Randomised clinical trial of a motivational interviewing intervention to improve oral health education amongst older adults in Philadelphia: 12-month evaluation of non-clinical outcomes.
education
motivational interviewing
oral health-related quality of life
Journal
Gerodontology
ISSN: 1741-2358
Titre abrégé: Gerodontology
Pays: England
ID NLM: 8215850
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
11
11
2019
revised:
14
04
2020
accepted:
13
06
2020
pubmed:
10
7
2020
medline:
21
8
2020
entrez:
10
7
2020
Statut:
ppublish
Résumé
We conducted a trial to assess the treatment fidelity of an individual-based oral health education intervention utilising motivational interviewing (MI) techniques and its efficacy when compared to a group-based traditional oral health education intervention (TOHE) and a standard of care group (SC) in a sample from Philadelphia during a 12-month follow-up. There is lack of information on how different types of oral health educational interventions affect older adults on non-clinical outcomes including changes in oral health-related quality of life (OHRQoL), oral health self-efficacy (SE) and oral health knowledge (OHK). One hundred and eighty patients were randomly allocated to TOHE, MI and SC groups. Treatment fidelity was measured in 16 non-study patients. The MI intervention was administered by a public health dental hygienist (PHDH). All interviews were audio-recorded and coded by an expert using the Motivational Interviewing Treatment Integrity (MITI) Code. Multivariable longitudinal regression analyses accounting for baseline demographics and correlated errors due to repeated measures via generalised estimating equation were conducted following an intention to treat approach. Over the 1-year follow-up, SE and OHRQoL scores significantly improved amongst the MI group whereas both outcomes worsened amongst the SC group. During the same period, SE and OHRQoL did not change in the TOHE group. Findings from the study support the fidelity of this intervention and the improvement of all non-clinical outcomes after 12 months amongst the MI group.
Sections du résumé
OBJECTIVES
OBJECTIVE
We conducted a trial to assess the treatment fidelity of an individual-based oral health education intervention utilising motivational interviewing (MI) techniques and its efficacy when compared to a group-based traditional oral health education intervention (TOHE) and a standard of care group (SC) in a sample from Philadelphia during a 12-month follow-up.
BACKGROUND
BACKGROUND
There is lack of information on how different types of oral health educational interventions affect older adults on non-clinical outcomes including changes in oral health-related quality of life (OHRQoL), oral health self-efficacy (SE) and oral health knowledge (OHK).
MATERIALS AND METHODS
METHODS
One hundred and eighty patients were randomly allocated to TOHE, MI and SC groups. Treatment fidelity was measured in 16 non-study patients. The MI intervention was administered by a public health dental hygienist (PHDH). All interviews were audio-recorded and coded by an expert using the Motivational Interviewing Treatment Integrity (MITI) Code. Multivariable longitudinal regression analyses accounting for baseline demographics and correlated errors due to repeated measures via generalised estimating equation were conducted following an intention to treat approach.
RESULTS
RESULTS
Over the 1-year follow-up, SE and OHRQoL scores significantly improved amongst the MI group whereas both outcomes worsened amongst the SC group. During the same period, SE and OHRQoL did not change in the TOHE group.
CONCLUSION
CONCLUSIONS
Findings from the study support the fidelity of this intervention and the improvement of all non-clinical outcomes after 12 months amongst the MI group.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
279-287Subventions
Organisme : Colgate Palmolive
Informations de copyright
© 2020 Gerodontology Association and John Wiley & Sons Ltd.
Références
Centers for Disease Control and Prevention. Oral Health Surveillance Report: Trends in Dental Caries and Sealants, Tooth Retention, andEdentulism, United States, 1999-2004 to 2011-2016. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2019.
Dye BA, Weatherspoon DJ, Lopez Mitnik G. Tooth loss among older adults according to poverty status in the United States from 1999 through 2004 and 2009 through 2014. J Am Dent Assoc. 2019;150(1):9-23.e3.
Kaye EK, Valencia A, Baba N, Spiro A, Dietrich T, Garcia RI. Tooth loss and periodontal disease predict poor cognitive function in older men. J Am Geriatr Soc. 2010;58(4):713-718.
Rouxel P, Tsakos G, Chandola T, Watt RG. Oral health-a neglected aspect of subjective well-being in later life. J Gerontol Ser B. 2018;73(3):382-386.
Evin RB, Dye BA. The effect of functional dentition on Healthy Eating Index scores and nutrient intakes in a nationally representative sample of older adults. J Public Health Dent. 2009;69(4):207-216.
Wall TP, Vujicic M, Nassah K. Recent trends in the utilization of dental care in the United States. J Dent Educ. 2012;76(8):1020-1027.
Nangle MR, Riches J, Grainger SA, Manchery N, Sachdev PS, Henry JD. Health and cognitive function in older adults: a systematic review. Gerontology. 2019;22:1-14.
León S, De Marchi RJ, Giacaman RA, Tôrres LHN, Espinoza I, Hugo FN. The challenge of evaluating the oral health education improves oral health of older people suffering from dementia - results of an intervention study. Clin Interv Aging. 2016;11:1755-1762.
Mallmann DG, Galindo Neto NM, Sousa JdeC, de Vasconcelos EM. Health education as the main alternative to promote the health of the elderly. Cien Saude Colet. 2015. 20(6):1763-1772. https://doi.org/10.1590/1413-81232015206.02382014
Gao X, Lo ECM, Kot SCC, Chan KCW. Motivational Interviewing in Improving Oral Health: A Systematic Review of Randomized Controlled Trials. J Periodontol. 2014;85(3):426-37.
Wu L, Gao X, Lo EC, Ho SM, Mcgrath C, Wong MC. Motivational Interviewing to Promote Oral Health in Adolescents. J Adolesc Health. 2017;61(3):378-384.
Motivational Interviewing: Preparing People for Change, In:William R.Miller,and Stephen Rollnick2nd,New York, NY: Guilford Publications,2002, pp.428
Schwindling FS, Krisam J, Hassel AJ, Rammelsberg P, Zenthöfer A. Long-term success of oral health intervention among care-dependent institutionalized seniors: Findings from a controlled clinical trial. Community Dent Oral Epidemiol. 2017;46(2):109-117.
Zenthoefer A,Meyer-Kühling I, Hufeland A-L, Schröder J, Cabrera T, BaumgartD, et al. Carers' education improves oral health of older people suffering from dementia - results of an intervention study. Clin Interv Aging. 2016;11:1755-1762.
Long H, Howells K, Peters S, Blakemore A. Does health coaching improve health-related quality of life and reduce hospital admissions in people with chronic obstructive pulmonary disease? A systematic review and meta-analysis. Br J Health Psychol. 2019.24(3): 515-546. https://doi.org/10.1111/bjhp.12366
Kay EJ, Vascott D, Hocking A, Nield H. Motivational interviewing in general dental practice: A review of the evidence. Br Dent J. 2016;221(12):785-791.
Jönsson B, Öhrn K, Oscarson N, Lindberg P. The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up). J Clin Periodontol. 2009;36(12):1025-1034.
Jönsson B, Öhrn K, Lindberg P, Oscarson N. Evaluation of an individually tailored oral health educational programme on periodontal health. J Clin Periodontol. 2010;37(10):912-919.
Almomani F, Williams K, Catley D, Brown C. Effects of an oral health promotion program in people with mental illness. J Dent Res. 2009;88(7):648-652.
Mariño R, Hopcraft M, Ghanim A, Tham R, Khew CW, Stevenson C. Oral health-related knowledge, attitudes and self-efficacy of Australian rural older adults. Gerodontology. 2016;33(4):530-538.
McGrath C, Zhang W, Lo EC. A review of the effectiveness of oral health promotion activities among elderly people. Gerodontology. 2009;26(2):85-96.
Bandura A. Organizational applications of social cognitive theory. Australian J Manage. 1988;13:275-302.
Tellez M, Myers Virtue S, Neckritz S, Bhoopathi V, Hernández M, Shearer B. Motivational interviewing and oral health education: Experiences from a sample of elderly individuals in North and Northeast Philadelphia. Spec Care Dentist. 2019;39(2):201-207.