Fidelity of motivational interviewing in an oral health intervention with caregivers of young children

Ripplinger, Tamara; Cascaes, Andréia Morales

doi:10.1590/1807-3107bor-2022.vol36.0045

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…The MI sessions targeted the behavioral control construct of the TPB and were checked for fidelity. In a recent study [ 41 ], the fidelity of MI sessions with caregivers of young children and MI sessions by experts versus beginners were associated with greater reduction in sugary foods consumption although the difference was not significant. Also, MI had a significant effect on preventing ECC that depended on the quality of MI [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Development and acceptability of behavioral interventions promoting mothers’ brushing of pre-school children’s teeth: The preparation phase of the multi-phase optimization strategy framework

Ihab,

Abdelaziz,

Hassan

et al. 2023

BMC Oral Health

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Background Early childhood caries can be prevented through regular parental-supported toothbrushing, indicating the importance of behavior modification interventions targeting parents. Mobile oral health (m-oral health) interventions are gaining increased popularity although their production is not always based on solid theoretical frameworks and evidence about the efficacy of individual intervention components is not available. The Multiphase Optimization Strategy (MOST) offers a framework to develop complex m-oral health interventions and assessing the efficacy of individual components. Aim This study describes the development and assesses the acceptability of 3 intervention components using MOST to promote mothers’ brushing of their preschool children’s teeth. Methods The Theory of Planned Behavior guided the development of 3 components: motivational interviewing (MI), storytelling videos (STVs), and oral health promotion messages (OHPMs). A researcher received training to conduct MI. Twenty-four OHPMs were developed, and 14 STVs scripts were developed based on the “And, But, Therefore” framework. A feasibility pilot study was conducted to determine the optimization objective and assess mothers’ preferences regarding the frequency and timing of receiving the intervention components. The mothers participated in a semi-structured interview to assess the acceptability of the components using 7 open-ended questions based on the framework of acceptability and thematic analysis was used to analyze the qualitative data. The mothers also responded to questions assessing the perceived and experienced acceptability of the components using close-ended questions. Descriptive statistics were presented as means and standard deviations for continuous variables and median and interquartile range for categorical variables. Results Sixteen mothers were included. The mothers expressed positive affective attitude towards the interventions. They felt the components served as “good reminders” to brush their children’s teeth. However, “time” was a burden for the mothers. 80% of the mothers preferred receiving the OHPMs and STVs once per week, from 8 pm to 2 am (50%), and 60% indicated they can set 15–30 min to receiving the interventions. Conclusion The 3 components were acceptable to the mothers. The OHPMs and STVs will be sent to the mothers once per week, between 8 pm to 2 am. The MI and follow-up phone calls will be limited to 15 min.

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Section: Discussionmentioning

confidence: 99%

Development and acceptability of behavioral interventions promoting mothers’ brushing of pre-school children’s teeth: The preparation phase of the multi-phase optimization strategy framework

Ihab,

Abdelaziz,

Hassan

et al. 2023

BMC Oral Health

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Assessing motivational interviewing integrity in the Toddler Oral Health Intervention study

van Spreuwel,

Voets,

Bruijning

et al. 2024

Comm Dent Oral Epid

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ObjectivesThe Toddler Oral Health Intervention (TOHI) was launched in 2017 to promote oral health prevention at well‐baby clinics, with a focus on parents with children aged 6–48 months. This study aims to evaluate the integrity of motivational interviewing (MI) as one of the core intervention pillars in the TOHI study.MethodsThe TOHI study was conducted at nine well‐baby clinics in the central and southern regions of the Netherlands, with 11 trained oral health coaches (OHCs) delivering a tailored individual counselling programme. Audio recordings of counselling sessions were uploaded by the OHCs into an online portal for feedback and integrity evaluation purposes. A trained independent assessor evaluated MI integrity using the MITI 4.2.1 coding scale. IBM SPSS Statistics was used to analyse the data, with ratings on technical and relational components and behavior counts computed by adding up the scores and categorizing them into six key MI skills. Descriptive statistics, including frequencies, percentages and median scores with interquartile ranges, were calculated.ResultsThe median ratings on the technical and relational components were 2.5 (IQR 2.0–3.5) and 3.5 (IQR 3.0–4.0) out of a maximum of 5, with 45% and 58% of recordings showing fair or good MI integrity, respectively. A median of 38% (IQR 25–55%) of complex reflections and a reflection‐to‐question ratio of 0.7 (IQR 0.4–1.0), with 47% and 24% of recordings showing fair or good MI integrity, respectively. Median counts of MI‐adherent and non‐adherent statements were 3.0 (IQR 2.0–5.0) and 0.0 (IQR 0.0–1.0), respectively. The duration of recordings and MI integrity varied among oral health coaches.ConclusionOverall, this study revealed that, while intensive training was provided, not all OHCs in the TOHI study met fair thresholds for MI integrity. These findings emphasize the necessity of ongoing training, reflection and support to achieve and maintain a fair or good level of MI integrity in clinical practice.

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Fidelity of motivational interviewing in an oral health intervention with caregivers of young children

Cited by 2 publications

References 23 publications

Development and acceptability of behavioral interventions promoting mothers’ brushing of pre-school children’s teeth: The preparation phase of the multi-phase optimization strategy framework

Development and acceptability of behavioral interventions promoting mothers’ brushing of pre-school children’s teeth: The preparation phase of the multi-phase optimization strategy framework

Assessing motivational interviewing integrity in the Toddler Oral Health Intervention study

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