Abstract:
Objectives: To evaluate the effectiveness of motivational interviewing (MI) as well as games in changing oral health behaviors among preschool children in Edko administration, Beheira governorate, Egypt.
Materials and Methods: The participating children, in this randomized controlled clinical trial, in 2018, were recruited from the 12 governmental preschools available within Edko administration of Beheira governorate, Egypt. A cluster random sampling strategy was used so that the contributors, mother/child dyads (pairs), in each nursery, were subsequently assigned to experimental group I (MI), experimental group II (MI+ gaming) or the control group (conventional dental health education (CE). The two outcomes, oral hygiene index simplified (OHI-S) for children and knowledge, attitude and practice of children’s mothers were measured at base line and after six months follow-up. Paired t-test was used.
Results: After six months follow-up, compared with the control group (1.41 ± 0.77), preschool children in experimental group I and II had significantly lower mean ± SD of OHI-S (0.69± 0.61 and 0.70±0.72), P Conclusions: Using MI as an oral health education tool was significantly more effective in promoting preschool children's oral hygiene and improving mothers' knowledge, attitude and oral health related practices than CE alone.
The protocol of the study was registered and posted on the ClinicalTrials.gov public website. ClinicalTrials.gov Identifier: NCT04258748. |
- Kawashita Y, Kitamura M, Saito T. Early childhood caries. Int J Dent 2011; 2011:725320.
- Kapoor V, Gupta A, Arya V. Behavioral changes after motivational interviewing versus traditional dental health education in parents of children with high caries risk: Results of a 1-year study. J Indian Soc Pedod Prev Dent 2019; 37:192-7.
- D'Cruz A, Aradhya S. Impact of oral health education on oral hygiene knowledge, practices, plaque control and gingival health of 13‐to 15‐year‐old school children in Bangalore city. Int J Dent Hyg 2013; 11: 126-33.
Naidu R, Nunn J, Irwin JD. The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: an exploratory cluster randomised controlled study. BMC Oral
- Naidu R, Nunn J, Irwin JD. The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: an exploratory cluster randomised controlled study. BMC Oral Health 2015; 15:101.doi: 10.1186/s12903-015-0068-9.
- Resnicow K, McMaster F. Motivational Interviewing: moving from why to how with autonomy support. Int J Behav Nutr Phys Act 2012; 9:19. doi:10.1186/1479-5868-9-19.
- Freudenthal JJ, Bowen DM. Motivational interviewing to decrease parental risk-related behaviors for early childhood caries. J Dent Hyg 2010; 84:29-34.
- Haaranen A, Rissanen T, Laatikainen T, Kauhanen J. Digital and video games in health promotion: Systematic review of games and health behavior. FinJeHeW 2014; 15:153-6.
- Aljafari A, Gallagher JE, Hosey MT. Can oral health education be delivered to high-caries-risk children and their parents using a computer game? - A randomised controlled trial. Int J Paediatr Dent 2017; 27:476- 85.
- Kumar Y, Asokan S, John B, Gopalan T. Effect of conventional and game-based teaching on oral health status of children: a randomized controlled trial. Int J Clin Pediatr Dent 2015; 8:123-6.
- Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol 2004; 4:26.doi: 10.1186/1471-2288-4-26
- TabTale. Happy Teeth, Healthy Kids. Available at: http://www.tabtale.com/app/happy-teeth/.
Gao J, Ruan J, Zhao L, Zhou H, Huang R, Tian J. Oral health status and oral health knowledge, attitudes and behavior among rural children in Shaanxi, western China: a cross-sectional survey. BMC Oral Health 2014;14:144.doi:10.1186/1472-6831-14-144
González-Del-Castillo
- Gao J, Ruan J, Zhao L, Zhou H, Huang R, Tian J. Oral health status and oral health knowledge, attitudes and behavior among rural children in Shaanxi, western China: a cross-sectional survey. BMC Oral Health 2014;14:144.doi:10.1186/1472-6831-14-144
- González-Del-Castillo–McGrath M, Guizar-Mendoza JM, Madrigal-Orozco C, Anguiano-Flores L, Amador-Licona N. A parent motivational interviewing program for dental care in children of a rural population. J Clin Exp Dent 2014; 6: 524-9.
- López‐Jornet P, Fabio CA, Consuelo RA, Paz AM. Effectiveness of a motivational–behavioural skills protocol for oral hygiene among patients with hyposalivation. Gerodontology 2014; 31:288-95.
Mohammadi TM, Hajizamani A, Bozorgmehr E. Improving oral health status of preschool children using motivational interviewing method. Dent Res J 2015; 12:476-81.
Wu L, Gao X, Lo ECM, Ho SMY, McGrath C, Wong MCM. Motivational interviewing to promote oral health in adolescents: a randomized controlled trial. J Adolesc Health 2017; 61:378-84.
- Mohammadi TM, Hajizamani A, Bozorgmehr E. Improving oral health status of preschool children using motivational interviewing method. Dent Res J 2015; 12:476-81.
- Wu L, Gao X, Lo ECM, Ho SMY, McGrath C, Wong MCM. Motivational interviewing to promote oral health in adolescents: a randomized controlled trial. J Adolesc Health 2017; 61:378-84.
- Brand VS, Bray KK, MacNeill S, Catley D, Williams K. Impact of single‐session motivational interviewing on clinical outcomes following periodontal maintenance therapy. Int J Dent Hyg 2013; 11:134-41.
|
