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母亲中动机性访谈与传统口腔健康教育方法对儿童口腔健康及行为改变的比较评价:一项系统评价与Meta分析

Comparative Evaluation of Oral Health and Behavior Changes in Children after Motivational Interviewing and Traditional Method of Oral Health Education among Mothers: A Systematic Review and Meta-analysis.

作者信息

Karande Purnima H, Shetty Vittaldas B, Vinay Vineet, Bhor Ketaki B, Ambildhok Kadambari A, Shaw Amar K

机构信息

Department of Public Health Dentistry, Sinhgad Dental College & Hospital, Pune, Maharashtra, India.

Department of Public Health Dentistry, DY Patil (Deemed to be University) School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.

出版信息

Int J Clin Pediatr Dent. 2023 May-Jun;16(3):464-473. doi: 10.5005/jp-journals-10005-2594.

Abstract

AIM

To analyze the effectiveness of motivational interviewing (MI) compared to traditional health education among mothers in improving children's oral health and behavioral changes.

REVIEW METHODS

The search strategy was framed using relevant MeSH terms and free text terms in PubMed, Medical Literature Analysis and Retrieval System Online (MEDLINE), Directory of Open Access Journals (DOAJ), Cochrane Library, and Google Scholar for the articles published in the English language between 1 January 2000 and 31 December 2020. Only randomized controlled trials, non-randomized controlled trials, and clinical trials comparing MI with traditional health education were included. Cochrane risk of bias (ROB) tool was used for the quality assessment of the included studies, and Review Manager 5.3 software was used for computing results.

RESULTS

A total of 9 studies were included for qualitative synthesis and 5 for quantitative synthesis from an initial search of 3,708 articles. The cumulative mean difference for dental caries was -1.03 [95% confidence interval (CI)-1.37-0.70] < 0.00001, for frequency of toothbrushing Pooled odds ratio was 1.69 (95% CI-0.68-4.25) p = 0.26 and for in-between snacking was 0.83 with (95% CI-0.48-1.44) = 0.51. A significant difference was present in dental caries among children with mothers in the MI group, while no difference was present in in-between snacking and frequency of toothbrushing between both the groups.

CONCLUSION

Motivational interviewing (MI) prove to be significantly effective in reducing newer dental caries for shorter duration; however, long-term effectiveness could not be assessed.

CLINICAL SIGNIFICANCE

Motivational interviewing (MI) can be considered an effective and feasible method for oral health education to mothers, which will, in turn, improve the oral health of their children.

PROTOCOL REGISTRATION

International prospective register of systematic reviews (PROSPERO) under registration code. CRD42021224278.

HOW TO CITE THIS ARTICLE

Karande PH, Shetty VB, Vinay V, Comparative Evaluation of Oral Health and Behavior Changes in Children after Motivational Interviewing and Traditional Method of Oral Health Education among Mothers: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2023;16(3):464-473.

摘要

目的

分析与传统健康教育相比,动机性访谈(MI)对母亲改善儿童口腔健康及行为改变的有效性。

综述方法

检索策略采用相关医学主题词(MeSH)及自由文本词,在PubMed、医学文献分析与检索系统联机数据库(MEDLINE)、开放获取期刊目录(DOAJ)、Cochrane图书馆及谷歌学术中检索2000年1月1日至2020年12月31日发表的英文文章。仅纳入比较MI与传统健康教育的随机对照试验、非随机对照试验及临床试验。采用Cochrane偏倚风险(ROB)工具对纳入研究进行质量评估,并用Review Manager 5.3软件计算结果。

结果

初步检索3708篇文章后,共纳入9项研究进行定性综合分析,5项进行定量综合分析。龋齿的累积平均差为-1.03[95%置信区间(CI)-1.37至-0.70]<0.00001,刷牙频率的合并比值比为1.69(95%CI-0.68至4.25),p = 0.26,两餐之间吃零食的合并比值比为0.83(95%CI-0.48至1.44),p = 0.51。MI组母亲的孩子中,龋齿存在显著差异,而两组在两餐之间吃零食及刷牙频率方面无差异。

结论

动机性访谈(MI)在短期内减少新发龋齿方面被证明显著有效;然而,无法评估其长期有效性。

临床意义

动机性访谈(MI)可被视为对母亲进行口腔健康教育的一种有效且可行的方法,这反过来将改善其孩子的口腔健康。

方案注册

国际系统评价前瞻性注册库(PROSPERO),注册号CRD42021224278。

如何引用本文

卡兰德PH、谢蒂VB、维奈V,《动机性访谈与传统口腔健康教育方法对母亲进行口腔健康教育后儿童口腔健康及行为改变的比较评价:一项系统评价与荟萃分析》。《国际临床儿科牙科学杂志》2023;16(3):464-473。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c296/10367297/756e89e8628f/ijcpd-16-464-g001.jpg

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本文引用的文献

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