Impact of a Maternal Motivational Interviewing on Oral Health in the Mother-Child Dyad

Abstract

Motivational Interviewing (MI) has been included in dentistry programs. There exists a need for interventions in the mother-child dyad. The aim of this paper was to compare the effects of a MI-based educational program on oral care knowledge, attitudes, and practices (KAP) in the mother-child dyad to a Traditional Education-based program (TE). A community intervention trial was carried out. The experimental and control groups were made up of women between 18 and 45 years of age in the sixth month of gestation. Both groups were provided with TE. The experimental group additionally received a session based on the principles of the MI. Socio-demographic data, children’s oral health KAP (COHKAP), that of the mother (MOHKAP), and maternal self-efficacy (MSE) in relation to children’s oral health (COHMSE) were recorded. A baseline measurement was made, as well as a six-month follow up. The participants included 135 women with an average age of 24.88 ± 6.00. After intervention, the experimental group’s COHKAP, MOHKAP, and COHMSE all increased (p < 0.001). When MI-based interventions are combined with TE, MSE and dental care KAP for the mother-child dyad in pregnant women can be improved.

Motivational Intervention to Modify Knowledge about Periodontal Disease Prevention in Pregnant Women

“…The publications with available data regarding beliefs, quality of life, knowledge, and oral hygiene of pregnant women show that the existence of documents related to plans, policies, and strategies in oral health do not guarantee a decrease in epidemiological indicators in this population group [14], [15], [16]. Thus, this research shows motivational interventions as a useful and practical tool at the level of primary care in perinatal health [8], [12], [17].…”

“…There is evidence to affirm that education and motivation strategies regarding correct oral hygiene habits can help maintain good oral health in future mothers and their infants [1], [2], [3]. This can be achieved through motivational educational interventions that have been shown to be effective on topics such as oral health, diet, and exercise [8], [9], [10]. Compared to a traditional technique, the interview motivational suggests an intervention where learning is focused on identifying and remove barriers that prevent behavior modification and encourage the participant to reflect on changes that could be made from their own perspective to improve self-efficacy.…”