Evaluation of a brief tailored motivational intervention to prevent early childhood caries.
Evaluation of a brief tailored motivational intervention to prevent early childhood caries.
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DOI：
10.1111/j.1600-0528.2011.00613.x
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发表时间：
2011-10
影响因子：
2.3
通讯作者：
Lepkowski JM
中科院分区：
文献类型：
--
作者：
Ismail AI;Ondersma S;Jedele JM;Little RJ;Lepkowski JM
这项实用的随机试验评估了针对密歇根州底特律低收入非洲裔美国儿童口腔健康行为和新发未经治疗的龋齿病变的量身定制教育干预的有效性。研究人员招募了参与研究的家庭，对1021名随机选择的儿童（0-5岁）及其照顾者进行龋齿决定因素的纵向研究。这些家庭在2002-04年（第一波）、2004-05年（第二波）和2007年（第三波）进行基线检查。在第二波之前，这些家庭被随机分为两个教育组。接受过应用动机性访谈原则（MI）培训的采访者与分配到干预组（MI+DVD）的护理人员一起审查牙科检查结果，并与护理人员就改善儿童口腔健康的重要性和可能采取的行动进行对话。采访者和护理人员观看了一段专门为这个项目制作的15分钟的DVD，该DVD是根据Wave I收集的数据制作的，重点是护理人员如何“让他们的孩子免于蛀牙”。在MI会议后，护理人员制定了自己的预防目标。这个组中的一些家庭选择不制定目标，而是提供项目制定的目标。这些目标如果明确了，就会印在光面纸上，上面还有孩子的照片。第二组（只有DVD）的家庭会见了一位采访者，向他们展示了DVD，并向他们提供了项目推荐的目标。两组家庭都收到了DVD的拷贝。MI+DVD组的家庭在干预后6个月内收到了支持电话。大约2年后，护理人员和儿童都接受了采访和检查（第三波：2007年）。经过6个月的随访，接受MI+DVD的护理人员更有可能报告检查孩子的“前蛀牙”，并确保孩子在睡前刷牙。大约2年后对最终结果的评估发现，接受MI+DVD的护理人员仍然更有可能报告确保孩子在睡前刷牙，但不太可能确保孩子每天刷牙两次。尽管其中一种行为有所不同，但在最后的评估中，接受动机干预的儿童没有减少新的未经治疗的病变。本研究发现，单一的动机性访谈干预可能会改变一些报告的口腔健康行为，但未能减少未经治疗的新龋齿病变的数量。
This pragmatic randomized trial evaluated the effectiveness of a tailored educational intervention on oral health behaviors and new untreated carious lesions in low-income African-American children in Detroit, Michigan. Participating families were recruited in a longitudinal study of the determinants of dental caries in 1,021 randomly selected children (0–5 years) and their caregivers. The families were examined at baseline in 2002–04 (Wave I), 2004–05 (Wave II) and 2007 (Wave III). Prior to Wave II, the families were randomized into two educational groups. An interviewer trained in applying motivational interviewing principles (MI) reviewed the dental exam findings with caregivers assigned to the intervention group (MI+DVD) and engaged the caregiver in a dialogue on the importance of and potential actions for improving the child’s oral health. The interviewer and caregiver watched a special 15-minute DVD developed specifically for this project based on data collected at Wave I and focused on how the caregivers can “keep their children free from tooth decay”. After the MI session the caregivers developed their own preventive goals. Some families in this group chose not to develop goals and were offered the project-developed goals. The goals, if defined, were printed on glossy paper that included the child’s photograph. Families in the second group (DVD-only) were met by an interviewer, shown the DVD, and provided with the project’s recommended goals. Both groups of families received a copy of the DVD. Families in the MI+DVD group received booster calls within 6 months of the intervention. Both caregivers and the children were interviewed and examined after approximately 2 years (Wave III: 2007). After 6-month of follow-up, caregivers receiving MI+DVD were more likely to report checking the child for “pre-cavities” and making sure the child brushes at bedtime. Evaluation of the final outcomes approximately 2 years later found that caregivers receiving the MI+DVD were still more likely to report making sure the child brushed at bedtime, yet were no more likely to make sure the child brushed twice per day. Despite differences in one of the reported behaviors, children whose caregivers received the motivational intervention did not have fewer new untreated lesions at the final evaluation. This study found that a single motivational interviewing intervention may change some reported oral health behaviors, it failed to reduce the number of new untreated carious lesions.
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DOI：
10.1111/j.1600-0528.2006.00352.x
发表时间：
2007-12-01
影响因子：
2.3
作者：
Finlayson, Tracy L.;Siefert, Kristine;Sohn, Woosung
通讯作者：
Sohn, Woosung
影响因子：
5.9
作者：
Burke, BL;Arkowitz, H;Menchola, M
通讯作者：
Menchola, M
影响因子：
7.6
作者：
Ismail, A. I.;Sohn, W.;Willem, J. M.
通讯作者：
Willem, J. M.
影响因子：
9.7
作者：
Case, A;Paxson, C
通讯作者：
Paxson, C
影响因子：
4.2
作者：
Burt, Brian A.;Kolker, Justine L.;Ismail, Amid I.
通讯作者：
Ismail, Amid I.