Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in Public Housing

Henshaw, Michelle; Borrelli, Belinda; Gregorich, Steven E.; Heaton, Brenda; Tooley, Erin M.; Santo, William; Cheng, Nancy; Rasmussen, Margaret; Helman, Sarit; Shain, S.; García, Raúl I.

doi:10.1177/2380084418794377

Cited by 43 publications

(108 citation statements)

References 34 publications

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“…Similarly, personal approaches such as home visiting and telephone contacts can reduce ECC by increasing caregivers’ health literacy and self‐efficacy to change behaviours to improve their infants’ oral health . Knowledge increases, however, may not improve oral health behaviours or reduce caries increment …”

Section: Community Management Of Eccmentioning

confidence: 99%

“…Following the interviewing, the parent/caregiver may be asked to commit to self‐management goals that will be discussed at the child's subsequent appointment . Two randomized trials of motivational interviewing interventions to affect oral health behaviours and dental caries prevalence in low socioeconomic pre‐school children, however, have shown no effect on parents’ oral health behaviours or progression of ECC …”

Section: Educationmentioning

confidence: 99%

“…[48][49][50] Knowledge increases, however, may not improve oral health behaviours or reduce caries increment. 51 Early dental visit strategy at 1-year of age is a key ECC management method and employed in many community programmes. 52 The preventive dental examinations should include CRA, tooth brushing instruction, dietary counselling, anticipatory guidance, and establishment of a dental home.…”

Section: Of Eccmentioning

confidence: 99%

“…63 Two randomized trials of motivational interviewing interventions to affect oral health behaviours and dental caries prevalence in low socioeconomic pre-school children, however, have shown no effect on parents' oral health behaviours or progression of ECC. 51,64…”

Section: Parents/caregiversmentioning

confidence: 99%

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Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective

Tinanoff

Báez

Guillory

et al. 2019

Int J Paed Dentistry

435

387

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Background This paper is a summary of the proceedings of the International Association of Paediatric Dentistry Bangkok Conference on early childhood caries (ECC) held in 3‐4 November 2018. Aim The paper aims to convey a global perspective of ECC definitions, aetiology, risk factors, societal costs, management, educational curriculum, and policy. Design This global perspective on ECC is the compilation of the state of science, current concepts, and literature regarding ECC from worldwide experts on ECC. Results Early childhood caries is related to frequent sugar consumption in an environment of enamel adherent, acid‐producing bacteria in a complex biofilm, as well as developmental defects of enamel. The seriousness, societal costs, and impact on quality of life of dental caries in pre‐school children are enormous. Worldwide data show that ECC continues to be highly prevalent, yet infrequently treated. Approaches to reduce the prevalence include interventions that start in the first year of a child's life, evidence‐based and risk‐based management, and reimbursement systems that foster preventive care. Conclusions This global perspective on ECC epidemiology, aetiology, risk assessment, global impact, and management is aimed to foster improved worldwide understanding and management of ECC.

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Section: Community Management Of Eccmentioning

confidence: 99%

Section: Educationmentioning

confidence: 99%

Section: Of Eccmentioning

confidence: 99%

Section: Parents/caregiversmentioning

confidence: 99%

See 2 more Smart Citations

Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective

Tinanoff

Báez

Guillory

et al. 2019

Int J Paed Dentistry

435

387

View full text Add to dashboard Cite

show abstract

“…A number of individual approaches have been tested for the prevention of ECC, and studies using an approach based on motivational interviewing (MI) have shown that this is more effective than others in preventing the disease in some populations . On the other hand, two recent studies evaluating MI‐based interventions for populations at high risk for childhood caries found no reduction in caries, even improving mothers' oral health knowledge . However, the differential effect of MI on different social strata has not been evaluated in published studies.…”

Section: Introductionmentioning

confidence: 99%

Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial

Faustino-Silva

Colvara

Meyer

et al. 2019

Comm Dent Oral Epid

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Objectives:This study aimed to investigate the differential preventive effect of motivational interviewing (MI) on early childhood caries (ECC) according to socioeconomic variables, using a community-based trial in a public healthcare setting. Methods:A cluster-randomized, double-blind study with two parallel groups in healthcare clinical settings (HCCs) comparing conventional oral health education (CE) and MI aimed at mothers of children born in 2013 and 2014. The oral health team of 6 of the 12 HCCs were trained in MI. This training was intensive for active learning of the basic MI principles, conducted by a psychologist who is a PhD in psychiatry and has extensive experience in conducting MI training workshops. It was held in an experiential format divided into two 4-hour shifts, with a 1-week interval. Children who attended at least one dental visit in the first year of life at their HCC were clinically evaluated by trained examiners and parents responded to a questionnaire. The effect of MI on the caries outcome compared with CE was evaluated in different subgroups: family income, mother's education and skin colour. Results:One hundred and eighty-six were included in the CE group and 228 in the MI group. The caries rate per 100 surface-year was 1.29 (95%CI: 0.92-1.80) in the CE group and 0.46 (95%CI: 0.29-0.73) in the MI group. The effect of MI was statistically significant in the lower-income category (P = .03); MI prevented 57% of carious lesions (IRR = 0.43, 95% CI 0.22-0.83) and reduced the occurrence of the disease on more than one surface per 100 followed surface-year in this same category in the equivalent income subgroup (IRD = −1.37, P = .04). Conclusions:Motivational interviewing had a greater preventive effect against caries in children whose families are of lower income.

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Dental hygienists’ use of motivational interviewing and perceptions of effectiveness in changing patient behaviors

Rogers

Arnett

Mays

et al. 2022

Journal of Dental Education

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Background:The University of Minnesota (UMN) Dental Hygiene (DH) program devotes considerable time developing students' competency using motivational interviewing (MI). However, the extent to which graduates use MI in clinical practice and their perceptions of MI effectiveness in changing behavior is unknown. Methods: A cross-section of UMN dental hygiene classes from 2010-2019 were emailed an electronic survey using Qualtrics xm software (n = 208). The survey instrument collected demographic information and queried respondents' current MI use and perceptions of its effectiveness in changing patients' behavior. Survey questions were aligned with the constructs of the Theory of Planned Behavior (TPB): attitudes, subjective norms, and perceived behavioral control.Data analyses included descriptive statistics, cross-tabulations, and one-way ANOVA tests.Results: There were 73 responses for a 35% response rate and 58 surveys (28%) included in data analysis. Respondents (95%) used MI, held positive attitudes toward MI and perceived MI to be an effective behavior counseling method (98%). However, respondents expressed concerns about patients' abilities to change behaviors. The three TPB constructs were found to be predictors of MI use in the clinical environment. A significant association was found between age and the TPB construct: behavioral control (p = 0.02). Conclusion:The majority of respondents reported using MI in clinical practice. According to the TPB, respondents exhibited strong behavioral intentions to use MI. Respondents held favorable attitudes toward MI and believed it to be effective in motivating positive behavior change. Respondents were confident in their MI skills and felt supported to use MI in their work environments.

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Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in Public Housing

Cited by 43 publications

References 34 publications

Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective

Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective

Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial

Dental hygienists’ use of motivational interviewing and perceptions of effectiveness in changing patient behaviors

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