Motivational Interviewing to Promote Oral Health in Adolescents

Motivational interviewing (MI) is a counseling strategy to help people change their behaviors. This single-blinded randomized controlled trial evaluated the effectiveness of MI in improving adolescents' oral health. Fifteen secondary schools were randomly assigned to three groups: (I) prevailin...

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Vydáno v:Journal of adolescent health Ročník 61; číslo 3; s. 378 - 384
Hlavní autoři: Wu, Lingli, Gao, Xiaoli, Lo, Edward C.M., Ho, Samuel M.Y., McGrath, Colman, Wong, May C.M.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.09.2017
Elsevier BV
Témata:
Adolescent
Adolescents
Behavior
Behavior change
Behavior modification
Caries
Clinical trials
Confidence intervals
Counseling
Dental caries
Dental Caries - prevention & control
Dental health
Female
Groups
Health Behavior
Health education
Health Knowledge, Attitudes, Practice
Health planning
Humans
Hygiene
Interviews
Male
Motivation
Motivational interviewing
Motivational Interviewing - methods
Oral Health
Oral health behaviors
Oral hygiene
Pediatrics
Questionnaires
Randomized controlled trial
Risk assessment
Secondary education
Secondary schools
Self-efficacy
Surveys and Questionnaires
Teenagers
Teeth
Toothbrushing
Motivational interviewing
Dental caries
Oral health behaviors
Adolescents
Randomized controlled trial
Self-efficacy
ISSN:1054-139X, 1879-1972, 1879-1972
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Shrnutí:Motivational interviewing (MI) is a counseling strategy to help people change their behaviors. This single-blinded randomized controlled trial evaluated the effectiveness of MI in improving adolescents' oral health. Fifteen secondary schools were randomly assigned to three groups: (I) prevailing health education, (II) MI, and (III) MI coupled with interactive dental caries risk assessment (MI + RA). Adolescents (n = 512) with unfavorable oral health behaviors (infrequent toothbrushing and/or frequent snacking) were recruited; 161, 163, and 188 in groups I–III, respectively. Participants in the three groups received their respective interventions. At baseline and after 6 and 12 months, participants completed a questionnaire on their oral health self-efficacy and behaviors. Their oral hygiene (dental plaque score) and dental caries (number of decayed surfaces/teeth status) were recorded. Compared with group I, subjects in groups II and III were more likely to reduce their snacking frequency (odds ratios [95% confidence intervals {CIs}]: 7.12 [1.80–28.16] and 11.17 [2.90–42.98], respectively) and increase their toothbrushing frequency (odds ratios [95% CIs]: 5.26 [2.28–12.16] and 11.45 [4.99–26.26], respectively) after 12 months. Taking group I as a reference, groups II and III had lower number of new carious teeth △D ICDAS II 1-6MFT (β [95% CI]: −.24 [−.44 to −.04] and −.31 [−.51 to −.11], respectively). MI was more effective than prevailing health education strategy in eliciting positive changes in adolescents' oral health behaviors and preventing dental caries.
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ISSN:1054-139X
1879-1972
1879-1972
DOI:10.1016/j.jadohealth.2017.03.010