Social Science and Dentistry

cover art

Cover Date:
June 2014
Print ISSN:
2040-4263
Vol:
3
Issue:
1

The use of Motivational Interviewing in oral health interventions; overview

Objective: Motivational Interviewing (MI), a counselling technique designed to stimulate a client’s inner will to change, is based on four principles: empathy, developing discrepancy between current and an alternate behaviour, reinforcing self-efficacy and rolling with resistance to change. The most important component of MI is thought to be the MI ‘spirit’. MI spirit is concerned with enhancing client collaboration as well a client’s autonomy. Despite evidence of efficacy and increasing use of MI in a range of oral health settings, little attention has been paid to documenting the integrity of MI delivery (fidelity). In the first of four papers regarding challenges in testing fidelity in MI oral health interventions, we aim to provide an overview of MI-based oral health interventions. Methods: A literature search using a range of electronic data bases was performed using key words ‘Motivational Interviewing’ and ‘oral health’ or ‘dental health’ or ‘dental disease’. A summary of the studies was collated, with key strengths and weaknesses noted. Results: A total of 42 publications resulted from the literature search. Of these, 22 included studies specifically relating to MI. Of these, nine studies mentioned fidelity. Of these, three used the Motivational Interviewing Treatment Integrity (MITI) code; the most recognised and reputable of MI fidelity assessment instruments. These publications did not reflect currently funded or conducted studies which may or may not include fidelity assessment of the MI intervention. Conclusions: There are an increasing number of studies using MI interventions in oral health research. However, few studies have assessed fidelity of MI-based interventions. There is a need to explore barriers to assessing fidelity in these interventions.

Key words: Motivational Interviewing, oral health, dental health, dental disease

Article Price
£15.00
Institution Article Price
£
Page Start
2
Page End
4
Authors
C Reidy, LM Jamieson, P Weinstein

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial
  2. 1
  3. 1

  1. The use of Motivational Interviewing in oral health interventions; overview
  2. 2
  3. 4

  1. Assessing fidelity in Motivational Interviewing interventions; an overview
  2. 5
  3. 9

  1. Testing fidelity in Motivational Interviewing oral health interventions: an example
  2. 10
  3. 13

  1. Challenges in testing fidelity in Motivational Interviewing oral health interventions
  2. 14
  3. 16

  1. An ethical dilemma: our current understanding of prevention in primary dental care. A qualitative study
  2. 17
  3. 26

  1. Beyond social determinants: a neo-Marxist approach to understanding the causes of the social determinants of inequalities in oral health
  2. 27
  3. 33