Comprehension and recall of information about factors associated with peri‐implantitis: A randomized controlled trial

Abstract

Background To evaluate the effect of different communication strategies on comprehension and recall of information about factors associated to peri‐implantitis. Methods A prospective, randomized controlled trial was conducted in consecutive patients diagnosed with peri‐implantitis. The sample was divided into three groups according to the communication strategy used: Test group 1—Written communication via leaflet with visual aids (L‐VA); Test group 2—Written communication via leaflet with no visual aids (L‐NVA); and control group—only verbal communication with no leaflet (NL). A questionnaire assessing comprehension at baseline (T0) and recall at 3 months (T1) and 6 months (T2) was administered following the fuzzy trace theory with a combination of 11 “gist” and seven “verbatim” items. The “health belief model” dimensions were further examined to test the influence of the communication strategy upon perceived severity, susceptibility, benefits, barriers, self‐efficacy, and behavioral intentions. Results Ninety‐nine patients that fulfilled the eligibility criteria were included. Gist and verbatim comprehension of the control, risk factors, and preventive measures for peri‐implantitis overall was significantly greater in the test groups, in particular in L‐VA at T0 (n = 99). Nevertheless, recall was not influenced by the communication strategy at T1 (n = 85) or T2 (n = 78). No significant differences were noted between groups or as a function of time for any of the “health belief model” constructs with the sole exception of perceived barriers (P = 0.045), which proved lower in the test groups. Conclusion The comprehension of information about factors associated to peri‐implantitis can be efficiently improved by using written communicative strategies, in particular when supplemented with visual aids. Nevertheless, this approach failed to show effectiveness in modulating recall or in changing behavioral intentions over follow‐up (NCT04543604).

Compliance with Postoperative Recommendations by Patients with Different Psychological Types after Early Implant Loading Treatment

“…At the same time, additional verbal support and motivation strategy did not lead to a positive effect in all cases (60% of patients did not demonstrate compliance with recommendations). This was consistent with the study carried out by Monje A et al [20] which showed that changing the communication strategy did not always have a strong positive impact on improving patient's motivation and response. Both indifferent and hysterical patients did not demonstrate any comprehension of postoperative treatment importance.…”

Supportive therapy following peri‐implantitis treatment: A retrospective study on compliance

“…Future studies must provide long‐term data. In addition, communication strategies must be tested to enhance the knowledge, understanding and comprehension of peri‐implantitis (Monje, Perez, et al., 2022), and to improve awareness of the systemic (Blanco et al., 2021) and local sequelae/consequences of this inflammatory condition (Monje et al., 2019).…”

“…Moreover, inadequate information/motivation was found to be the main patient‐reported reason for non‐compliance (Amerio et al., 2020). It is notorious that a lack of information and motivation was by far the main reason reported by patients in explaining the lack of compliance (Monje, Perez, et al., 2022). Nonetheless, the vast majority of patients (74%) have no knowledge about peri‐implant disease (Insua et al., 2017).…”

How do implant patients experience complications? A cross‐sectional multicentre pilot study

“…Moreover, the literature has repeatedly highlighted the direct relationship between patient expectations and satisfaction (Brunello et al, 2020; Kashbour et al, 2018; McCrea, 2017; Monje et al, 2022; Yao et al, 2014). Indeed, studies have argued that managing patient expectations by providing adequate information is the optimal strategy for enhancing patients' compliance in the maintenance and control of their perception of unforeseen complications.…”

“…To date, while the literature has indicated high patient satisfaction with implant‐supported prostheses (De Bruyn et al, 2015; Derks et al, 2015; Feine et al, 2018), little is known about patients' perceptions of implant‐related complications. Patients' responses to complications are considered highly dependent on the information provided by their dentist to realistically shape and manage their expectations (Kashbour et al, 2018; McCrea, 2017; Monje et al, 2022). Unfortunately, patients' knowledge about implant‐related complications is inadequate (Sermsiripoca et al, 2021).…”