Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in Public Housing

JDR Clinical and Translational Research
M M HenshawR I Garcia

Abstract

Caries experience among preschool-age children has remained relatively unchanged for the past 2 decades, despite recently documented decreases in untreated decay. In a community-based cluster-randomized controlled trial, a motivational interviewing (MI) intervention administered to primary caregivers was hypothesized to reduce caries increment over 2 y as compared with controls, among children aged 0 to 5 y at baseline living in public housing. Public housing residents, who served as interventionists, were trained in MI with a focus on early childhood caries prevention. All 26 eligible public housing developments were randomized to either control (quarterly clinical examinations, fluoride varnish applications, toothbrush/toothpaste, and educational brochures) or intervention (same procedures as control plus MI counseling). Quarterly MI sessions were delivered in English or Spanish over 2 y, audio recorded, and assessed for treatment fidelity. The primary outcome was the increment in dmfs (decayed, missing, and filled tooth surfaces) as assessed by clinical examination at baseline, 12 mo, and 24 mo. Secondary outcomes included caregiver oral health knowledge and child oral health behaviors (child toothbrushing and sugar-sweetene...Continue Reading

Associated Clinical Trials

References

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Citations

May 18, 2019·International Journal of Paediatric Dentistry·Norman TinanoffSvante Twetman
Aug 7, 2019·Community Dentistry and Oral Epidemiology·Daniel Demétrio Faustino-SilvaJuliana Balbinot Hilgert
Oct 2, 2020·Community Dentistry and Oral Epidemiology·Beatriz Carriconde ColvaraJuliana Balbinot Hilgert
Sep 22, 2018·JDR Clinical and Translational Research·C L Randall
Sep 29, 2019·JDR Clinical and Translational Research·J Albino, T Tiwari
Dec 19, 2019·JDR Clinical and Translational Research·L M JamiesonJ Albino
Mar 4, 2020·Journal of Dental Research·B HeatonS Galea
Jan 4, 2021·Community Dentistry and Oral Epidemiology·Monica L WangBrenda Heaton
Jan 14, 2021·JMIR MHealth and UHealth·Rebecca ChenMichelle Irving
Dec 22, 2020·Community Dentistry and Oral Epidemiology·Amanda M LeskeJulie Satur

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Software Mentioned

SAS
Motivational Interviewing Treatment Integrity ( MITI

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