Journal of dental hygiene : JDH / American Dental Hygienists'' Association最新文献

Purpose Dental caries is the most common chronic disease in children and the US Preventive Services Task Force recommends integration of oral health assessments and minimally invasive services into primary care for early oral health prevention. The purpose of the study was to identify barriers to integrating silver diamine fluoride (SDF) into well-child visits with primary care physicians (PCPs) and non-medical professionals and to provide recommendations for future medical-dental integration (MDI) interventions.Methods This phenomenological qualitative study used a purposive sample of PCPs and non-medical professionals (n=12) and virtual semi-structured interviews for data collection. Inductive followed by deductive analysis approaches were used for thematic analysis.Results Nine themes across four domains emerged; systems level barriers within healthcare systems, educational barriers, workflow challenges, and provider perceptions. Barrier themes included approval processes within the healthcare system, billing and coding processes, lack of oral health education, training challenges, lack of workflow time, shortage of oral health providers, oral health professionals' views on SDF, as well as perceptions SDF is a novel treatment and outside the medical scope of practice. Further analysis identified 10 recommendations to assist other professionals or health systems in future MDI efforts.Conclusion This study provides insight into barriers for development and implementation of SDF integration initiatives to aid increased adoption of SDF into primary care, and MDI efforts overall. The barriers identified and recommendations offer opportunities for dental hygienists to engage in collaborative interprofessional care.

Purpose Despite the availability of a vaccine to prevent Human papillomavirus-related oropharyngeal cancer (HPV-OPC), its incidence has surpassed all other HPV-related cancers. Dental hygienists play an important role in patient education and vaccine counseling for the prevention of HPV-OPC. The purpose of this study was to assess the utilization of HPV Brief Motivational Interviewing (brief MI) Skills Based Training among the University of Minnesota (UMN) dental hygiene alumni.Methods A quantitative study was conducted with a convenience sample of dental hygiene alumni (classes of 2020-2024; n=135) who completed HPV Brief MI Skills Based Training at the UMN. Multiple recruitment strategies were used including email, mail, social media, and snowball sampling. Participants completed a 37-item anonymous electronic survey via Qualtrics. The survey was adapted from previously used instruments to assess HPV knowledge, attitudes, current practices in HPV counseling, and the application of brief MI for the prevention of HPV-OPC.Results Among the participants (n=51), 49% reported using MI strategies to counsel at least one patient on prevention of HPV-OPC infections and indicated high comfort and confidence in applying MI strategies. However, most participants (73%) acknowledged they do not routinely discuss HPV with patients. Barriers included time constraints, vaccine resistance, difficulty initiating conversations, and lack of confidence or comfort during discussions. Results indicate that knowledge retention and attitudes may be influenced by frequency of practice.Conclusion Dental hygiene alumni from five consecutive cohorts who received HPV Brief MI Skills-Based Training reported comfort and confidence in HPV communication with patients. Findings suggest brief MI is an effective counseling strategy for HPV-OPC prevention and vaccine advocacy. Reported barriers to regular HPV-OPC prevention counseling suggest a change in dental practice culture may be needed.

Oral and systemic chronic health conditions are widespread in the United States, and nutrition plays a crucial role in their prevention and management. Dental hygienists, as prevention specialists, are uniquely positioned to incorporate nutritional counseling into patient care due to their education and expertise in risk assessment. Despite its importance, integrating effective nutritional counseling in clinical practice is often challenging, with barriers such as time constraints, patient compliance, and clinician confidence. This report presents a blueprint for incorporating motivational interviewing (MI) through a Nutritional Risk Assessment and Counseling Tool (NRACT) into dental hygiene education at Eastern Washington University (EWU). The five-semester dental hygiene curriculum at EWU integrates nutrition concepts early in the course of study, using MI strategies to enhance student confidence in patient counseling. Students receive foundational training in MI techniques, including open-ended questions, reflective listening, and evoking patient motivation. The NRACT supports both assessment and structured nutritional counseling, allowing students to guide patient interactions effectively. Through clinical practice, workshops, and peer feedback, students refine their MI skills and develop confidence addressing nutrition-related concerns. Initial outcomes from EWU suggest incorporating the NRACT, which includes MI, increases students' comfort in discussing topics like nutrition while enhancing patient-centered care. This short report provides the framework to foster the development of skilled oral health care professionals equipped to promote nutritional health. Additionally, this report offers a transferable model for integrating nutritional counseling into dental hygiene education across diverse educational settings.

Health care professionals and health care students need effective skills to address the public health issue of tobacco use disorder. An accredited tobacco treatment specialist (TTS) program that includes case-based motivational interviewing (MI) instruction and role-playing with case-based tobacco scenarios, provides an opportunity to obtain or improve tobacco cessation skills. It is important for health care students to develop competency in MI as part of the evidence-based strategies used to assist individuals with tobacco cessation. The purpose of this short report was to evaluate the effectiveness of case-based teaching of MI concepts and assess health care students' ability to apply these techniques during tobacco cessation scenarios. Ten percent of the TTS program's certification examination consisted of case-based questions in MI skills developed by a team of experts. A total of 156 West Virginia University Health Sciences Center students (including dental and dental hygiene students) were examined. The mean overall correct response for MI case-based questions score was 89.0% (SD, 0.29). With an 80% competency score, this assessment of tobacco cessation case-based learning questions displayed proficient application of MI and case-based learning was considered a valuable method to teach a complex skill.

Dental caries is a complex, preventable disease that remains a global health burden. The burden of this disease has been shown to impact young children before the age of 6 years. Discussing dental caries prevention with the mother/caregiver(s) prior to childbirth is an ideal time to influence positive oral health behaviors. Motivational interviewing (MI) is a person-centered, goal-oriented, collaborative communication style that has been used to help individuals modify behaviors. The interrelated principles of partnership, acceptance, compassion, and evocation underpin the MI approach while utilizing communication skills such as asking open-ended questions, affirmation, reflective listening, and summarizing (OARS) to engage with the individual. Motivational interviewing is an evidence-based communication approach used to assist individuals in modifying behaviors related to health, mental health, nutrition, substance use, and oral health. The integration of MI has shown promise when communicating with mothers/caregiver(s) about dental caries prevention among young children. The purpose of this short report is to describe the MI approach and its use in dental caries prevention for young children.

Purpose The purpose of this narrative review was to explore how motivational interviewing (MI) and brief MI are utilized for nutritional counseling in oral health care to support patient-centered dietary behavior change.Methods This narrative review followed PRISMA format. A search strategy was designed using MeSH terms and keywords with inclusion and exclusion categories dictating the search. Searches were conducted in Ovid Medline^® ALL, CINAHL, Scopus, and Web of Science. Studies were screened in Rayyan by two independent reviewers. Eligible studies were categorized into two domains: MI utilization by provider type or setting and MI application for a population or a condition.Results The search yielded 122 articles. After title and abstract screening, 113 articles were excluded. Following full-text review, three more were removed, resulting in six (n=6) studies for inclusion. Four studies examined the utilization of MI by provider type or setting. These studies demonstrated MI training improved provider confidence and interest in delivering nutritional counseling, with brief MI interventions showing effectiveness in dietary behavior change. Two studies focused on the application of MI for a population or condition.Conclusion Motivational interviewing and brief MI can be utilized for nutritional counseling in oral health care settings by dental hygienists to enhance their confidence, promote patient behavior change, and contribute to improved dietary habits for improved oral and systemic health. The Nutritional Risk Assessment and Counseling Tool (NRACT) can be used as a risk assessment and guide to facilitate brief MI in a dental setting for nutritional counseling.

Purpose The purpose of this study was to determine the longitudinal impact of multiple brief motivational interviewing (MI) sessions on behaviors as measured by clinical indicators of periodontitis and patient perceptions of importance, interest, and self-efficacy for oral hygiene behaviors.Methods Fifty-eight patients in the periodontal maintenance phase of therapy who had completed all study visits from a 1-year single-masked, examiner randomized clinical trial were invited to participate in this 3-year follow-up study with no intervention. Clinical outcomes of O'Leary plaque score, bleeding on probing (BOP), gingival index (GI) and patients' perceived interest, importance, and self-efficacy for oral hygiene behaviors were collected. Results were reported using means with 95% confidence intervals (CI). Analyses were performed using statistical software (R version 4.3.2).Results A total of 41 patients participated for a 72% retention rate. The brief MI group yielded a statistically significant reduction in BOP from baseline to 3-years (0.02) and significance in the reduction of GI scores from baseline to 3-years (p<0.0001). Perceived self-efficacy in maintaining a change long-term was sustained from baseline (4.19) to 3-year follow-up (4.14) for the brief MI group as compared to the traditional OHI group (baseline 4.23; 3-year follow-up 4.04). Time of interaction between traditional oral hygiene instruction (OHI) and brief MI groups did not achieve statistical significance for plaque score from baseline to 3-years (0.12).Conclusion A brief MI intervention achieved longitudinal reductions in clinical indicators of periodontitis and enhanced patient's perception of self-efficacy for oral hygiene behaviors at a 3-year follow-up.

Commission on Dental Accreditation Standards require that dental hygiene students are competent in evaluation of scientific literature. A current problem is the lack of faculty mentorship to develop allied oral health student researchers. The goal the University of Minnesota (UMN) undergraduate research program was to utilize an existing writing curriculum thread and mentor students interested in research through the development of research question(s), study design, conducting research, and the manuscript development process to achieve a publication.The UMN dental hygiene program assessed the writing within the program, created standardized rubrics for research and reflective writing, and calibrated dental hygiene faculty on their use. Additionally, a writing orientation workshop was established to increase student success in writing. Students were also encouraged to apply for a dental hygiene writing award as this was used to select students for the research mentorship program. Writing outcomes were assessed and improvement was demonstrated in several key writing standards defined by the program. A total of nine (n=9) students have participated in the faculty research mentorship program from 2019 to 2023 and eight students completed the program assessment questionnaire (n=8, 87.5%). All participants reported strong agreement that they felt supported in all aspects of the research process and expressed confidence that they could complete research in the future. Six students had publications and one student was under review. The development of a writing enriched curriculum and a writing orientation workshop has improved student writing outcomes and student engagement in research and publication at UMN. Faculty mentorship resulted in students' experience with manuscript development and the peer-review process to obtain a publication. More faculty mentorship in undergraduate allied oral health education is needed to engage students in the research process.