Batliner Terrence, Fehringer Karen A, Tiwari Tamanna, Henderson William G, Wilson Anne, Brega Angela G, Albino Judith
Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Mail Stop F800, 13055 E, 17th Avenue, Aurora, CO 80045, USA.
Trials. 2014 Apr 14;15:125. doi: 10.1186/1745-6215-15-125.
This randomized control trial assesses the effectiveness of motivational interviewing (MI) to encourage behavior change in new mothers relating to caries prevention when caring for their newborn American Indian (AI) infants and young AI children.
METHODS/DESIGN: The study is a randomized control trial. We hypothesize that when motivational interviewing is added to enhanced community oral health education services, the new mothers will achieve greater reduction of caries experience in their AI children compared to those who are receiving enhanced community services (ECS) alone. Six hundred mothers or caregivers of AI newborns will be enrolled into the study and randomized to one of the two intervention groups over a two-year period. The children will be followed until the child's third birthday. A cost analysis of the study is being conducted in tandem with the enhanced community services, motivational interviewing behavioral interventions, and the dental screenings for the length of the study.
The trial is now in the implementation phase and a number of threats to successful completion, such as recruitment and retention challenges in a vast, rural geographic area, have been addressed. The protocol provides a unique model for oral health interventions using principles of community-based participatory research and is currently on schedule to meet study objectives. If the study is successful, motivational interviewing intervention can be applied in AI communities to reduce ECC disparities in this disadvantaged population, with study of further applicability in other populations and settings.
ClinicalTrials.gov, NCT01116726.
这项随机对照试验评估了动机性访谈（MI）在鼓励新妈妈在照顾其美国印第安（AI）新生儿和幼儿时预防龋齿方面改变行为的有效性。
方法/设计：该研究为随机对照试验。我们假设，在强化社区口腔健康教育服务中加入动机性访谈后，与仅接受强化社区服务（ECS）的新妈妈相比，她们的AI儿童龋齿经历的减少幅度会更大。600名AI新生儿的母亲或照顾者将被纳入研究，并在两年内随机分为两个干预组之一。这些儿童将被跟踪至其三岁生日。在研究期间，将同时对强化社区服务、动机性访谈行为干预和牙科筛查进行成本分析。
该试验目前处于实施阶段，已经解决了一些对成功完成试验的威胁，例如在广阔农村地区的招募和保留挑战。该方案提供了一个使用基于社区的参与性研究原则进行口腔健康干预的独特模型，目前正按计划实现研究目标。如果该研究成功，动机性访谈干预可应用于AI社区，以减少这一弱势群体中的早期儿童龋差异，并研究其在其他人群和环境中的进一步适用性。
ClinicalTrials.gov，NCT01116726。
