Effectiveness of a motivational–behavioural skills protocol for oral hygiene among patients with hyposalivation

López‐Jornet, Pía; Camacho‐Alonso, Fabio; Consuelo, Rodríguez Agudo; Paz, Andujar Mateos

doi:10.1111/ger.12037

Cited by 13 publications

(25 citation statements)

References 28 publications

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“…The majority of studies investigated adults with a mean age of 50 years (n = 6), mostly subjects attending university programs or dental clinics. 1 , 6 , 14 , 22 , 40 The other four interventions were performed with parents of young children up to five years old in their communities, of immigrants, 15 indigenous 16 and low-income populations 13 , 18 ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies used a trained counselor with extensive experience in MI, 1 , 6 , 13 , 18 two interventions were delivered by community members that received MI training, 15 , 16 one was performed by two dentists and another two studies did not report who delivered the intervention sessions. 19 , 22 Participants in most studies received individualized MI intervention, during dental visits or wellness child visits. 1 , 6 , 13 , 14 , 16 , 22 In one publication, it was not clear if the video sessions were performed in groups or individualized.…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2014

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OBJECTIVETo 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).METHODSA 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.RESULTSOf 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.CONCLUSIONSWe 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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

et al. 2014

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“…In a systematic review on the effectiveness of motivational interviewing for improving oral health, Cascaes et al [73] found conflicting evidence. Motivational interviewing improved tooth brushing in one study [118] but not in another [119]. It also improved fluoride application [120], but not interproximal tooth brushing [118] and dental utilization [121].…”

Section: Discussionmentioning

confidence: 99%

“…Motivational interviewing improved tooth brushing in one study [118] but not in another [119]. It also improved fluoride application [120], but not interproximal tooth brushing [118] and dental utilization [121]. While the dental caries improved in one study [120], motivational interviewing had no effect on this outcome in two other studies [119, 121].…”

Section: Discussionmentioning

confidence: 99%

“…Bleeding improved in one study [123] and did not improve in two studies [125, 126]. Motivational interviewing did not improve periodontal probing depth in any of the included studies [118, 123, 125]. Again, the included studies had major methodological limitations and focused on heterogeneous samples other than nursing home residents (e.g., adults in general, or parents of children at different ages).…”

Section: Discussionmentioning

confidence: 99%

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Effective strategies to motivate nursing home residents in oral care and to prevent or reduce responsive behaviors to oral care: A systematic review

et al. 2017

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BackgroundPoor oral health has been a persistent problem in nursing home residents for decades, with severe consequences for residents and the health care system. Two major barriers to providing appropriate oral care are residents’ responsive behaviors to oral care and residents’ lack of ability or motivation to perform oral care on their own.ObjectivesTo evaluate the effectiveness of strategies that nursing home care providers can apply to either prevent/overcome residents’ responsive behaviors to oral care, or enable/motivate residents to perform their own oral care.Materials and methodsWe searched the databases Medline, EMBASE, Evidence Based Reviews–Cochrane Central Register of Controlled Trials, CINAHL, and Web of Science for intervention studies assessing the effectiveness of eligible strategies. Two reviewers independently (a) screened titles, abstracts and retrieved full-texts; (b) searched key journal contents, key author publications, and reference lists of all included studies; and (c) assessed methodological quality of included studies. Discrepancies at any stage were resolved by consensus. We conducted a narrative synthesis of study results.ResultsWe included three one-group pre-test, post-test studies, and one cross-sectional study. Methodological quality was low (n = 3) and low moderate (n = 1). Two studies assessed strategies to enable/motivate nursing home residents to perform their own oral care, and to studies assessed strategies to prevent or overcome responsive behaviors to oral care. All studies reported improvements of at least some of the outcomes measured, but interpretation is limited due to methodological problems.ConclusionsPotentially promising strategies are available that nursing home care providers can apply to prevent/overcome residents’ responsive behaviors to oral care or to enable/motivate residents to perform their own oral care. However, studies assessing these strategies have a high risk for bias. To overcome oral health problems in nursing homes, care providers will need practical strategies whose effectiveness was assessed in robust studies.

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One-to-one oral hygiene advice provided in a dental setting for oral health

Soldani

Lamont

Jones

et al. 2018

Cochrane Database of Systematic Reviews

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Effectiveness of a motivational–behavioural skills protocol for oral hygiene among patients with hyposalivation

Abstract: In patients with hyposalivation, the application of oral hygiene instruction based on cognitive principles and MI offers benefits for periodontal health. Longer-term studies are needed to confirm these results.

Cited by 13 publications

References 28 publications

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

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

Effective strategies to motivate nursing home residents in oral care and to prevent or reduce responsive behaviors to oral care: A systematic review

One-to-one oral hygiene advice provided in a dental setting for oral health

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