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Motivational interviewing for preventing early childhood caries: A systematic review and meta-analysis.
Colvara, Beatriz Carriconde; Faustino-Silva, Daniel Demétrio; Meyer, Elisabeth; Hugo, Fernando Neves; Celeste, Roger Keller; Hilgert, Juliana Balbinot.
Afiliação
  • Colvara BC; Graduate Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Faustino-Silva DD; Graduate Program in Assessment Technology for the National Health System (SUS), Grupo Hospitalar Conceição (GHC), Porto Alegre, Brazil.
  • Meyer E; Graduate Health Sciences Program, Cardiology Institute (IC/FUC), Porto Alegre, Brazil.
  • Hugo FN; Graduate Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Celeste RK; Graduate Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
  • Hilgert JB; Graduate Program in Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Community Dent Oral Epidemiol ; 49(1): 10-16, 2021 02.
Article em En | MEDLINE | ID: mdl-33000877
OBJECTIVES: This systematic review with meta-analysis was performed to assess whether motivational interviewing (MI) is effective in the prevention of early childhood caries (ECC) and to examine potential sources of heterogeneity. METHODS: Interventions based on motivational interviewing were considered eligible. The main outcome was new caries lesions (some studies included white-spot lesions in total count), and secondary outcomes included caregivers' oral health knowledge, home-care behaviours, plaque index, gingival index and fluoride varnish applications. Controls were any type of oral health education or negative controls without any specific intervention. RESULTS: From a total of 1498 studies identified in the databases search, 1078 were assessed for eligibility by reading titles and abstracts, after removal of duplicates. Full-text screening was performed in 61 articles, with 18 reporting on 14 different studies included in the qualitative synthesis and 8 in the quantitative synthesis (four studies included new white-spot lesions in total count). Subgroup analysis was performed by the control group dmft/dmfs and the test for subgroup differences suggests that there is a subgroup effect (P = .06), so population caries experience modifies the effect of MI-based intervention. In populations with high caries experience, the MI-based approach proved preventing an average of 3.15 (95% CI: -6.14, -0.17) dmfs in young children. In samples with low caries experience, differences were smaller, since the caries levels were already lower (-0.31; 95% CI: -0.63, 0.00). CONCLUSION: Motivational interviewing has the potential to modify knowledge and behaviours and reduce ECC with a more significant impact on children with high caries experience.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária / Entrevista Motivacional Tipo de estudo: Qualitative_research / Systematic_reviews Limite: Child / Child, preschool / Humans Idioma: En Revista: Community Dent Oral Epidemiol Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Dinamarca
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária / Entrevista Motivacional Tipo de estudo: Qualitative_research / Systematic_reviews Limite: Child / Child, preschool / Humans Idioma: En Revista: Community Dent Oral Epidemiol Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Dinamarca