None listed
Conditions
Brief summary
The aim of this project is to determine the health impact measured by the incidence of caries and literacy levels in oral health after 12 months of an intervention in oral health promotion through the motivational interview compared to the traditional way to deliver oral health promotion in kindergarten. An experimental community trial is proposed in two urban areas of low socioeconomic status in the province of Concepcion: Los Cerros in Talcahuano and Boca Sur in San Pedro de la Paz. Both sectors are covered by public kindergartens (JUNJI or INTEGRA) that promote oral health in traditional ways (TW). The promotion intervention in households consist of 4 to 6 visits by a dental assistant previously trained for two months in the delivery of a standardized oral health promotion through the technique of motivational interviewing (MI). The experimental group will receive TW and MI, whereas the control group only TW. If it is found a positive and significant effect of MI, this will be administered to the control group. For a 50% reduction in the incidence of caries a sample size of 120 preschoolers per group was estimated. The project involves the implementation of activities spread over 7 phases to develop during the 24 months, as follows: 1. Preparation of the team; 2. Measurement of baseline data; 3. Implementation of the intervention; 4. Waiting Period; 5. Measurement of post-intervention data; 6. Analysis of the data; and 7. Generation products. The outcome variables assessed at follow-up corresponding to the difference in the experimental and control groups in the incidence of caries in preschool and change in oral health literacy of parents and/or caregivers.
Interventions
Four to six home visits by dental assistants previously trained in motivational interview covering oral health.
Motivational interview involves an initial assessment about dental care (hygiene and other habits), according to this assessment the dental assitants will motivate to change behaviors using techniques like: identifying the problems of the patients, reflective listening, open ended questions, summary statements, and providing affirmations.
The complete procedure takes 3 to 6 weeks. The
Four to six home visits by dental assistants previously trained in motivational interview covering oral health. Motivational interview involves an initial assessment about dental care (hygiene and other habits), according to this assessment the dental assitants will motivate to change behaviors using techniques like: identifying the problems of the patients, reflective listening, open ended questions, summary statements, and providing affirmations. The complete procedure takes 3 to 6 weeks. The frequency of visits is one per 7-to-14 days. The mode of administration includes (by invitation) to all members of families (parents, children and other adults) present in the house at the moment of the visit. Preschool children from this families receive dental education in their kindergarten.
Sponsors
Universidad de Concepcion.
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
2 Years to 4 Years
Healthy volunteers
Yes
Inclusion criteria
Preschool children from deprived families from Province of Concepcion in Chile. Preschool children attending public kindergarten.
Exclusion criteria
Preschool children under large dental treatments. Preschool children with intellectual disability parents and/or caregivers.
Outcome results
None listed