2012
DOI: 10.1177/0022034512459758
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Effectiveness of Maternal Counseling in Reducing Caries in Cree Children

Abstract: This cluster-randomized pragmatic (effectiveness) trial tested maternal counseling based on Motivational Interviewing (MI) as an approach to control caries in indigenous children. Nine Cree communities in Quebec, Canada were randomly allocated to test or control. MI-style counseling was delivered in test communities to mothers during pregnancy and at well-baby visits. Data on outcomes were collected when children were 30 months old. Two hundred seventy-two mothers were recruited from the 5 test and 4 control c… Show more

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Cited by 76 publications
(135 citation statements)
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“…Parents attributed their children’s improved oral hygiene habits to the efforts of the local dental therapist and COHI Aide. This finding supports earlier research suggesting that individual counselling with regular follow-up by a lay person, such as the COHI Aide, is an effective way to facilitate adoption of constructive oral health behaviours [17]. Parents identified the local, community-based nature of the programme as being critical to this process; it allowed for children to have early access to preventive care, which in turn influenced programme participation and acceptance of COHI’s primary preventive educational messages [18].…”
Section: Discussionsupporting
confidence: 90%
“…Parents attributed their children’s improved oral hygiene habits to the efforts of the local dental therapist and COHI Aide. This finding supports earlier research suggesting that individual counselling with regular follow-up by a lay person, such as the COHI Aide, is an effective way to facilitate adoption of constructive oral health behaviours [17]. Parents identified the local, community-based nature of the programme as being critical to this process; it allowed for children to have early access to preventive care, which in turn influenced programme participation and acceptance of COHI’s primary preventive educational messages [18].…”
Section: Discussionsupporting
confidence: 90%
“…In addition, our results showed increased mean knowledge and performance scores over time after receiving oral health instruction, which led to a reduction in dental caries or severity of caries in the children who participated in this study. This finding has been reported previously [Kay et al, 1996;Harrison et al, 2007Harrison et al, , 2012Masumo et al, 2012;Wagner et al, 2014;Medeiros et al, 2015]. However, some have reported few changes or modest changes in parents' behaviors regarding their child's oral health and subsequently in the incidence of caries [Freudenthal and Bowen, 2010;Ismail et al, 2011].…”
Section: Discussionsupporting
confidence: 79%
“…The study conducted by Harrison et al . [15] also showed that prevalence of treated and untreated caries at the d2 level was 76% in controls versus 65% in tests.…”
Section: Discussionmentioning
confidence: 99%