Effectiveness of motivational interviewing at improving oral health: a systematic review

Andreia Morales Cascaes, Renata Moraes Bielemann, Valerie Lyn Clark, Aluísio J D Barros, Andreia Morales Cascaes, Renata Moraes Bielemann, Valerie Lyn Clark, Aluísio J D Barros

Abstract

Objective: To analyze the effectiveness of motivational interviewing (MI) at improving oral health behaviors (oral hygiene habits, sugar consumption, dental services utilization or use of fluoride) and dental clinical outcomes (dental plaque, dental caries and periodontal status).

Methods: A systematic search of PubMed, LILACS, SciELO, PsyINFO, Cochrane and Google Scholar bibliographic databases was conducted looking for intervention studies that investigated MI as the main approach to improving the oral health outcomes investigated.

Results: Of the 78 articles found, ten met the inclusion criteria, all based on randomized controlled trials. Most studies (n = 8) assessed multiple outcomes. Five interventions assessed the impact of MI on oral health behaviors and nine on clinical outcomes (three on dental caries, six on dental plaque, four on gingivitis and three on periodontal pockets). Better quality of evidence was provided by studies that investigated dental caries, which also had the largest population samples. The evidence of the effect of MI on improving oral health outcomes is conflicting. Four studies reported positive effects of MI on oral health outcomes whereas another four showed null effect. In two interventions, the actual difference between groups was not reported or able to be recalculated.

Conclusions: We found inconclusive effectiveness for most oral health outcomes. We need more and better designed and reported interventions to fully assess the impact of MI on oral health and understand the appropriate dosage for the counseling interventions.

Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Flow diagram of study selection.

References

    1. 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. doi: 10.1177/0022034509338156.
    1. Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health Prev Dent. 2005;3(3):135–140.
    1. Baban A, Craciun C. Changing health-risk behaviors: a review of theory and evidence-based interventions in health psychology. J Cogn Behav Psychother. 2007;7(1):45–67.
    1. Batchelor PA, Sheiham A. The distribution of burden of dental caries in schoolchildren: a critique of the high-risk caries prevention strategy for populations. BMC Oral Health. 2006;6:3. doi: 10.1186/1472-6831-6-3.
    1. Borrell LN, Papapanou PN. Analytical epidemiology of periodontitis. J Clin Periodontol. 2005;32(Suppl 6):132–158. doi: 10.1111/j.1600-051X.2005.00799.x.
    1. Brand VS, Bray KK, MacNeill S, Catley D, Williams K. Impact of single-session motivational interviewing on clinical outcomes following periodontal maintenance therapy. Int J Dent Hyg. 2013;11(2):134–141. doi: 10.1111/idh.12012.
    1. Brown LF. Research in dental health education and health promotion: a review of the literature. Health Educ Q. 1994;21(1):83–102. doi: 10.1177/109019819402100109.
    1. 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. doi: 10.1037/0022-006X.71.5.843.
    1. Campbell BK. Fidelity in public health clinical trials: considering provider-participant relationship factors in community treatment settings. J Public Health Dent. 2011;71(Suppl 1):64–65. doi: 10.1111/j.1752-7325.2011.00227.x.
    1. Carey KB, Scott-Sheldon LA, Carey MP, DeMartini KS. Individual-level interventions to reduce college student drinking: a meta-analytic review. Addict Behav. 2007;32(11):2469–2494. doi: 10.1016/S0306-4603(07)00145-1.
    1. Davies RM, Davies GM, Ellwood RP. Prevention. Part 4: Toothbrushing: what advice should be given to patients? Br Dent J. 2003;195(3):135–141. doi: 10.1038/sj.bdj.4810396.
    1. Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377–384. doi: 10.1136/jech.52.6.377.
    1. Freudenthal JJ, Bowen DM. Motivational interviewing to decrease parental risk-related behaviors for early childhood caries. J Dent Hyg. 2010;84(1):29–34.
    1. Godard A, Dufour T, Jeanne S. Application of self-regulation theory and motivational interview for improving oral hygiene: a randomized controlled trial. J Clin Periodontol. 2011;38(12):1099–1105. doi: 10.1111/j.1600-051X.2011.01782.x.
    1. Harrison R, Benton T, Everson-Stewart S, Weinstein P. Effect of motivational interviewing on rates of early childhood caries: a randomized trial. Pediatr Dent. 2007;29(1):16–22.
    1. Harrison RL, Veronneau J, Leroux B. Effectiveness of maternal counseling in reducing caries in Cree children. J Dent Res. 2012;91(11):1032–1037. doi: 10.1177/0022034512459758.
    1. Heckman CJ, Egleston BL, Hofmann MT. Efficacy of motivational interviewing for smoking cessation: a systematic review and meta-analysis. Tob Control. 2010;19(5):410–416. doi: 10.1136/tc.2009.033175.
    1. Ismail AI, Ondersma S, Jedele JM, Little RJ, Lepkowski JM. Evaluation of a brief tailored motivational intervention to prevent early childhood caries. Community Dent Oral Epidemiol. 2011;39(5):433–448. doi: 10.1111/j.1600-0528.2011.00613.x.
    1. Jonsson B, Ohrn 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. doi: 10.1111/j.1600-051X.2010.01590.x.
    1. Jonsson B, Ohrn K, Oscarson N, Lindberg P. An individually tailored treatment programme for improved oral hygiene: introduction of a new course of action in health education for patients with periodontitis. Int J Dent Hyg. 2009;7(3):166–175. doi: 10.1111/j.1601-5037.2008.00350.x.
    1. Kay EJ, Locker D. Is dental health education effective? A systematic review of current evidence. Community Dent Oral Epidemiol. 1996;24(4):231–235. doi: 10.1111/j.1600-0528.1996.tb00850.x.
    1. Lopez-Jornet P, Fabio CA, Consuelo RA, Paz AM. Effectiveness of a motivational-behavioural skills protocol for oral hygiene among patients with hyposalivation. Gerodontology. 2013 doi: 10.1111/ger.12037.
    1. Macdonald P, Hibbs R, Corfield F, Treasure J. The use of motivational interviewing in eating disorders: a systematic review. Psychiatry Res. 2012;200(1):1–11. doi: 10.1016/S0165-1781(12)00263-6.
    1. Martins RK, McNeil DW. Review of Motivational Interviewing in promoting health behaviors. Clin Psychol Rev. 2009;29(4):283–293. doi: 10.1016/S0272-7358(09)00009-9.
    1. Miller RW, Rollnick S. Motivational Interviewing: Preparing People for Change. New York: Guilford Press; 2002.
    1. Miller WR. A small study of training in motivational interviewing: does one workshop change clinician and client behavior? Behav Cogn Psychother. 2001;29(4):457–471. doi: 10.1017/S1352465801004064.
    1. Miller WR, Rose GS. Toward a theory of motivational interviewing. Am Psychol. 2009;64(6):527–537. doi: 10.1037/a0016830.
    1. Parlani S, Tripathi A, Singh SV. Increasing the prosthodontic awareness of an aging Indian rural population. Indian J Dent Res. 2011;22(3):367–370. doi: 10.4103/0970-9290.87054.
    1. 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;31(Suppl1):3–23. doi: 10.1046/j..2003.com122.x.
    1. Petersen PE. World Health Organization global policy for improvement of oral health--World Health Assembly 2007. Int Dent J. 2008;58(3):115–121.
    1. Rollnick S, Kinnersley P, Stott N. Methods of helping patients with behaviour change. BMJ. 1993;307(6897):188–190. doi: 10.1136/bmj.307.6897.188.
    1. Rose G. Sick individuals and sick populations. Int J Epidemiol. 2001;30(3):427–432. doi: 10.1093/ije/14.1.32.
    1. Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. Br J Gen Pract. 2005;55(513):305–312.
    1. Sham AS, Cheung LK, Jin LJ, Corbet EF. The effects of tobacco use on oral health. Hong Kong Med J. 2003;9(4):271–277.
    1. Shamani S, Jansson L. Oral hygiene behaviour change during the nonsurgical periodontal treatment phase. Open Dent J. 2012;6:190–196. doi: 10.2174/1874210601206010190.
    1. Sheiham A. Dietary effects on dental diseases. Public Health Nutr. 2001;4(2B):569–591. doi: 10.1079/PHN2001142.
    1. Skaret E, Weinstein P, Kvale G, Raadal M. An intervention program to reduce dental avoidance behaviour among adolescents: a pilot study. Eur J Paediatr Dent. 2003;4(4):191–196.
    1. Slade GD, Caplan DJ. Methodological issues in longitudinal epidemiologic studies of dental caries. Community Dent Oral Epidemiol. 1999;27(4):236–248.
    1. Sprod A, Andreson R, Treasure E. Health Promotion Wales. Cardiff: University of Wales; 1996. Effective oral health promotion: literature review.
    1. Stenman J, Lundgren J, Wennstrom JL, Ericsson JS, Abrahamsson KH. A single session of motivational interviewing as an additive means to improve adherence in periodontal infection control: a randomized controlled trial. J Clin Periodontol. 2012;39(10):947–954. doi: 10.1111/j.1600-051X.2012.01926.x.
    1. Twetman S. Prevention of early childhood caries (ECC) - review of literature published 1998-2007. Eur Arch Paediatr Dent. 2008;9(1):12–18. doi: 10.1007/BF03321590.
    1. Watt RG. Strategies and approaches in oral disease prevention and health promotion. Bull World Health Organ. 2005;83(9):711–718. doi: 10.1590/S0042-96862005000900018.
    1. 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. doi: 10.14219/jada.archive.2004.0299.
    1. Weinstein P, Harrison R, Benton T. Motivating mothers to prevent caries: confirming the beneficial effect of counseling. J Am Dent Assoc. 2006;137(6):789–793. doi: 10.14219/jada.archive.2006.0291.
    1. Yeung CA. Motivational interviewing in an oral health promotion programme. Evid Based Dent. 2010;11(1):14–15. doi: 10.1038/sj.ebd.6400703.

Source: PubMed

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