人：
KURT H DERMEN
金额：
$ 20.4万
依托单位：
STATE UNIVERSITY OF NEW YORK AT BUFFALO
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-01 至 2009-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7275342
关键词：
Address Adherence Alcohol abuse Alcohols Area Attention Behavior Behavioral Characteristics Classification Clinical Clinical Trials Communities Consent Consult Control Groups Counseling Dental Dental Hygiene Dental Hygienists Dentists Dependence Development Disease Dropout Drug abuse Effectiveness of Interventions Evaluation Exclusion Criteria Feedback Frequencies Goals Grant Health Health Promotion Health behavior change Health education High Prevalence Individual Inpatients Intervention Interview Length Manuals Measures Mediation Methods Mouth Diseases Nature Numbers Oral Oral health Outcome Participant Patients Pattern Performance Personal Satisfaction Phase Population Preparation Preventive Procedures Protocols documentation Psychometrics Questionnaires Randomized Range Rate Recruitment Activity Rehabilitation therapy Research Research Personnel Sampling Services Substance abuse problem Surveys Testing Time Tooth Diseases Training United States United States Substance Abuse and Mental Health Services Administration Variant alcohol abuse therapy base craniofacial design disorder prevention follow-up improved instrument motivational enhancement therapy motivational intervention pilot trial prevent programs response size treatment program

项目摘要

DESCRIPTION (provided by applicant): Although individuals undergoing inpatient treatment for alcohol abuse or dependence constitute a large population with a high prevalence of oral diseases, little attention is paid to oral health issues in such treatment programs. Motivational enhancement methods such as motivational interviewing (Miller & Rollnick, 2002) and health behavior change consulting (Rollnick, Mason, & Butler, 1999) have been applied to a broad range of health-related behaviors, and seem well-suited to improving dental/oral health-related behavior. However, systematic efforts to adapt and evaluate the efficacy of this approach to oral health promotion and disease prevention have been lacking. The present application addresses the goal of the NIDCR Clinical Trial Pilot Grant program (PAR-99-158) by addressing preliminary design and methodological issues for an eventual full-scale clinical trial to evaluate motivational enhancement strategies for use with individuals in inpatient treatment for alcohol abuse and dependence, to prevent craniofacial, oral, and dental disease and promote craniofacial, oral, and dental health. The proposed research consists of two phases. During Phase One we will adapt motivational enhancement strategies for use in a brief Motivational Oral and Dental Health Promotion intervention aimed at improving personal oral hygiene and utilization of community-based oral health preventive and treatment services. An intervention manual, training materials, and intervention adherence measures will be developed during this phase (Specific Aim 1). Development of assessment strategies also will occur during this phase. Survey and clinical measures to be used for initial assessment, feedback preparation, mediation tests, and outcome evaluation will be identified and refined (Specific Aim 2). During Phase Two we will conduct a randomized pilot trial of the motivational intervention. The pilot trial will serve (a) to demonstrate the intervention's feasibility, (b) to document our ability to conduct a trial of this nature, and (c) to provide initial evidence of the intervention's ability to yield improvements on oral and dental health-related behavioral and clinical measures (Specific Aim 3). The pilot trial also will allow us to optimize our research procedures and assessment protocol in preparation for a subsequent full-scale trial (Specific Aim 4). Results will be directly applicable to addressing oral health issues in alcoholism treatment settings.

描述（由申请人提供）：虽然因酗酒或依赖而接受住院治疗的个体构成了口腔疾病患病率较高的庞大人群，但此类治疗方案中很少关注口腔健康问题。动机增强方法，如动机访谈（Miller & Rollnick，2002）和健康行为改变咨询（Rollnick、Mason，& Butler，1999）已应用于广泛的健康相关行为，并且似乎非常适合改善牙科行为。 /口腔健康相关行为。然而，缺乏系统的努力来适应和评估这种口腔健康促进和疾病预防方法的功效。本申请通过解决最终全面临床试验的初步设计和方法学问题来实现 NIDCR 临床试验试点资助计划 (PAR-99-158) 的目标，以评估用于住院治疗酒精的个人的动机增强策略滥用和依赖，预防颅面、口腔和牙齿疾病并促进颅面、口腔和牙齿健康。拟议的研究分为两个阶段。在第一阶段，我们将调整动机增强策略，用于简短的动机性口腔和牙齿健康促进干预措施，旨在改善个人口腔卫生和利用基于社区的口腔健康预防和治疗服务。在此阶段将制定干预手册、培训材料和干预依从性措施（具体目标 1）。评估策略的制定也将在此期间进行阶段。将确定和完善用于初始评估、反馈准备、调解测试和结果评估的调查和临床措施（具体目标 2）。在第二阶段，我们将进行动机干预的随机试点试验。试点试验将用于（a）证明干预措施的可行性，（b）记录我们进行此类性质的试验的能力，以及（c）提供干预措施改善口腔和牙齿健康能力的初步证据 -相关的行为和临床测量（具体目标 3）。试点试验还将使我们能够优化我们的研究程序和评估方案，为后续的全面试验（具体目标 4）做好准备。结果将直接适用于解决酗酒治疗环境中的口腔健康问题。