Brief Motivational Interviewing (BMI)

Impact of Brief Motivational Interviewing During Continuous Patient Care to Enhance Oral Hygiene

The goal of this research study is to determine if the utilization of brief motivational interviewing (BMI) during continuous care is superior compared to traditional oral hygiene instruction (OHI) to reduce patients' plaque score, bleeding on probing (BOP), and gingival index (GI) longitudinal. An additional goal is to investigate chairside time of implementing BMI.

Study Overview

• Status: Completed
• Conditions: Motivational Interviewing, BMI, OHI
• Intervention / Treatment: Behavioral: BMI

• Study Type: Interventional
• Enrollment (Actual): 58
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Minnesota
    • Minneapolis, Minnesota, United States, 55455
      • School of dentistry

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Male or Female
• ≥ 18 years old
• Periodontal maintenance phase (at least one year)
• Plaque score ≥30% (O'Leary plaque score)
• Minimum of two sites with BOP
• Willingness to fulfill all study requirements
• Patient of Record at the University of Minnesota School of Dentistry

Exclusion Criteria:

• Current smoker or quit smoking less than one year
• Pregnant, planning to become pregnant, or unsure of pregnancy status (self-reported)
• Uncontrolled diabetes (HbA1C > 7)
• Medical conditions that may influence the outcome of the study (neurologic or psychiatric disorders, systemic infections, cancer, and/or HIV/AIDS)
• Current use of oral bisphosphonates
• History of IV bisphosphonates
• Require pre-medication or on long-term antibiotics
• Current orthodontic treatment or planning to begin orthodontic treatment during the study
• Unable to comply with the study protocol

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Traditional OHI (Control); Advice giving method of OHI known as "tell-show-do" to inform, demonstrate, and expect patient compliance.
Experimental: BMI (Test); A derivative of motivational interviewing (MI), which is a patient-centered, collaborative counseling approach to strengthen an individual's intrinsic motivation towards a positive behavior change. BMI is intended for healthcare providers with limited time (5-10 minutes) to support a positive behavior change.	Behavioral: BMI; A derivative of motivational interviewing (MI), which is a patient-centered, collaborative counseling approach to strengthen an individual's intrinsic motivation towards a positive behavior change. BMI is intended for healthcare providers with limited time (5-10 minutes) to support a positive behavior change.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Plaque score	Excellent hygiene: 0-20%, Good hygiene: 21-40%, Fair hygiene: 41-60%, Poor hygiene: 61-100%	Recorded four times over a one year time frame
Bleeding on probing (BOP)	Presence of bleeding (yes) or absent of bleeding (no)	Recorded four times over a one year time frame
Gingival Index	0= normal gingiva, 1=mild inflammation (no BOP), 2=moderate inflammation (BOP), 3=severe inflammation (spontaneous bleeding)	Recorded four times over a one year time frame

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Clinical attachment level	Measured in millimeters	Recorded four times over a one year time frame

Collaborators and Investigators

• Sponsor: University of Minnesota
• Investigators: Principal Investigator: Michelle Arnett, MS, University Of Minnesota

Study record dates

Study Major Dates

• Study Start (Actual): October 1, 2018
• Primary Completion (Actual): September 18, 2020
• Study Completion (Actual): October 1, 2020

Study Registration Dates

• First Submitted: June 18, 2018
• First Submitted That Met QC Criteria: June 18, 2018
• First Posted (Actual): June 28, 2018

Study Record Updates

• Last Update Posted (Actual): April 21, 2022
• Last Update Submitted That Met QC Criteria: April 13, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: DENT-2018-26921

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No