Department of Operative Dentistry and Periodontology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Private Practice, Hamburg, Germany.
Eur J Dent Educ. 2022 May;26(2):254-262. doi: 10.1111/eje.12698. Epub 2021 Jun 1.
Motivational interviewing (MI) is an evidence-based method of promoting oral healthcare behaviour. Conventional training of MI is a time-consuming and costly aspect in the dental curriculum. Therefore, the aim of this study was to evaluate the effectiveness and acceptance of a MI-blended learning programme for dental students.
Dental students had to perform an interdisciplinary created "ecourse Motivational Interviewing in medical settings" (eMI-med). After completion, patient-student interviews were recorded and evaluated using the Motivational Interviewing Treatment Integrity Code (MITI-d). Furthermore, the students' self-efficacy regarding smoking cessation and oral hygiene motivation was examined and the acceptance of the tool was enquired.
Forty interviews with 25 different students were analysed with the MITI-d. Students showed high levels of MI-adherent behaviour (15.45 ± 6.98), open-ended questions (9.95 ± 6.90) and reflections (10.43 ± 8.85), which were comparable to previous classroom trainings. In addition, 90% of the students preferred e-learning over classroom teaching. Furthermore, the students' therapeutical self-efficacies were significantly increased by the programme.
Within the limitations of this study, the created e-learning programme was able to equip dental students with basic knowledge and MI skills. Furthermore, learning MI through e-learning may heighten the self-efficacy of dental students regarding smoking cessation and oral hygiene promotion. Students showed a high acceptance of e-learning, preferring it over traditional learning.
动机性访谈（MI）是促进口腔保健行为的一种基于证据的方法。MI 的传统培训是牙科课程中耗时且昂贵的方面。因此，本研究旨在评估牙科学生 MI 混合学习计划的有效性和接受程度。
牙科学生必须完成一门跨学科创建的“医学环境中的动机性访谈电子课程”（eMI-med）。完成后，使用动机性访谈治疗完整性代码（MITI-d）记录并评估学生与患者的访谈。此外，还检查了学生关于戒烟和口腔卫生动机的自我效能感，并询问了对工具的接受程度。
使用 MITI-d 分析了 25 名不同学生的 40 次访谈。学生表现出高度的 MI 遵从行为（15.45 ± 6.98）、开放式问题（9.95 ± 6.90）和反思（10.43 ± 8.85），这与之前的课堂培训相当。此外，90%的学生更喜欢电子学习而不是课堂教学。此外，该计划显著提高了学生的治疗自我效能感。
在本研究的限制范围内，创建的电子学习计划能够为牙科学生提供基本知识和 MI 技能。此外，通过电子学习学习 MI 可能会提高牙科学生关于戒烟和口腔卫生促进的自我效能感。学生对电子学习的接受度很高，更喜欢电子学习而不是传统学习。
