Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT06103799 |
Other study ID # |
DHZhejiangU-2023(005) |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
January 1, 2023 |
Est. completion date |
September 30, 2023 |
Study information
Verified date |
October 2023 |
Source |
The Dental Hospital of Zhejiang University School of Medicine |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The investigators recruited 32 diabetic IOD patients with a total of 110 problematic implants
who had completed the treatment for peri-implantitis between January 2021 and March 2023 as
research subjects. The patients were randomly assigned to the control group or the
experimental group using the random number table. The control group received routine
postoperative medical advice, whereas the experimental group was given an IMB model-based
continuity of care.
Description:
Continuity of care involves a series of actions designed to ensure that patients undergoing a
transfer from different health care settings (e.g., from hospital to home) or within the same
setting (e.g., different units in the hospital) receive different levels of collaborative and
continuous care, including discharge planning, referrals, and continuous follow-up and
guidance after the patient returns home . It encompasses the roles of both provider and
receiver. Patients who actively participate will receive more substantial treatment.
Additionally, a retrospective cohort study has shown that continuity of care is associated
with lower risk of cardiovascular disease risk among individuals with type 2 diabetes.
Another prospective cohort has shown that the application of continuity of care in the dental
field enhances oral anticancer therapy adherence.
The information-motivation-behavioral skills (IMB) model, first proposed by Fisher, is
composed of three elements-information, motivation, and behavioral skills-and is aimed at
transferring patients' behavior into a positive direction, including self-behavior management
ability, medication compliance and so on. For diabetic patients with poor adherence, the IMB
model of care can be considered.
This model may be particularly useful in diabetic IOD patients since they are more prone to
peri-implantitis than patients with other types of implant restorations or non-diabetic
patients. However, the efficacy of the combination of the IMB model and continuity of care in
improving healing, bone resorption, disease management and control, and quality of life in
the specific population group of diabetic IOD patients remains unclear. To this end, the
current study was aimed at investigating whether this model of care can help achieve better
clinical outcomes and improve patient satisfaction with the services provided, thereby
obtaining data to serve as a reference and scientific basis for the improvement of
intervention plans.