Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial.
dental caries
income
motivational interviewing
oral health
primary health care
social inequity
Journal
Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
16
12
2018
revised:
09
07
2019
accepted:
09
07
2019
pubmed:
7
8
2019
medline:
10
3
2020
entrez:
7
8
2019
Statut:
ppublish
Résumé
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. 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. 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). Motivational interviewing had a greater preventive effect against caries in children whose families are of lower income.
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
477-484Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Bagramian R, Garcia-Godoy F, Volpe A. The global increase in dental caries. A pending public health crisis. Am J Dent. 2009;22(1):3-8.
Do LG. Distribution of caries in children: variations between and within populations. J Dent Res. 2012;91(6):536-543.
Batchelor P, Sheiham A. The limitations of a “high-risk” approach for the prevention of dental caries. Community Dent Oral Epidemiol. 2002;30(4):302-312.
Sälzer S, Alkilzy M, Slot DE, Dörfer CE, Schmoeckel J, Splieth CH. Socio-behavioural aspects in the prevention and control of dental caries and periodontal diseases at an individual and population level. J Clin Periodontol. 2017;44(Suppl. 18):S106-S115.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94(5):650-658.
Listl S, Galloway J, Mossey PA, Marcenes W. Global economic impact of dental diseases. J Dent Res. 2015;94(10):1355-1361.
Miller WR, Rollnick S. Entrevista Motivacional: Preparando as Pessoas Para a Mudança de Comportamentos Adictivos (1st ed.). Artmed:Porto Alegre, Brazil; 2001:296.
Rollnick S, Miller WR, Butler C. Motivationals Interviewing in Healthcare. The Guilford Press:New York, NY; 2008:210.
Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Consult Clin Psychol. 2003;71(5):843-861.
Lundahl B, Moleni T, Burke BL, et al. Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Educ Couns. 2013;93(2):157-168.
Gao X, Lo E, Kot S, Chan K. Motivational interviewing in improving oral health: a systematic review of randomized controlled trials. J Periodontol. 2013;85(3):426-437.
Cascaes AM, Bielemann RM, Clark VL, Barros A. Effectiveness of motivational interviewing at improving oral health: a systematic review. Rev Saude Publica. 2014;48(1):142-153.
Colvara BC, Faustino-Silva DD, Meyer E, Hugo FN, Hilgert JB, Celeste RK. Motivational interviewing in preventing early childhood caries in primary healthcare: a community-based randomized cluster trial. J Pediatr. 2018;201:190-195.
Albino J, Tiwari T. Preventing childhood caries. J Dent Res. 2016;95(1):35-42.
Batliner TS, Tiwari T, Henderson WG, et al. Randomized trial of motivational interviewing to prevent early childhood caries in american indian children. JDR Clin Transl Res. 2018;3(4):366-375.
Henshaw MM, Borrelli B, Gregorich SE, et al. Randomized trial of motivational interviewing to prevent early childhood caries in public housing. JDR Clin Transl Res. 2018;3(4):353-365.
Lorenc T, Petticrew M, Welch V, Tugwell P. What types of interventions generate inequalities? Evidence from systematic reviews: Table 1. J Epidemiol Community Health. 2013;67(2):190-193.
Stein C, Santos N, Hilgert JB, Hugo FN. Effectiveness of oral health education on oral hygiene and dental caries in schoolchildren: Systematic review and meta-analysis. Community Dent Oral Epidemiol. 2016;2017:1-8.
Aguiar VR, Pattussi MP, Celeste RK. The role of municipal public policies in oral health socioeconomic inequalities in Brazil: a multilevel study. Community Dent Oral Epidemiol. 2018;46(3):1-6.
Peres M, Antunes J, Peres K. Is water fluoridation effective in reducing inequalities in dental caries distribution in developing countries? Recent findings from Brazil. Soz Praventivmed. 2006;51(5):302-310.
Guarnizo-Herreño CC, Watt RG, Pikhart H, Sheiham A, Tsakos G. Socioeconomic inequalities in oral health in different European welfare state regimes. J Epidemiol Community Health. 2013;67(9):728-735.
Luvison I, Bavaresco C. A saúde bucal da criança de 0 a 12 anos. In: Lenz M, Flores R (eds.). Atenção à saúde da criança de 0 a 12 anos (1st ed.). Porto Alegre, Brazil:Hospital Nossa Senhora da Conceição;2009:111-118.
Schwendler A, Faustino-Silva DD, Luvision I, Giordani JMA, Reis ML. A saúde bucal da criança de 0 a 12 anos. In: LenzMLM, FloresR (eds.). Atenção à Saúde da Criança de 0 a 12 anos (2nd ed.). Porto Alegre, Brazil:Hospital Nossa Senhora da Conceição;2014:133-48.
Moyers TB, Martin T, Christopher PJ, Houck JM, Tonigan JS, Amrhein PC. Client language as a mediator of motivational interviewing efficacy: where is the evidence? Alcohol Clin Exp Res. 2007;31(SUPPL. 3):40-47.
Moyers TB, Martin T, Houck JM, Christopher PJ, Tonigan JS. From in-session behaviors to drinking outcomes: a causal chain for motivational interviewing. J Consult Clin Psychol. 2009;77(6):1113-1124.
Faustino-Silva DD, Meyer E, Hugo FN, Hilgert JB. Effectiveness of motivational interviewing training for primary care dentists and dental health technicians: results from a community clinical trial. J Dent Educ. 2019;83(5):585-594. https://doi.org/10.21815/JDE.019.063. [Epub 2019 Mar 11].
Celeste RK, Bastos JL. Mid-point for open-ended income category and the effect of equivalence scales on the income-health relationship. Rev Saude Publica. 2013;47(suppl 3):168-174.
Ismail A, Sohn W, Tellez M. The international caries detection and assessment system (ICDAS): an intergrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;3(35):170-178.
Shoaib L, Deery C, Ricketts D, Nugent ZJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res. 2009;43(6):442-448.
World Health Organization. Oral Health Surveys: Basic Methods (5th ed). Geneva:WHO Library Cataloguing; 2013.
Goldstein H, Browne W, Rasbash J. Partitioning variation in multilevel models. Underst Stat. 2002;1(4):223-231.
Vanbuskirk KA, Wetherell JL. Motivational interviewing with primary care populations: a systematic review and meta-analysis. J Behav Med. 2014;37(4):768-780.
Schou L, Wight C. Does dental health education affect inequalities in dental health? Community Dent Heal. 1994;11(2):97-100.
Qadri G, Alkilzy M, Franze M, Hoffmann W, Splieth C. School-based oral health education increases caries inequalities. Community Dent Health. 2018;35(3):153-159.
Lambert MJ, De Visschere L, Martens LC, Deschepper E, Vanobbergen J. The impact of a prospective 4-year longitudinal school intervention for improving oral health and oral health inequalities in primary schoolchildren in Flanders-Belgium. Int J Pediatr Dent. 2019;29(4):439-447.
Adams J, White M. Are the stages of change socioeconomically distributed? A scoping review. Am J Health Promot. 2007;21(4):237-247.
Miller WR. Motivational interviewing with problem drinkers. Behav Psychother. 1983;11(2):147-172.
Michie S, West R. Behaviour change theory and evidence: a presentation to government. Health Psychol Rev. 2012;7:1-22.
Asimakopoulou K, Newton JT. The contributions of behaviour change science towards dental public health practice: a new paradigm. Community Dent Oral Epidemiol. 2014;43(1):2-8.
Pitts NB, Zero DT, Marsh PD, et al. Dental caries. Nat Rev Dis Prim. 2017;3(17030):1-16.
Petersen PE. The world oral health report 2003: continuous improvement of oral health in the 21st century - the approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2003;2003(Suppl 1):3-23.
Harrison R, Veronneau J, Leroux B. Effectiveness of maternal counseling in reducing caries in cree children. J Dent Res. 2012;91(11):1032-1037.
Weinstein P, Harrison R, Benton T. Motivating parents to prevent caries in their young children: one-year findings. J Am Dent Assoc. 2004;135(6):731-738.
Randall CL. On motivational interviewing for oral health promotion: state of the field and future directions. JDR Clin Trans Res. 2018;3(4):376-377.
Jamieson LM, Smithers LG, Hedges J, et al. Follow-up of an intervention to reduce dental caries in indigenous Australian children. JAMA Netw Open. 2019;2(3):e190648.