{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T13:06:24Z","timestamp":1781010384131,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Periodontitis is a chronic inflammatory disease affecting tooth\u2010supporting tissues, primarily due to bacterial plaque and host response. Traditional therapy relies on oral hygiene instruction (OHI) and risk factor control, though adherence is challenging. This randomized controlled trial aimed to evaluate the effectiveness of Medical Coaching on Oral Health (MCOH) in improving plaque control (PCR) and gingival bleeding index (GBI) after 1\u2009month, compared to conventional OHI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010four patients with periodontitis at the University Hospital of Bari (Italy) were randomized into MCOH (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932) and control (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200932) groups. Baseline assessments included periodontal status, PCR, GBI, and a lifestyle questionnaire (smoking, alcohol, nutrition, physical activity, sleep, stress). The MCOH group received personalized sessions, including goal\u2010setting, emotional barrier assessment, and action planning, while the control group received standard OHI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After 4\u2009weeks, the MCOH group showed greater improvements in GBI (\u221247.5 vs. \u221224.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and PCR (\u221244.0 vs. \u221232.0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). The composite clinical outcome was significantly higher in the MCOH group (75.0% vs. 34.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Lifestyle improvement, particularly smoking cessation, alcohol reduction, and stress management, was greater in the MCOH group. MCOH improved periodontal outcomes and promoted healthier lifestyle behaviors compared to OHI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>NCT06887946<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.70183","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T04:50:58Z","timestamp":1767847858000},"page":"1139-1148","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Medical Coaching in Enhancing Periodontal Health and Lifestyle: A Clinical Trial"],"prefix":"10.1111","volume":"32","author":[{"given":"Anna","family":"Antonacci","sequence":"first","affiliation":[{"name":"Sections of Periodontics, Department of Interdisciplinary Medicine University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3577-3711","authenticated-orcid":false,"given":"Giuseppe","family":"D'Albis","sequence":"additional","affiliation":[{"name":"Sections of Periodontics, Department of Interdisciplinary Medicine University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8540-4615","authenticated-orcid":false,"given":"Nicola","family":"Bartolomeo","sequence":"additional","affiliation":[{"name":"Sections of Periodontics, Department of Interdisciplinary Medicine University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"Agneta","sequence":"additional","affiliation":[{"name":"Sections of Periodontics, Department of Interdisciplinary Medicine University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Abbinante","sequence":"additional","affiliation":[{"name":"Sections of Periodontics, Department of Interdisciplinary Medicine University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6662-2644","authenticated-orcid":false,"given":"Lorenzo","family":"Marini","sequence":"additional","affiliation":[{"name":"Section of Periodontics, Department of Oral and Maxillofacial Sciences Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Pilloni","sequence":"additional","affiliation":[{"name":"Section of Periodontics, Department of Oral and Maxillofacial Sciences Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saverio","family":"Capodiferro","sequence":"additional","affiliation":[{"name":"Sections of Periodontics, Department of Interdisciplinary Medicine University of Bari \u201cAldo Moro\u201d  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1100985"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12677"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"issue":"3","key":"e_1_2_10_5_1","article-title":"Health Coaching\u2010Based Interventions for Oral Health Promotion: A Scoping Review","volume":"11","author":"Chunda R.","year":"2023","journal-title":"Dental Journal (Basel, Switzerland)"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u20102909.114.3.494"},{"key":"e_1_2_10_7_1","volume-title":"Ordinal Methods for Behavioral Data Analysis","author":"Cliff N.","year":"1996"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"issue":"12","key":"e_1_2_10_10_1","article-title":"Cancer Survivors' Experiences of Using Health Coaching in a Digital Lifestyle Intervention (HOPE Programme): A Qualitative Study","volume":"12","author":"Hackett S.","year":"2022","journal-title":"BMJ Open"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2024.105365"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1991.tb01879.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S465221"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000013182"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2016.952"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(95)00300-2"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12297"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13102942"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.7275\/pare.1977"},{"key":"e_1_2_10_20_1","volume-title":"The Behaviour Change Wheel: A Guide to Designing Interventions","author":"Michie S.","year":"2014"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000179"},{"key":"e_1_2_10_22_1","volume-title":"Motivational Interviewing: Helping People Change","author":"Miller W. R.","year":"2012"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.17219\/dmp\/140221"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12236"},{"key":"e_1_2_10_25_1","unstructured":"NHS England.2020.\u201cHealth Coaching Implementation and Quality Summary Guide.\u201dhttps:\/\/www.betterconversation.co.uk\/images\/Health\u2010Coaching\u2010Implementation\u2010and\u2010Quality\u2010Summary\u2010Guide.pdf."},{"key":"e_1_2_10_26_1","article-title":"Interventions for Enhancing Medication Adherence","volume":"11","author":"Nieuwlaat R.","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.17\u20100721"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010023\u201028853\u20100"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12462"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/JPER.18-0006"},{"key":"e_1_2_10_31_1","article-title":"A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral Intervention in Healthcare","volume":"9","author":"Wolever R. Q.","year":"2020","journal-title":"Global Advances in Health and Medicine"},{"key":"e_1_2_10_32_1","volume-title":"The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care","author":"World Health Organization","year":"2001"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-024-03937-z"}],"container-title":["Oral Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/odi.70183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/odi.70183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/odi.70183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:25:48Z","timestamp":1781007948000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/odi.70183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,7]]},"references-count":32,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/odi.70183"],"URL":"https:\/\/doi.org\/10.1111\/odi.70183","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/ODI.70183\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70183\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70183\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/ODI.70183\/v1\/review1","asserted-by":"object"}]},"ISSN":["1354-523X","1601-0825"],"issn-type":[{"value":"1354-523X","type":"print"},{"value":"1601-0825","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,7]]},"assertion":[{"value":"2025-04-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}