Motivational Interviewing (Mi) As An Intervention For Early Childhood Caries Risk-Related Behaviors
Author: Freudenthal, Jacqueline J
Source: Journal of Dental Hygiene, 1 October 2008, vol. 82, no. 5, pp. 67-67(1)
Abstract:The purpose of this pilot study was to assess whether an individualized motivational interviewing (MI) approach to oral health education affected early childhood caries (ECC) risk-related behaviors of mothers enrolled in a WIC Program. ECC risk is higher in select populations, and conventional educational practices are ineffective in addressing universal behavior change.
After human subjects’ approval, seventy-two mothers were recruited and randomly assigned to one of two groups. Pretest questionnaires were completed followed by posttests one month later. The Readiness Assessment of Parent’s Concerning Infant Dental Decay (RAPIDD) is a valid and reliable instrument developed to assess a parent’s stage of change. The Parental Care of Child’s Teeth (PCCT) instrument was developed and pretested prior to this study to assess differences in parental ECC risk-related behaviors. Between pretests and posttests, the researcher provided an MI counseling type session and individualized follow-up telephone calls promoting positive oral health behaviors for mothers in the intervention group.
No statistically significant differences were found between groups’ demographics. Repeated measures ANOVA, Kolmogorov-Smirnov Test and Wilcoxon Signed Ranks Test were used to analyze collected data. No clinically significant change was found in the four constructs measured with RAPIDD: valuing dental health, permissiveness, convenience and change difficulty, or openness to health information. Results of the PCCT questionnaire found statistically significant positive changes in the number of times the children’s teeth were cleaned or brushed and the use of shared eating utensils. The nonparametric McNemar Test analyzed differences in the use of shared utensils. MI is a promising approach that may guide parents to adopt preventive oral health measures and decrease their children’s risk of ECC. Extending the length of time for the intervention and studying motivation of parents’ from diverse population groups to adopt oral health behaviors might impact future results. Further study is needed.
Conclusions: Deficiencies in TCE exist in NC DHPs. Enhancements to TCE in dental hygiene curricula may increase incorporation of TCE by Hygienists’ in future practice.
Document Type: Abstract
Affiliations: Department Of Dental Hygiene, Idaho State University
Publication date: October 1, 2008