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Conference Paper: Motivational Interviewing in Dentistry: Systematic Review of Randomized Controlled Trials

TitleMotivational Interviewing in Dentistry: Systematic Review of Randomized Controlled Trials
Authors
KeywordsBehavioral science
Motivation
Preventive dentistry
Psychology and Systematic review
Issue Date2013
PublisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925
Citation
The 10th IADR World Congress on Preventive Dentistry (WCPD), Budapest, Hungary, 9-12 October 2013. In Journal of Dental Research, 2013, v. 92 n. Special Issue C: abstract no. 66 How to Cite?
AbstractObjective: The control and management of many oral health conditions highly depends on one’s daily self-care practice and compliance to preventive and curative measures. Conventional (health) education (CE), focusing on disseminating information and giving normative advice, is insufficient to achieve sustained behavioral changes. A counseling approach, motivational interviewing (MI), is potentially useful in changing oral health behaviors. This systematic review aimed to synthesize the evidence on the effectiveness of MI, in comparison with CE, in improving oral health. Method: Four databases (PubMed-Medline, Web of Science, Cochrane Library and PsycINFO) were searched to identify randomized controlled trials which evaluated the effectiveness of MI, in comparison with CE, in changing oral health behaviors and improving oral health of dental patients and the public. The scientific quality of the studies was rated and their key findings were qualitatively synthesized. Result: The search yielded 221 potentially relevant papers, among which 20 papers (on 16 studies) met the eligibility criteria. The quality of the studies varied from 10 to 18, out of a highest possible score of 21. Concerning periodontal health, superior effect of MI on oral hygiene was found in five trials and was absent in two trials. Two trials targeting smoking cessation in adolescents failed to generate positive effect. MI outperformed CE in improving at least one outcome in 4 studies on preventing early childhood caries, 1 study on adherence to dental appointment and 2 studies on abstinence of illicit drugs and alcohol use to prevent the reoccurrence of facial injury. Conclusion: Reviewed randomized controlled trials showed varied success of MI in improving oral health. The potential of MI in dental healthcare, especially on improving periodontal health, remains controversial. Further studies with methodological rigor are needed for a better understanding of the roles of MI in dental practice.
DescriptionPoster Presentation
Poster Session I: Effective Oral Disease Prevention and Community Health Promotion - Evidence from Global, Regional and National Programs; Promotion of Oral Health through Common Risk Factor and Population Approaches
Persistent Identifierhttp://hdl.handle.net/10722/199320
ISSN
2015 Impact Factor: 4.602
2015 SCImago Journal Rankings: 1.714

 

DC FieldValueLanguage
dc.contributor.authorGao, Xen_US
dc.contributor.authorLo, ECMen_US
dc.contributor.authorKot, Sen_US
dc.contributor.authorChan, KCWen_US
dc.date.accessioned2014-07-22T01:13:37Z-
dc.date.available2014-07-22T01:13:37Z-
dc.date.issued2013en_US
dc.identifier.citationThe 10th IADR World Congress on Preventive Dentistry (WCPD), Budapest, Hungary, 9-12 October 2013. In Journal of Dental Research, 2013, v. 92 n. Special Issue C: abstract no. 66en_US
dc.identifier.issn0022-0345-
dc.identifier.urihttp://hdl.handle.net/10722/199320-
dc.descriptionPoster Presentation-
dc.descriptionPoster Session I: Effective Oral Disease Prevention and Community Health Promotion - Evidence from Global, Regional and National Programs; Promotion of Oral Health through Common Risk Factor and Population Approaches-
dc.description.abstractObjective: The control and management of many oral health conditions highly depends on one’s daily self-care practice and compliance to preventive and curative measures. Conventional (health) education (CE), focusing on disseminating information and giving normative advice, is insufficient to achieve sustained behavioral changes. A counseling approach, motivational interviewing (MI), is potentially useful in changing oral health behaviors. This systematic review aimed to synthesize the evidence on the effectiveness of MI, in comparison with CE, in improving oral health. Method: Four databases (PubMed-Medline, Web of Science, Cochrane Library and PsycINFO) were searched to identify randomized controlled trials which evaluated the effectiveness of MI, in comparison with CE, in changing oral health behaviors and improving oral health of dental patients and the public. The scientific quality of the studies was rated and their key findings were qualitatively synthesized. Result: The search yielded 221 potentially relevant papers, among which 20 papers (on 16 studies) met the eligibility criteria. The quality of the studies varied from 10 to 18, out of a highest possible score of 21. Concerning periodontal health, superior effect of MI on oral hygiene was found in five trials and was absent in two trials. Two trials targeting smoking cessation in adolescents failed to generate positive effect. MI outperformed CE in improving at least one outcome in 4 studies on preventing early childhood caries, 1 study on adherence to dental appointment and 2 studies on abstinence of illicit drugs and alcohol use to prevent the reoccurrence of facial injury. Conclusion: Reviewed randomized controlled trials showed varied success of MI in improving oral health. The potential of MI in dental healthcare, especially on improving periodontal health, remains controversial. Further studies with methodological rigor are needed for a better understanding of the roles of MI in dental practice.-
dc.languageengen_US
dc.publisherSage Publications, Inc. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925-
dc.relation.ispartofJournal of Dental Researchen_US
dc.rightsJournal of Dental Research. Copyright © Sage Publications, Inc.-
dc.subjectBehavioral science-
dc.subjectMotivation-
dc.subjectPreventive dentistry-
dc.subjectPsychology and Systematic review-
dc.titleMotivational Interviewing in Dentistry: Systematic Review of Randomized Controlled Trialsen_US
dc.typeConference_Paperen_US
dc.identifier.emailGao, X: gaoxl@hkucc.hku.hken_US
dc.identifier.emailLo, ECM: edward-lo@hku.hken_US
dc.identifier.authorityGao, X=rp01509en_US
dc.identifier.authorityLo, ECM=rp00015en_US
dc.identifier.hkuros230919en_US
dc.identifier.hkuros239726-
dc.identifier.volume92-
dc.identifier.issueSpecial Issue C: abstract no. 66-
dc.publisher.placeUnited States-

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