Assessing motivational interviewing integrity in the Toddler Oral Health Intervention study

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2024-06-21 DOI:10.1111/cdoe.12987

Peggy C. J. M. van Spreuwel, Esther Voets, Janna Bruijning, Cor van Loveren, Geert J. M. G. van der Heijden, Katarina Jerković-Ćosić

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Abstract

Objectives

The Toddler Oral Health Intervention (TOHI) was launched in 2017 to promote oral health prevention at well-baby clinics, with a focus on parents with children aged 6–48 months. This study aims to evaluate the integrity of motivational interviewing (MI) as one of the core intervention pillars in the TOHI study.

Methods

The TOHI study was conducted at nine well-baby clinics in the central and southern regions of the Netherlands, with 11 trained oral health coaches (OHCs) delivering a tailored individual counselling programme. Audio recordings of counselling sessions were uploaded by the OHCs into an online portal for feedback and integrity evaluation purposes. A trained independent assessor evaluated MI integrity using the MITI 4.2.1 coding scale. IBM SPSS Statistics was used to analyse the data, with ratings on technical and relational components and behavior counts computed by adding up the scores and categorizing them into six key MI skills. Descriptive statistics, including frequencies, percentages and median scores with interquartile ranges, were calculated.

Results

The median ratings on the technical and relational components were 2.5 (IQR 2.0–3.5) and 3.5 (IQR 3.0–4.0) out of a maximum of 5, with 45% and 58% of recordings showing fair or good MI integrity, respectively. A median of 38% (IQR 25–55%) of complex reflections and a reflection-to-question ratio of 0.7 (IQR 0.4–1.0), with 47% and 24% of recordings showing fair or good MI integrity, respectively. Median counts of MI-adherent and non-adherent statements were 3.0 (IQR 2.0–5.0) and 0.0 (IQR 0.0–1.0), respectively. The duration of recordings and MI integrity varied among oral health coaches.

Conclusion

Overall, this study revealed that, while intensive training was provided, not all OHCs in the TOHI study met fair thresholds for MI integrity. These findings emphasize the necessity of ongoing training, reflection and support to achieve and maintain a fair or good level of MI integrity in clinical practice.

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评估幼儿口腔健康干预研究中动机访谈的完整性

目的幼儿口腔健康干预（TOHI）于 2017 年启动，旨在促进健康婴儿诊所的口腔健康预防工作，重点关注有 6-48 个月大婴儿的父母。本研究旨在评估动机访谈法（MI）作为 TOHI 研究核心干预支柱之一的完整性。方法 TOHI 研究在荷兰中部和南部地区的九家婴儿健康诊所开展，由 11 名经过培训的口腔健康指导员（OHC）提供量身定制的个人咨询项目。口腔健康辅导员将辅导课的录音上传到一个在线门户网站，用于反馈和完整性评估。一名训练有素的独立评估员使用 MITI 4.2.1 编码量表对口腔信息管理的完整性进行评估。数据分析使用了 IBM SPSS 统计软件，通过将分数相加并归类为六种关键的多元智能技能，计算出技术和关系部分的评分以及行为计数。结果技术和关系部分的评分中位数分别为 2.5（IQR 2.0-3.5）和 3.5（IQR 3.0-4.0）（满分 5 分），分别有 45% 和 58% 的录音显示出一般或良好的管理信息系统完整性。复杂反射的中位数为 38%（IQR 25-55%），反射与问题的比率为 0.7（IQR 0.4-1.0），分别有 47% 和 24% 的记录显示出一般或良好的 MI 完整性。符合 MI 和不符合 MI 的中位数分别为 3.0（IQR 2.0-5.0）和 0.0（IQR 0.0-1.0）。总之，本研究表明，虽然提供了强化培训，但并非 TOHI 研究中的所有口腔保健教练都达到了口腔健康指导完整性的公平阈值。这些发现强调了持续培训、反思和支持的必要性，以便在临床实践中达到并保持管理信息系统完整性的一般或良好水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.