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Randomized Controlled Trial
. 2014 Apr 14:15:125.
doi: 10.1186/1745-6215-15-125.

Motivational interviewing with American Indian mothers to prevent early childhood caries: study design and methodology of a randomized control trial

Terrence Batliner  1 , Karen A Fehringer, Tamanna Tiwari, William G Henderson, Anne Wilson, Angela G Brega, Judith Albino
Affiliations
Randomized Controlled Trial

Motivational interviewing with American Indian mothers to prevent early childhood caries: study design and methodology of a randomized control trial

Terrence Batliner et al. Trials. .

Abstract

Background: This randomized control trial assesses the effectiveness of motivational interviewing (MI) to encourage behavior change in new mothers relating to caries prevention when caring for their newborn American Indian (AI) infants and young AI children.

Methods/design: The study is a randomized control trial. We hypothesize that when motivational interviewing is added to enhanced community oral health education services, the new mothers will achieve greater reduction of caries experience in their AI children compared to those who are receiving enhanced community services (ECS) alone. Six hundred mothers or caregivers of AI newborns will be enrolled into the study and randomized to one of the two intervention groups over a two-year period. The children will be followed until the child's third birthday. A cost analysis of the study is being conducted in tandem with the enhanced community services, motivational interviewing behavioral interventions, and the dental screenings for the length of the study.

Discussion: The trial is now in the implementation phase and a number of threats to successful completion, such as recruitment and retention challenges in a vast, rural geographic area, have been addressed. The protocol provides a unique model for oral health interventions using principles of community-based participatory research and is currently on schedule to meet study objectives. If the study is successful, motivational interviewing intervention can be applied in AI communities to reduce ECC disparities in this disadvantaged population, with study of further applicability in other populations and settings.

Trial registration: ClinicalTrials.gov, NCT01116726.

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Figures

Figure 1
Figure 1
Conceptual framework for motivational interviewing and oral health outcomes. The figure presents the conceptual framework that guides the study. This framework will guide the intervention that will impact the oral health behaviors and ultimately the oral health outcomes. dmfs, decayed, missing and filled tooth surfaces.
See this image and copyright information in PMC

References

    1. United States Department of Health and Human Services Indian Health Service. The 1999 Oral Health Survey of American Indian and Alaska Native Dental Patients: Findings, Regional Differences and National Comparisons. 2002. http://dhss.alaska.gov/dph/wcfh/Documents/oralhealth/docs/Oral_Health_19....
    1. American Academy of Pediatric Dentistry A. Definition of early childhood caries. Pediatr Dent. 2006;28:13.
    1. Batliner T, Tiwari T, Wilson A, Janis M, Brinton JT, Daniels DM, Gallegos JR, Lind KE, Glueck DH, Thomas J. An assessment of oral health on the pine ridge Indian reservation. Fourth World J. 2013;12:5–17.
    1. Phipps KR, Ricks TL, Manz MC, Blahut P. Prevalence and severity of dental caries among American Indian and Alaska Native preschool children. J Public Health Dent. 2012;72:208–215. doi: 10.1111/j.1752-7325.2012.00331.x. - DOI - PubMed
    1. Vargas CM, Ronzio CR. Disparities in early childhood caries. BMC Oral Health. 2006;6:S3. doi: 10.1186/1472-6831-6-S1-S3. - DOI - PMC - PubMed

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