A brief motivational intervention for heavy alcohol use in dental practice settings: Rationale and development

Neff, James Alan; Walters, Scott T.; Braitman, Abby L.; Kelley, Michelle L.; Paulson, James F.; Brickhouse, Tegwyn H.; Gunsolley, John C.; Darby, Michele; Lemaster, Margaret; Vandersluis, Joel; Walsh, Margaret M.

doi:10.1177/1359105312452314

Cited by 19 publications

(26 citation statements)

References 22 publications

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“…37 Access to additional unstructured clinical data from encounter notes may also increase the sensitivity of natural language processing to other important health conditions, such as tobacco use. 38,39 Chairside screening interventions for chronic diseases including substance use disorders, 40 eating disorders, 41 cardiovascular disease, 42 diabetes, 43 and obesity 44 have all been validated, but appropriate referral of patients found to be at high risk has been described as a hurdle. 45 While not explored as part of this study, automated sharing of these results with patients' medical teams would allow for ideal patient management and prompt referral to necessary providers.…”

Section: Discussionmentioning

confidence: 99%

Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study

Simon

Obadan‐Udoh

Yansane³

et al. 2019

Appl Clin Inform

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Objectives Electronic health records (EHRs) are rarely shared among medical and dental providers. The purpose of this study was to assess current information sharing and the value of improved electronic information sharing among physicians and dentists in Germany and the United States. Materials and Methods A survey was validated and distributed electronically to physicians and dentists at four academic medical centers. Respondents were asked anonymously about EHR use and the medical and dental information most valuable to their practice. Results There were 118 responses, a response rate of 23.2%. The majority (63.9%) of respondents were dentists and the remainder were physicians. Most respondents (66.3%) rated the importance of sharing information an 8 or above on a 1-to-10 Likert scale. Dentists rated the importance of sharing clinical information significantly higher than physicians (p = 0.0033). Most (68.5%) providers could recall an instance when access to medical or dental information would have improved patient care. Dentists were significantly more likely to report this than physicians (p = 0.008). Conclusion Physicians would value a standardized measure of “oral health” in their EHR. Dentists were less likely to find specific medical diagnostic test results of value. Both dentists and physicians agreed that oral–systemic health was important; interoperable EHRs could facilitate information transfer between providers and enhance research on oral–systemic health connections. Both dentists and physicians believed that an interoperable EHR would be useful to practice, but desired information was different between these groups. Refinement of the information needed for shared practice is required.

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Section: Discussionmentioning

confidence: 99%

Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study

Simon

Obadan‐Udoh

Yansane³

et al. 2019

Appl Clin Inform

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“…The test group showed only minimal improvement in child feeding practices and nighttime bottle habits. Given the success MI has shown in the area of behavior change, we expected different results [17][18][19]. Yet, research studies conducted after ours show a growing body of evidence that an increase in knowledge does necessarily result in sustained behavior change, especially in high risk populations.…”

Section: Discussionmentioning

confidence: 81%

“…MI is a patient-centered, collaborative counseling approach designed to strengthen an individual's intrinsic motivation towards a positive behavior change [16]. Motivational interviewing (MI) has emerged as a successful strategy to address undesirable behaviors such as unhealthy eating habits, lack of exercise, and smoking and alcohol use [17][18][19]. MI focuses on an individual-provider partnership and is based on the premise that an individual's reasons for change and autonomy to make their own decisions should be supported by the provider [16].…”

Section: Introductionmentioning

confidence: 99%

Using motivational interviewing to reduce parental risk related behaviors for early childhood caries: a pilot study

et al. 2020

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Background: Decades of epidemiological studies have documented high rates of early childhood caries (ECC) among American Indian and Alaska Native (AIAN) children. The aim of this pilot study was to investigate if a motivational interviewing (MI) intervention improved oral self-care behaviors of AIAN caregivers of infants, and determine if the MI intervention promoted positive changes in caregivers' ECC risk-related behaviors. Methods: Caregivers of infants presenting for well-child visits in a medical clinic were randomized to treatment and control groups. At the first visit, a caries risk test (CRT) for cariogenic bacteria was completed for both groups. The Parental Care of Child's Teeth (PCCT) was administered at the second visit and used to assess ECC risk-related behaviors. Over the course of four well-child visits, caregivers in the treatment group participated in a MI discussion focusing on behavior changes and desired outcomes for their personal oral health and their child's. The duration of the intervention was 1 year. The control group was given oral health information traditionally provided at well-child visits. At the fourth well-child visit, the CRT and PCCT questionnaire were administered again. Results: The mean bacterial load for mutans streptococcus (MS) was similar at both visits. A slight reduction in the mean bacterial levels of lactobacilli was observed in both the test and control groups after the last visit, although not at a level of statistical significance. The treatment group showed minimal improvement in child feeding practices and nighttime bottle habits. Conclusions: Motivational Interviewing had little effect on oral self-care behaviors as measured by bacterial load, nor did MI reduce parental risk related behavior for early childhood caries.

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“…10 Neff et al reported that 75% of dentists (n=164) and dental hygienists (n=93) in their web survey felt they were not aware of best strategies to help patients reduce heavy drinking. 37 A survey of 210 dentists in a large dental practice research network found that the most commonly reported barrier (81%) to addressing alcohol in dental practice was lack of knowledge. 29 Finally, Shepherd et al found that the best predictor of intention to provide alcohol advice was self-eficacy or conidence in the practitioner's ability to intervene with a patient's alcohol use.…”

Section: Discussionmentioning

confidence: 99%

Topical Trends in Tobacco and Alcohol Articles Published in Three Dental Journals, 1980–2010

Neff

Gunsolley

Alshatrat

2015

Journal of Dental Education

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in an attempt to identify trends by decade in topics relevant to oral health consequences, oral cancer linkages, and cessation counseling. NVivo qualitative analysis software was used to code abstracts using the keywords "tobacco" or "alcohol." The search identiied 269 articles: tobacco=211 (78%), alcohol=58 (22%). This number represented 2.4% of the total articles published in these journals for the speciied years. While the percentage of tobacco-related articles increased over this period (with highs in the 1990s of 4.1% in the JDE and 9% in the JPHD), the percentage of alcohol articles reached only 1% for JADA and 3.3% for the JPHD in the 2000s. The number of tobacco-related articles addressing oral health effects, oral cancer linkages, and cessation counseling increased in the 1990s. Although there were modest increases in the number of articles about alcohol-related oral health effects and oral cancer linkages (particularly in the JPHD in the 2000s), only two articles (in JADA in the 2000s) addressed alcohol cessation counseling. This study concluded that tobacco and alcohol have received limited, though increasing, attention in these three major journals between 1980 and 2010, with alcohol receiving less attention than tobacco. These results suggest a need for more published studies on tobacco and alcohol interventions in dental and allied dental education to prepare students to contribute to this aspect of their patients' health.

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A brief motivational intervention for heavy alcohol use in dental practice settings: Rationale and development

Cited by 19 publications

References 22 publications

Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study

Improving Oral–Systemic Healthcare through the Interoperability of Electronic Medical and Dental Records: An Exploratory Study

Using motivational interviewing to reduce parental risk related behaviors for early childhood caries: a pilot study

Topical Trends in Tobacco and Alcohol Articles Published in Three Dental Journals, 1980–2010

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