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Cited by 14Mobile Health and mHealth ApplicationsOral microbiology and periodontitis researchDental Health and Care Utilization

GoPerio - impact of a personalized video and an automated two-way text-messaging system in oral hygiene motivation: study protocol for a randomized controlled trial

Open access
Garyga, Valentin, Pochelu, Florian, Thivichon-Prince, Béatrice, Aouini, Walid, Santamaria, Julie, Lambert, France, Maucort-Boulch, Delphine, Gueyffier, Francois +2 more·2019·Trials
DOI 10.1186/s13063-019-3738-0PMC PMC6905095
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Abstract

Background: Oral hygiene is of paramount importance for the preservation of oral health, and for patients affected by periodontal disease establishing an effective oral hygiene routine is the first step of therapy. Several clinical frameworks have been developed to foster behavior change, such as motivational interviewing. However, two obstacles can be identified. First, patients tend to forget the advice they were given during the consultation. Second, it is hard to maintain motivation in the long term, thus leading to relapse. An innovative eHealth solution was designed with the aim to tackle both obstacles and supplement the current clinical standard of care. The primary objective is to compare the full mouth plaque scores of study groups (eHealth plus standard of care versus standard of care only) at 8 weeks of follow up. The main secondary objective is to compare the full mouth bleeding score at 8 weeks of follow up. Methods/design: The “GoPerio” study is a multicenter, randomized, controlled trial assessing the impact of a novel eHealth concept for oral hygiene motivation (personalized video of oral hygiene routine available for the patient via a cloud server plus interactive text messages) in addition to the current standard of care (motivational interviewing plus tooth scaling and polishing). The minimum sample size required is 86 patients. Participants will be randomized (allocation ratio 1:1): test group (eHealth plus standard of care) versus control group (standard of care only). The primary outcome is oral hygiene as measured by the full mouth (six sites per tooth) plaque control record (PCR) index. The main secondary outcome is gingival inflammation as measured by the full mouth (six sites per tooth) bleeding on probing (BOP) index. Both the primary and the main secondary outcomes are evaluated by blinded and calibrated examiners at 8 weeks of follow up. The other secondary outcomes are patient satisfaction and patient behavior change and motivation. Discussion: The study will investigate the value of an innovative eHealth approach to strengthen patient motivation for oral hygiene. If proven effective, such an approach would supplement the current clinical standard of care, resulting in improved clinical outcomes with negligible impact on productivity in a dental practice. Trial registration: ClinicalTrials.gov, NCT03109808. Registered on 12 April 2017. Sponsor: Hospices Civils de Lyon. BP 2251, 3 quai des Célestins, 69,229 Lyon cedex 02. Protocol version: 1.0 as of 21 September 2016.

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  • Therapeutic alliance is essential to the effectiveness of periodontal therapy; without continuous support and communication from dental professionals, therapy will not be effective over the short and long term.

    “Therefore, therapeutic alliance is essential to the effectiveness of periodontal therapy. Without the continuous support and communication provided by dental professionals to the patient, the therapy will not be effective over the short and long term [36, 49, 50, 51].”

    From Concordance and Clinical Outcomes Improvement Following Oral Hygiene Motivation: A Systematic Review and Report of the Workshop of the Italian Societies of Dental Hygiene (2024) · cites this paper as [51]

    The Background (page unavailable) describes patient instruction and motivation as key to periodontal therapy, says motivational interviewing has been used successfully, and reports that frequent recalls increase long-term adherence to oral hygiene. It does not establish that a therapeutic alliance or continuous professional communication is essential, or that periodontal therapy will fail in their absence over either the short or long term. (LLM, conf=0.86)

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Research works printed but not linked: 1

  1. [65]Colliot C, Boillot A, Bouchard P. Indices parodontaux. In: Bouchard P, editor. Parodontologie et Dentisterie Implantaire - Volume 1: Médecine Parodontale. 1st edition. Paris: Lavoisier, Médecine Sciences Publications; 2015. p. 150–4.

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Authors
Garyga, V., Pochelu, F., Thivichon-Prince, B., Aouini, W., Santamaria, J., Lambert, F., Maucort-Boulch, D., Gueyffier, F., Gritsch, K., & Grosgogeat, B.
Affiliations
  • Lyon 1 Université (FR)
  • Hospices Civils de Lyon (FR)
  • University of Monastir (TN)
  • University of Liège (BE)
Corresponding author
Grosgogeat, Brigitte
ORCID
Venue
Trials
Publisher
Springer Science and Business Media LLC
Published
2019-12
Volume
20
Issue
1
Pages
699-699
ISSN
1745-6215 (ISSN-L)
DOI
10.1186/s13063-019-3738-0
PMC
PMC6905095
OpenAlex
W2996278597
Cited by
14
References
72
Citations by year
2025: 2 · 2024: 2 · 2023: 6 · 2022: 1 · 2021: 2 · 2020: 1
FWCI
1.36
Type
journal article
Language
en
Open access
Licence
Locations
  • Trials (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Open Repository and Bibliography (University of Liège) (submittedVersion, other-oa)
Funders
Association for Dental Education in Europe (Scholarship for the advancement of video dentistry in dental education)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
Keywords
oral hygiene, periodontal disease, e-health, personalized video, text messaging, patient motivation, behavior change, motivational interviewing, dental plaque, bleeding on probing, gingivitis, patient satisfaction, relapse prevention
MeSH terms
Belgium, France, Health Education, Dental, Humans, Health Knowledge, Attitudes, Practice, Motivation, Oral Health, Oral Hygiene, Patient Compliance, Patient Education as Topic, Periodontal Diseases, Time Factors, Video Recording, Multicenter Studies as Topic, Health Behavior, Randomized Controlled Trials as Topic, Treatment Outcome, Patient Satisfaction, Telemedicine, Text Messaging, Motivational Interviewing

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