Effectiveness of Brief Motivational Interviewing on Periodontal Patients’ Importance, Interest, and Self-Efficacy: A Randomized Clinical Trial

23 Pages Posted: 1 Jun 2022

See all articles by Michelle Arnett

Michelle Arnett

University of Minnesota - Department of Primary Dental Care

Kelly Roger

University of Minnesota - Department of Primary Dental Care

Michael Evans

University of Minnesota - Minneapolis - Medical School

Yvette Reibel

University of Minnesota - Department of Primary Dental Care

Abstract

Objective: The objective was to investigate periodontal patients’ perceived importance, interest, and self-efficacy of oral hygiene behaviors in test (brief motivational interviewing) and control (traditional oral hygiene instruction) groups and the impact of motivational interviewing fidelity on the test group.

Methods: Randomized test and control participants completed a pre and post questionnaire developed from the Transtheoretical Model. The Motivational Interviewing Treatment Integrity Coding Manual 4.2.1 was used to code global scores and behavioral count frequency of the test group. 

Results: Importance was higher in the test group for good oral health and daily oral self-care. Interest in taking care of teeth and gums and changing a homecare routine was higher in the test group. Self-efficacy was higher in the test group for taking care of teeth and gums, making a change to improve oral health, and maintaining a change long-term. High global scores and behavior count frequency were associated with higher test group reported self-efficacy.

Conclusion: A brief motivational interviewing intervention was superior to enhance perceived importance, interest, and self-efficacy of oral hygiene behaviors.

Practice Implications: Providers need to focus on practicing and demonstrating the Spirit of MI to embrace patient autonomy and apply OARS in behavior change counseling.

Note:
Clinical Trial Registration Details: Secondary outcomes were investigated of periodontal patients’ perceived importance, interest, and SE from a single-site, randomized examiner-blinded clinical trial (STUDY00003697). Registered with ClinicalTrials.gov (NCT03571958).

Funding Information: This research was supported by the National Institutes of Health’s National Center for Advancing Translational Sciences, grant UL1TR002494.

Declaration of Interests: I know of no conflict of interests associated with this publication, and there has been no financial support for this work that could have influenced its outcomes.

Ethics Approval Statement: Approved by the University of Minnesota (UMN) Institutional Review Board (IRB).

Keywords: Motivational interviewingBrief motivational interviewingPeriodontitisPatient educationMI strategies

Suggested Citation

Arnett, Michelle and Roger, Kelly and Evans, Michael and Reibel, Yvette, Effectiveness of Brief Motivational Interviewing on Periodontal Patients’ Importance, Interest, and Self-Efficacy: A Randomized Clinical Trial. Available at SSRN: https://ssrn.com/abstract=4118410 or http://dx.doi.org/10.2139/ssrn.4118410

Michelle Arnett (Contact Author)

University of Minnesota - Department of Primary Dental Care ( email )

United States

Kelly Roger

University of Minnesota - Department of Primary Dental Care ( email )

Michael Evans

University of Minnesota - Minneapolis - Medical School ( email )

Yvette Reibel

University of Minnesota - Department of Primary Dental Care ( email )

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