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BMC Oral Health
Published in: BMC Oral Health 1/2020

Open Access 01-12-2020 | Caries | Research article

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

Authors: Christine M. Blue, Michelle C. Arnett, Hiwet Ephrem, Scott Lunos, Chen Ruoqiong, Robert Jones

Published in: BMC Oral Health | Issue 1/2020

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Abstract

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.

Trial registration

Clinicaltrials.gov# NCT04286256. Retrospectively registered, February 26, 2020.
Appendix
Available only for authorised users
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Metadata
Title
Using motivational interviewing to reduce parental risk related behaviors for early childhood caries: a pilot study
Authors
Christine M. Blue
Michelle C. Arnett
Hiwet Ephrem
Scott Lunos
Chen Ruoqiong
Robert Jones
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Caries
Published in
BMC Oral Health / Issue 1/2020
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-1052-6

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