Evaluation of Behaviour Intervention on Adherence and Periodontal Outcomes
"Evaluation of an Individual-centric Self-efficacy Based Behavioural Intervention on Adherence and Clinical Outcomes of Periodontal Therapy-A Randomised Controlled Trial"
Periodontitis is a chronic inflammatory disease in which long-term treatment success depends greatly on patients' adherence to oral hygiene practices and periodontal therapy. Psychological factors such as oral hygiene-related self-efficacy and illness perception may influence patients' motivation and ability to maintain effective plaque control and attend follow-up visits. However, limited evidence exists regarding the impact of behavioural interventions on adherence and clinical outcomes in periodontal therapy.
This randomized controlled trial aims to evaluate the effect of an behavioural intervention on treatment adherence and clinical periodontal outcomes in patients with Stage I-III periodontitis having low oral hygiene-related self-efficacy. A total of 78 participants will be randomized into test and control groups. Both groups will receive Step 1 and 2 periodontal therapy, including professional mechanical plaque removal and risk factor control. The test group will additionally receive a self-efficacy-based behavioural intervention while the control group will receive conventional oral hygiene instructions.
Clinical periodontal parameters including Turesky modification of Quigley-Hein Plaque Index (TQHI), Full Mouth Bleeding Score (FMBS), probing pocket depth (PPD), and clinical attachment level (CAL) will be assessed at baseline, 8 weeks, and 6 months. Oral hygiene self-efficacy and illness perception will also be evaluated using validated questionnaires. The primary outcomes will be treatment adherence and treatment response at 6 months. The study aims to determine whether a self-efficacy-based behavioural approach can improve adherence and enhance periodontal treatment outcomes.
調査の概要
状態
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Ankit Kumar
- 電話番号：+917027808084
- メール：ankit7027808084@gmail.com
研究場所
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Haryana
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Rohtak、Haryana、インド、124001
- Postgraduate institute of dental sciences
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コンタクト：
- Dr. Ritika Arora
- 電話番号：+917027818084
- メール：drritika44@gmail.com
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Inclusion criteria at the patient level, age ≥ 18 years
- According to the 2017 EFP/AAP classification, patients with periodontitis stage I-III, with low self-efficacy will be included
- According to American Society of Anaesthesiologists Physical Status classification P1 and P2 will be included.
Exclusion Criteria:
Patients will be excluded from the study if they have any of the following characteristics
- According to American Society of Anesthesiologists Physical Status classification P3 and P4 will be excluded.
- Use of antibiotics within 6 months prior to the study
- Xerostomia
- Physical inability to perform oral hygiene procedures
- Use of drugs influencing gingival hyperplasia or bleeding.
- Presence of an acute condition requiring emergency dental treatment
- Any periodontal treatment in the past 1 year
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Test Group
Participants will receive Step 1 and 2 periodontal therapy along with an individual-centric self-efficacy-based behavioural intervention including verbal persuasion, mastery experience, vicarious experience, and emotional reinforcement in addition to conventional oral hygiene instructions.
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Behavioural intervention based on Bandura's self-efficacy theory aimed at improving oral hygiene adherence and periodontal treatment outcomes through patient motivation and reinforcement strategies.
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アクティブコンパレータ：Control Group
Participants will receive Step 1 and 2 periodontal therapy along with routine conventional oral hygiene instructions.
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Routine oral hygiene education and instructions provided during non-surgical periodontal therapy.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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TREATMENT ADHERENCE SCORE
時間枠：6 months
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Treatment adherence- defined on the basis of reduction in plaque score and dental visits attended
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6 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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PLAQUE INDEX
時間枠：6 months
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Turesky modification of Quigley-Hein Index (TQHI) Will be used to assess plaque score.
Score range is 0 to 5. Lesser Score means better outcome and higher score means worst outcome
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6 months
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Full mouth bleeding score (FMBS)
時間枠：6 months
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FMBS is expressed as a percentage of bleeding sites: FMBS (%) = (Bleeding sites/Total sites)*100 0% → No bleeding (excellent gingival health) 100% → Bleeding at all sites (severe inflammation) |
6 months
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PERCENTAGE RESIDUAL POCKETS
時間枠：6 months
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Treatment response- defined as the percentage sites with residual probing depth less than or equal to 4 mm without bleeding on probing at 6 months
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6 months
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Pocket Probing Depth
時間枠：6 months
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6 months
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Clinical Attachment level
時間枠：6 months
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6 months
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Changes in oral hygiene related self efficacy score
時間枠：6 months
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Score ranges from 19 to 76.lesser score means low self efficacy and higher score means high self efficacy related to oral hygiene.
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6 months
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Changes in brief Illness perception questionnaire score
時間枠：6 months
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Score ranges 0 to 80. Higher scores generally indicate a more threatening or negative perception of illness.
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6 months
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- Ankit Kumar
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