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The feasibility, acceptance, and key features of a prevention-focused oral health education program for HIV+ adults

机译:针对艾滋病毒+成人的以预防为重点的口腔健康教育计划的可行性,可接受性和关键特征

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Poor oral health is common in HIV+ adults. We explored the feasibility, acceptance, and key features of a prevention-focused oral health education program for HIV+ adults. This was a pilot substody of a parent study in which all subjects (n = 112) received a baseline periodontal disease (PD) examination and provider-delivered oral health messages informed by the Information-Motivation-Behavioral Skills (1MB) Model. Forty-one parent study subjects were then eligible for the substudy; of these subjects, a volunteer sample was contacted and interviewed 3-6 months after the baseline visit. At the recall visit, subjects self-reported behavior changes that they had made since the baseline. PD was reassessed using standard clinical assessment guidelines, and results were shared with each subject. At recall, individualized, hands-on oral hygiene coaching was performed and patients provided feedback on this experience. Statistics included frequency distributions, means, and chi-square testing for bivariate analyses. Twenty-two HIV+ adults completed the study. At recall, subjects had modest, but nonsignificant (p > 0.05) clinician-observed improvement in PD. Each subject reported adopting, on average, 3.8(± 1.5) specific oral health behavior changes at recall. By self-report, subjects attributed most behavior changes (95%) to baseline health messages. Behavior changes were self-reported for increased frequency of flossing (55%) and toothbrushing (50%), enhanced toothbrushing technique (50%), and improved eating habits (32%). As compared to smokers, nonsmokers reported being more optimistic about their oral health (p = 0.024) at recall and were more likely to have reported changing their oral health behaviors (p = 0.009). All subjects self-reported increased knowledge after receiving hands-on oral hygiene coaching performed at the recall visit. In HIV+ adults, ZMB-informed oral health messages promoted self-reported behavior change, subjects preferred more interactive, hands-on coaching. We describe a holistic clinical behavior change approach that may provide a helpful framework when creating more rigorously designed EvlB-informed studies on this topic.
机译:艾滋病毒+成人通常口腔健康状况较差。我们探索了针对艾滋病毒+成年人的以预防为中心的口腔健康教育计划的可行性,可接受性和关键特征。这是一项父项研究的试验性替代方法,其中所有受试者(n = 112)均接受了信息动机-行为-技能(1MB)模型告知的基线牙周疾病(PD)检查和提供者提供的口腔健康信息。然后有41位家长研究对象符合此子研究的要求;在这些受试者中,在基线访视后3-6个月接触了志愿者样本并进行了访谈。在回忆访问中,受试者自我报告自基线以来所做的行为变化。使用标准临床评估指南对PD进行了重新评估,并与每个受试者共享结果。在召回时,进行了个性化的动手口腔卫生指导,患者对此经验提供了反馈。统计信息包括频率分布,均值和双变量分析的卡方检验。 22名HIV +成年人完成了这项研究。在召回时,受试者的PD有适度但无统计学意义(p> 0.05)的临床改善。每个受试者报告在召回时平均采用3.8(±1.5)个特定的口腔健康行为变化。通过自我报告,受试者将大多数行为变化(95%)归因于基线健康信息。自我报告行为变化,以增加使用牙线和牙刷的频率(55%)和牙刷(50%),增强牙刷技术(50%)和改善饮食习惯(32%)。与吸烟者相比,不吸烟者在回忆时对自己的口腔健康更为乐观(p = 0.024),并且更有可能报道其口腔健康行为发生了变化(p = 0.009)。在召回访问中接受动手口腔卫生指导后,所有受试者均自我报告增加了知识。在HIV +成人中,ZMB告知口腔健康信息可促进自我报告的行为改变,受试者更喜欢互动,动手指导。我们描述了一种整体的临床行为改变方法,当针对此主题创建更严格设计的EvlB信息研究时,该方法可能会提供有用的框架。

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