Implications of motivational interviewing and oral hygiene instruction for the reduction of oral health disparities among pregnant women

Martins, Renata K.

doi:10.33915/etd.4402

Cited by 3 publications

(3 citation statements)

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“…This need for adopting new behaviors is even more important for pregnant women due to its effects on maternal and fetal health. Despite this importance, study results show that pregnant women do not follow principles of oral and dental hygiene adequately, and have little awareness of the importance of oral and dental health during pregnancy and its outcomes ( 16 , 17 ). Our study showed that most of the studied pregnant women were not aware of the importance of oral and dental health care during pregnancy before the training intervention.…”

Section: Discussionmentioning

confidence: 88%

The effect of training interventions on the psychological factors of oral health in pregnant women

Bakhtiar

Gharouni

et al. 2017

Electron Physician

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Background and aimOral health is crucial for high-risk pregnant women in order to preserve their health and the health of their infants. Therefore, this study aimed to determine the impact of training programs on the behavior of pregnant mothers concerning oral health in Khorramabad, Iran.MethodsThis is an educational experimental study carried out in 2015 on 164 pregnant women referring to health centers in the city of Khorramabad who were randomly divided into two groups (each n=82). The instruments for data collection included a questionnaire based on the Health Belief Model regarding oral health and two checklists of oral health indexes (OHIS and DMFT). Data were analyzed using SPSS 20 via paired-samples t-test, independent-samples t-test and Chi-square.ResultsThe mean score of knowledge and performance, and the variables of the components of the Health Belief Model including the perceived susceptibility, severity, benefits, barriers and self-efficacy regarding the oral health care, significantly increased in the intervention group following the training intervention (p<0.001). However, the DMFT index did not show any changes after the intervention in the intervention and control groups (p=0.381). On the other hand, the OHIS index significantly decreased in the intervention group as compared with the pre-intervention scores (p=0.002).ConclusionThe results of this study showed that training based on the Health Belief Model leads to the enhancement of performance regarding oral health in pregnant women and thus prevents any increase in OHIS and DMFT levels during pregnancy.

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Section: Discussionmentioning

confidence: 88%

The effect of training interventions on the psychological factors of oral health in pregnant women

Bakhtiar

Gharouni

et al. 2017

Electron Physician

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“…The MI sessions were patient-centered and conversational in style consistent with the spirit of MI (Miller & Rollnick, 2013). We adapted the overall structure of the protocol from Martins (2008) and Wilhelm and colleagues (2006; see Figure 1). As suggested by Steinberg and Miller (2015), we provided a bubble sheet of possible topics related to breastfeeding to participants and encouraged them to lead the conversation by selecting topics from the sheet that interested them (see Figure 2).…”

Section: Methodsmentioning

confidence: 99%

Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women

Addicks¹,

McNeil²

2019

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective: To determine the effectiveness of a single session of prenatal motivational interviewing (MI) to enhance breastfeeding outcomes. Design:A randomized, controlled trial with two groups (MI and psychoeducation) with repeated measures: preintervention, postintervention, one month postpartum. Setting:The intervention was conducted at a university-associated clinic, community locations, and participants' homes. Postpartum follow-up was conducted by telephone.Participants: A total of 81 women with low-risk pregnancies enrolled at 28 to 39 weeks gestation who lived in Appalachia.Methods: Participants were randomly assigned to MI or psychoeducation on infant development. Pre and postintervention outcome measures included intention to breastfeed, confidence in and importance of breastfeeding plan, and breastfeeding attitudes. At one month postpartum, participants completed a telephone interview to assess actual breastfeeding initiation, exclusivity, and plans to continue breastfeeding.Results: At one month postpartum, women in the MI group were more likely to report any current breastfeeding than women in the psychoeducation group, regardless of parity, χ 2 (1, N = 79) = 4.30, p = 0.040, Φ = .233. At postintervention, the MI intervention had a significant effect on improving attitudes about breastfeeding among primiparous women only (p < .05). Conclusion:One session of MI was effective to promote breastfeeding at one month postpartum and to enhance positive attitudes towards breastfeeding among primiparous women in Appalachia.

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“…See Appendix Q. A sample MI protocol is included in Appendix R. The overall structure of the protocol was adapted from a dissertation by Martins (2008) and Wilhelm et al (2006).…”

Section: Prenatal Motivational Interviewing Group Participants Assigmentioning

confidence: 99%

Prenatal Lactation-Focused Motivational Interviewing for Enhancing Breastfeeding Initiation, Exclusivity, and Duration: Feasibility and Preliminary Outcomes

Addicks¹

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Breastfeeding promotes health and well-being for both mother and infant. A variety of environmental and individual factors, including psychological ones, affect infant feeding practices. The purpose of this study was to determine the feasibility and effectiveness of a single-session Motivational Interviewing (MI) intervention delivered during the third trimester of pregnancy for enhancing breastfeeding outcomes. The Theory of Planned Behavior provided a theoretical framework for the intervention and outcome measures. The sample consisted of predominantly rural participants living in the North Central Appalachian region. Women were recruited through social media, local clinics, and word of mouth. Participants (N = 81) completed one in-person session during the third trimester of pregnancy and one follow-up phone call at one month postpartum. All participants were randomly assigned to either the MI intervention or a psychoeducation intervention focused on infant developmental milestones. Prepost intervention outcome measures included infant feeding intentions, perceived behavioral control of breastfeeding, perceived importance of breastfeeding, infant feeding knowledge, breastfeeding attitudes and subjective norms, and knowledge of infant development. At one month postpartum, participants completed a phone interview which assessed breastfeeding initiation and current breastfeeding status. Directly following the intervention, there was a significant effect of the MI intervention on increasing breastfeeding attitudes among primiparous women only (p < .05). In addition, at one month postpartum, women in the MI group were more likely to report any current breastfeeding than women in the psychoeducation group, χ² (1, N = 79) = 4.30, p = 0.040, Φ = .233. There were no significant between-group differences on intentions, perceived behavioral control, perceived importance, subjective norms, infant feeding knowledge, knowledge of infant development, likelihood of exclusive breastfeeding at one month postpartum, total proportion of feedings that were breast milk at one month postpartum, or plans for continued breastfeeding at one month postpartum. Results of this study support the feasibility of a single-session, prenatal MI intervention. Preliminary findings demonstrate MI's effectiveness in increasing the likelihood of any breastfeeding at one month postpartum, and in enhancing breastfeeding attitudes among primiparous women. Future work in this area may benefit from implementing electronic communication to reinforce messages of MI interventions. From a public health perspective, future work in this area should target populations facing breastfeeding inequities and disparities. This trial was registered on clinicaltrials.gov NCT03033459 This project would not have been possible without the 81 women who invited me into their hearts and (quite literally) their homes to participate in this project. It was a joy and privilege to know each of them. I owe countless thanks to my mentor and dissertation chair, Dr. Dan McNeil, whom...

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Implications of motivational interviewing and oral hygiene instruction for the reduction of oral health disparities among pregnant women

Cited by 3 publications

References 38 publications

The effect of training interventions on the psychological factors of oral health in pregnant women

The effect of training interventions on the psychological factors of oral health in pregnant women

Randomized Controlled Trial of Motivational Interviewing to Support Breastfeeding Among Appalachian Women

Prenatal Lactation-Focused Motivational Interviewing for Enhancing Breastfeeding Initiation, Exclusivity, and Duration: Feasibility and Preliminary Outcomes

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