MOTIVATIONAL INTERVIEWING-BASED APPROACHES IN DENTAL PRACTICE SETTINGS MAY IMPROVE ORAL HEALTH BEHAVIORS AND OUTCOMES

作者：Chi Donald L^*

来源：Journal of Evidence-Based Dental Practice, 2017, 17(4): 420-421.

DOI：10.1016/j.jebdp.2017.10.001

• Motivational interviewing
• Health behavior
• Dental health services
• Dental health education
• Dental caries

Selection Criteria
The authors searched 20 online resources (eg, MEDLINE, Ovid, and Embase) and gray literature databases and issued a public evidence call for additional articles on motivational interviewing in dentistry. The goal was to identify studies that evaluated the effects of motivational interviewing-based approaches within general dental practice settings on oral health-related behaviors and outcomes. The review focused on human studies published in English from 1994 to an unspecified end date. Internal and external validity, degree of bias, and quality assessments were made by individual reviewers on a team and confirmed through group consensus. An additional reviewer conducted repeat quality assessments on 10% of the articles. In cases where there were discrepancies between group and repeat assessment, 2 additional reviewers assessed quality until the final agreement was reached. Of the 5895 studies screened, 5735 were excluded based on information from the title and abstract. An additional 108 studies were excluded after full-text screening (specific reasons not provided), and 44 studies that did not focus on motivational interviewing were removed.
Key Study Factor
Eight articles were included in the review. The key study factor was the use of motivational interviewing techniques. The authors did not define motivational interviewing criteria.
Main Outcome Measure
The main outcome measures were oral health behaviors (eg, self-efficacy, motivation, and interdental cleaning) and clinical outcomes (eg, plaque, bleeding on probing, and gingival health).
Main Results
Data from the selected studies were not quantitatively aggregated, but the qualitative findings generally reported consistent improvements in oral health behaviors and clinical outcomes resulting from motivational interviewing. Five of the studies were randomized clinical trials, and the outcomes assessed varied.
Conclusions
The authors concluded that motivational interviewing techniques within dental practice settings have the potential to improve outcomes for individuals with poor oral health.

• 出版日期2017-12