Motivational Interviewing and Subgingival Instrumentation Outcomes in Periodontitis

NCT07618533 | Not Yet Recruiting

• 1 other identifier: Akanksha Mahajan Perio 26/57
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Motivational Interviewing (MI) represents a patient centered counselling approach designed to facilitate behaviour change by guiding patients through the exploration and resolution of ambivalence toward positive health actions. Adapting OARS microskills (open ended questions fostering dialogue, affirmations building self-efficacy, reflective listening mirroring emotions, summarization making commitments) intertwined with the RULE framework (resisting the righting reflex, understanding personal motivations, empathic listening, empowering autonomy) helps cultivate patient's intrinsic motivation for sustained oral hygiene adherence. It effectively resolves ambivalence toward plaque control behaviours essential for periodontitis management. Grounded in MI's core spirit of equal partnership, evocation of inner values, acceptance and compassionate support, this approach fosters long term adherence to treatment. This is in contrast to oral hygiene instructions that typically employ a directive advice giving method, where clinicians provide patients with prescriptive guidance on maintaining optimal oral hygiene practices. Periodontitis staging, as defined by the 2017 World Workshop classification, delineates disease severity (Stages I-III), complexity of management, and extent of involvement, while grading (A-C) offers a prognostic indicator of the risk for future progression based on factors such as rate of advancement and responsiveness to therapy. Integrating motivational interviewing (MI) with periodontitis staging and grading creates a structured framework from diagnosis to patient centered action, enhancing adherence to stage specific treatment plans. This study seeks to investigate the influence of MI on Clinical outcomes, Patient motivation, Patient related outcomes and Patient's Self-efficacy in oral hygiene following subgingival instrumentation among patients stratified by periodontitis stage. By doing so, it aims to explore the potential of behavior change interventions to yield not only clinical improvements but also broader health benefits in the management of periodontitis.

Conditions

Motivational Interviewing; Periodontitis; Oral Hygiene

Keywords

Motivational interviewing; Periodontitis staging and grading; Treatment adherence

Outcome Measures

Primary Outcomes (3)

• The Dental Treatment Motivation Scale (DTMS)

  The Dental Treatment Motivation Scale (DTMS)19 questionnaire will be used to measure each participant's level of motivation. . The scale has a total of 15 items, which assess intrinsic (seven questions) and extrinsic motivation (eight questions). Answers provided on a scale are from 1 to 5, where 1 = "strongly disagree" and 5 = "strongly agree." Patients will complete the questionnaire at the 3, 6 month follow-up appointment after periodontal treatment. Higher score indicates higher level of patient motivation towards dental treatment.

  Baseline, 3 month, 6 month

• Patient related outcome Measure

  The Oral Health Impact Profile-14 (OHIP-14) questionnaire will be used to measure each participant's Oral Health related quality of life (OHRQoL). It evaluates 14 questions under seven domains: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap. Each item is scored on a 5-point Likert scale (1=never to 5=very often) with total scores ranging from 0-56 (higher scores indicate worse Oral health quality of life).

  Baseline, 3 month, 6 month

• Evaluation of Patient's Self Efficacy

  The Oral Hygiene Related Self Efficacy Scale (OHSE) questionnaire will be used for assessing self-efficacy. It includes 19 items rated on 4 point Likert scale from (1) Completely confident not to (4) Completely confident. Higher scores indicate stronger belief in one's ability to maintain oral health, correlating with better hygiene practices and treatment outcomes.

  Baseline, 3 month, 6 month

Study Arms (2)

Motivation Interviewing

EXPERIMENTAL

Participants will receive a single session of motivational interviewing

Behavioral: Motivational Interviewing

Oral hygiene Instructions

ACTIVE COMPARATOR

General oral hygiene instructions will be given to all the patients in control group at baseline and at 1 month

Behavioral: Oral hygiene instructions

Interventions

Motivational Interviewing BEHAVIORAL

A single individual motivational interviewing session will be delivered to each patient at baseline and 1 month

Motivation Interviewing

Oral hygiene instructions BEHAVIORAL

Oral hygiene instructions will be provided to each patient at baseline and at 1 month.

Oral hygiene Instructions

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Systemically healthy Patients with age group 30-50 years diagnosed with (Stage I-III) periodontitis.

You may not qualify if:

• Systemic diseases that may affect periodontal disease progression or outcome of treatment
• Patients on long term antibiotics
• Pregnant and lactating women
• Female patients with history of menopause
• Current orthodontic treatment or planning to undergo orthodontic treatment during study

Sponsors & Collaborators

• Postgraduate Institute of Dental Sciences Rohtak: lead

Study Sites (1)

Post Graduate Institute of Dental Sciences, Rohtak

Rohtak, Haryana, 124001, India

Location

MeSH Terms

Conditions

Periodontitis; Treatment Adherence and Compliance

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Periodontal Diseases; Mouth Diseases; Stomatognathic Diseases; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Dr. Rajinder Kumar Sharma, MDS

  Post Graduate Institute Of Dental Sciences, Rohtak

  STUDY DIRECTOR

Central Study Contacts

Akanksha Mahajan

CONTACT

+916284480549; akankshamahajan81198@gmail.com

Dr. Rajinder Kumar Sharma, MDS

CONTACT

+919416358222; rksharmamds@yahoo.in

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 24, 2026
• First Posted: June 1, 2026
• Study Start (Estimated): June 26, 2026
• Primary Completion (Estimated): June 27, 2027
• Study Completion (Estimated): December 27, 2027
• Last Updated: June 3, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

IN (1)