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口腔健康恢复:口腔-行为健康整合方法的随机评估
A Lapidos1, J Henderson2, J Cullen3
1Clinical Associate Professor, University of Michigan Medical School, Department of Psychiatry, Ann Arbor, MI, USA.
JDR clinical and translational research
|November 19, 2024
概括
同行专家在行为健康环境中提供口腔健康教育. 虽然知识并没有显著改善,但同龄人成功地为弱势患者安排牙科预约,显示了综合护理的前景.
科学领域:
- 口腔健康 口腔健康
- 行为健康 行为健康
- 公共卫生 公共卫生
背景情况:
- 患有精神障碍的人经常面临获得牙科护理的挑战.
- 口腔健康对整体健康至关重要,并可能影响心理健康结果.
- 将口腔卫生服务整合到行为健康环境中,对于服务不足的人群来说,这是一个潜在的解决方案.
研究的目的:
- 在行为健康环境中实施和评估一次性口腔健康教育和推计划.
- 为了比较基于视频的教育方法与同行领导的干预 (口腔健康恢复小组;OHRG).
- 评估该计划对口腔健康知识,家庭护理,动机和牙科护理利用的影响.
主要方法:
- 一项随机试验将基于视频的教育臂 (VC) 与同行主导干预 (OHRG) 进行了比较.
- 同行专家,有心理健康挑战的实践经验,提供了OHRG干预.
- 包括口腔健康知识,家庭护理,动机,预约安排和利用在内的结果在基线,干预后和2个月被评估.
主要成果:
- 超过一半的参与者报告说最近口腔疼痛.
- 在这两只手臂中都没有观察到口腔健康知识的显著改善.
- 虽然很少有参与者安排牙科预约,但OHRG组的家庭护理目标达成率更高.
结论:
- 在行为健康环境中,单个会话口腔健康干预措施显示了改善口腔健康结果的潜力.
- 以同行为主导的干预措施可能是将口腔健康纳入行为健康护理的经济可持续模式.
- 需要进一步的研究来确定更密集的干预措施的有效性.
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