Chunda Remus, Mossey Peter, Freeman Ruth, Yuan Siyang
School of Dentistry, University of Dundee, Dundee DD1 4HR, UK.
Dent J (Basel). 2023 Mar 6;11(3):73. doi: 10.3390/dj11030073.
Health coaching-based interventions can support behaviour change to improve oral health. This scoping review aims to identify key characteristics of health coaching-based interventions for oral health promotion.
The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist and the Joanna Briggs Institute manual for evidence synthesis were used in this review. A search strategy using medical subject heading terms and keywords was developed and applied to search the following databases: CINAHL, Ovid, PubMed, Cochrane Library and Scopus. Thematic analysis was used to synthesise the data.
Twenty-three studies met the inclusion criteria and were included in this review. These studies were predominantly based on health coaching and motivational interviewing interventions applied to oral health promotion. The following are the characteristics of health coaching-based interventions extracted from themes of the included studies: (a) Health professionals should be trained on the usage of motivational interviewing/health coaching interventions; (b) oral health professionals should acquire motivational techniques in their practice to engage patients and avoid criticisms during the behaviour change process; (c) routine brief motivational interviewing/health coaching intervention sessions should be introduced in dental clinics; (d) traditional oral health education methods should be supplemented with individually tailored communication; and (e) for cost-effectiveness purposes, motivational interviewing/health coaching strategies should be considered.
This scoping review reveals that health coaching-based techniques of health coaching and motivational interviewing can significantly impact oral health outcomes and behaviour change and can improve oral health professional-patient communication. This calls for the use of health coaching-based techniques by dental teams in community and clinical settings. This review highlights gaps in the literature, suggesting the need for more research on health coaching-based intervention strategies for oral health promotion.
基于健康指导的干预措施有助于促进行为改变,从而改善口腔健康。本范围综述旨在确定基于健康指导的口腔健康促进干预措施的关键特征。
本综述采用了系统评价和Meta分析的首选报告项目扩展版范围综述清单以及乔安娜·布里格斯循证综合研究所手册。制定了使用医学主题词和关键词的检索策略,并应用于检索以下数据库:护理学与健康领域数据库(CINAHL)、Ovid、PubMed、Cochrane图书馆和Scopus。采用主题分析法对数据进行综合分析。
23项研究符合纳入标准并被纳入本综述。这些研究主要基于应用于口腔健康促进的健康指导和动机性访谈干预措施。以下是从纳入研究的主题中提取的基于健康指导的干预措施的特征:(a)卫生专业人员应接受动机性访谈/健康指导干预措施使用方面的培训;(b)口腔卫生专业人员应在实践中掌握动机技巧,以吸引患者并避免在行为改变过程中进行批评;(c)牙科诊所应引入常规简短的动机性访谈/健康指导干预课程;(d)传统的口腔健康教育方法应辅以个性化的沟通;(e)出于成本效益考虑,应考虑采用动机性访谈/健康指导策略。
本范围综述表明,基于健康指导的健康指导和动机性访谈技术可显著影响口腔健康结果和行为改变,并可改善口腔卫生专业人员与患者之间的沟通。这就要求社区和临床环境中的牙科团队使用基于健康指导的技术。本综述突出了文献中的空白,表明需要对基于健康指导的口腔健康促进干预策略进行更多研究。