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预防成人口腔疾病的激励面试:系统性审查和元分析
Ricardo Cartes-Velásquez1, Tomás Varnet-Pérez2, Cecilia María Martínez-Delgado3
1Universidad de Concepción, Concepción, Chile.
Community dentistry and oral epidemiology
|September 5, 2023
概括
动机面试 (MI) 显示,预防成人口腔疾病的证据有限,研究只关注牙周结局. 需要更多的研究来确认其除了牙健康之外的有效性.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 行为科学 行为科学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 口腔疾病在成年人中构成了重大公共卫生挑战.
- 激励面试 (MI) 是一种咨询方法,旨在改变行为.
- 肌痛性心脏病在预防广泛口腔疾病方面的疗效尚不清楚.
研究的目的:
- 系统地审查和分析动机面试 (MI) 在预防成人口腔疾病方面的有效性.
- 综合了口腔健康的MI干预随机对照试验的证据.
主要方法:
- 随机对照试验,集群随机对照试验和基于社区的随机对照试验的系统审查和元分析.
- 包括使用MI或基于MI的咨询原则的研究.
- 在MEDLINE,Scopus,Web of Science和LILACS数据库中搜索相关研究.
主要成果:
- 包括7项研究,涉及272名患有牙周炎的成年人,孕妇和精神/酒精问题患者.
- 对斑块指数,探针出血和牙指数的元分析显示,边际益处有利于MI.
- 证据仅限于牙周结局,具有显著的异质性和小样本大小影响精度.
结论:
- 目前的证据仅限于牙周结局,防止对MI在成人口腔疾病的更广泛有效性做出最终结论.
- 现有研究的范围有限和异质性需要进一步的研究.
- 肌痛性心脏病在整体口腔健康中的预防作用需要更多的研究.
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