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VOLUME 16 , ISSUE 1 ( January-February, 2023 ) > List of Articles

Systematic Review And Meta-Analysis

The Effect of Motivational Interviewing on Reduction of New Carious Lesions in Children with Early Childhood Caries: A Systematic Review and Meta-analysis

Shivangi Manek, Ashwin M Jawdekar

Keywords : Behavior change, Early childhood caries, Motivation interviewing, Oral health behavior

Citation Information : Manek S, Jawdekar AM. The Effect of Motivational Interviewing on Reduction of New Carious Lesions in Children with Early Childhood Caries: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2023; 16 (1):112-123.

DOI: 10.5005/jp-journals-10005-2497

License: CC BY-NC 4.0

Published Online: 22-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Preventive therapies rely on effective behavior change. Motivational interviewing (MI), has been the most recent advancement in behavior therapies that have been successful in tobacco cessation. The effectiveness of MI needs to be evaluated in caries prevention. Objectives: To evaluate the effectiveness of MI on the reduction of new carious lesions in children with early childhood caries (ECC). Materials and methods: The two authors independently searched data from Cochrane Library, PubMed, Google Scholar, J gate, and Quintpub. Selection criteria—interventional studies written in the English language with MI as an intervention, a mean follow-up period of atleast 2 years, ECC with decayed, missing, and filled primary teeth/decayed, missing, and filled primary surfaces (dmft/dmfs) as the outcome measures, in the age group of 0–6 years. We excluded cross-sectional studies. Information regarding methods, participants, interventions, outcome measures, and results were extracted. A risk of bias assessment within and across studies was conducted. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria were applied to generate quality evidence. Results: Six studies with a total of 2,663 participants were included in the review, and meta-analysis was conducted on 4; 3 studies had a high risk of bias. A mean reduction of 2.16 (−5.06, 0.75) was observed with MI as an intervention. A sensitivity analysis revealed a mean reduction of 3.64 (−5.77, −1.51) in favor of MI. Conclusion: There is some evidence with moderate certainty that MI is beneficial in the reduction of new carious lesions in children with ECC.

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  1. Prakash P, Subramaniam P, Durgesh BH, et al. Prevalence of early childhood caries and associated risk factors in preschool children of urban Bangalore, India: a cross-sectional study. Eur J Dent 2012;6(2):141–152.
  2. Bagramian RA, Garcia-Godoy F, Volpe AR. The global increase in dental caries. A pending public health crisis. Am J Dent 2009;22(1):3–8.
  3. Freudenthal JJ, Bowen DM. Motivational interviewing to decrease parental risk-related behaviors for early childhood caries. J Dent Hyg 2010;84(1):29–34.
  4. Ganesh A, Muthu MS, Mohan A, et al. Prevalence of early childhood caries in India - a systematic review. Indian J Pediatr 2019;86(3):276–286. DOI: 10.1007/s12098-018-2793-y
  5. Reza M, Amin MS, Sgro A, et al. Oral health status of immigrant and refugee children in North America: a scoping review. J Can Dent Assoc 2016;82(g3):1488–2159.
  6. Lustig RH, Schmidt LA, Brindis CD. Public health: the toxic truth about sugar. Nature 2012;482(7383):27–29. DOI: 10.1038/482027a
  7. Policy of Dental Home. Oral health policies, AAPD reference manual 2004-2005
  8. Rollnick S, Miller WR, Butler C, et al. Motivational interviewing in health care: helping patients change behavior. Guilford Press; 2008.
  9. Mallonee LF, Boyd LD, Stegeman C. A scoping review of skills and tools oral health professionals need to engage children and parents in dietary changes to prevent childhood obesity and consumption of sugar-sweetened beverages. J Public Health Dent 2017;77:S128–S135. DOI: 10.1111/jphd.12237
  10. Dooley D, Moultrie NM, Sites E, et al. Primary care interventions to reduce childhood obesity and sugar-sweetened beverage consumption: food for thought for oral health professionals. J Public Health Dent 2017;77(Suppl 1):S104–S127. DOI: 10.1111/jphd.12229
  11. Higgins JP, Altman DG, Gøtzsche PC, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 2011;343:d5928. DOI: 10.1136/bmj.d5928
  12. Wells GA, Shea B, O'Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses.
  13. Henshaw MM, Borrelli B, Gregorich SE, et al. Randomized trial of motivational interviewing to prevent early childhood caries in public housing. JDR Clin Trans Res 2018;3(4):353–365. DOI: 10.1177/2380084418794377
  14. Wagner Y, Greiner S, Heinrich-Weltzien R. Evaluation of an oral health promotion program at the time of birth on dental caries in 5-year-old children in Vorarlberg, Austria. Community Dent Oral Epidemiol 2014;42(2):160–169. DOI: 10.1111/cdoe.12072
  15. Harrison R, Benton T, Everson-Stewart S, et al. Effect of motivational interviewing on rates of early childhood caries: a randomized trial. Pediatr Dent 2007;29(1):16–22.
  16. Jamieson L, Smithers L, Hedges J, et al. Dental disease outcomes following a 2-year oral health promotion program for Australian Aboriginal children and their families: a 2-arm parallel, single-blind, randomised controlled trial. EClinicalMedicine 2018;1:43–50. DOI: 10.1016/j.eclinm.2018.05.001
  17. Harrison RL, Veronneau J, Leroux B. Effectiveness of maternal counseling in reducing caries in Cree children. J Dent Res 2012;91(11):1032–1037. DOI: 10.1177/0022034512459758
  18. Colvara BC, Faustino-Silva DD, Meyer E, et al. Motivational interviewing in preventing early childhood caries in primary healthcare: a community-based randomized cluster trial. J Pediatr 2018;201:190–195. DOI: 10.1016/j.jpeds.2018.05.016
  19. Michie S, Van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 2011;6(1):42. DOI: 10.1186/1748-5908-6-42
  20. Tolvanen M, Lahti S, Poutanen R, et al. Changes in children's oral health-related behavior, knowledge and attitudes during a 3.4-yr randomized clinical trial and oral health-promotion program. Eur J Oral Sci 2009;117(4):390–397. DOI: 10.1111/j.1600-0722.2009.00640.x
  21. Edelstein BL, Hirsch G, Frosh M, et al. Reducing early childhood caries in a Medicaid population: a systems model analysis. J Am Dent Assoc 2015;146(4):224–232. DOI: 10.1016/j.adaj.2014.12.024
  22. Douglass JM, Clark MB. Integrating oral health into overall health care to prevent early childhood caries: need, evidence, and solutions. Pediatr Dent 2015;37(3):266–274.
  23. Ramos-Gomez F, Crystal YO, Ng MW, et al. Caries risk assessment, prevention, and management in pediatric dental care. Gen Dent 2010;58(6):505–517.
  24. Garcia RI, Sohn W. The paradigm shift to prevention and its relationship to dental education. J Dent Educ 2012;76(1):36–45.
  25. Ismail AI, Ondersma S, Jedele JM, et al. Evaluation of a brief tailored motivational intervention to prevent early childhood caries. Community Dent Oral Epidemiol 2011;39(5):433–448. DOI: 10.1111/j.1600-0528.2011.00613.x
  26. 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(1):101. DOI: 10.1186/s12903-015-0068-9
  27. 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(2):192. DOI: 10.4103/1319-2442.261332
  28. Manchanda K, Sampath N, Sarkar AD. Evaluating the effectiveness of oral health education program among mothers with 6-18 months children in prevention of early childhood caries. Contemp Clin Dent 2014;5(4):478. DOI: 10.4103/0976-237X.142815
  29. Behavior change fast and slow: changing multiple key behaviors a long-term proposition? Glob Health Sci Pract 2015;3(4):521–524. DOI: 10.9745/GHSP-D-15-00331
  30. Dean JA, editor. McDonald and Avery's dentistry for the child and adolescent-e-book: Elsevier Health Sciences; 2015 Aug 10.
  31. Heilmann A, Sheiham A, Watt RG, et al. The common risk factor approach-an integrated population-and evidence-based approach for reducing social inequalities in oral health. Gesundheitswesen 2016;78(10):672–677. DOI: 10.1055/s-0035-1548933
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