본문 바로가기
KERD
논문KCI 등재

Development of a Motivational Interviewing Oral Health Education Program for Elementary School Students

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류치의학

초록

Background: Motivational interviewing (MI) is effective in promoting sustained behavioral changes across various fields. However, there is a lack of research on the application of MI in oral health education, targeting elementary school students in South Korea. This study aimed to develop an MI-based oral health education program to positively influence oral health behaviors and improve the oral health of elementary school students. Methods: The program was developed using Sussman’s curriculum development model in four stages: theoretical research and needs assessment; collection of program activity strategies; evaluation and review of activities; and final production of the program. The program was refined based on feedback from four experts to enhance its validity and effectiveness. Results: The final program consisted of five one-hour sessions. Fifteen activity sheets were created to align the contents of each session. The sessions incorporated key MI techniques, including open questions, affirmations, reflections, summaries and information provision, with the goals of building rapport, assessing readiness for behavior change, exploring ambivalence, creating discrepancies, motivating change, and planning for action. The oral health education content was tailored to the level of upper elementary students, covering topics such as tooth structure and function, causes and progression of dental caries, Bass method of tooth brushing, use of dental floss and tongue cleaners, and identification of cariogenic foods. Conclusion: This study is significant because it developed an MI-based program capable of promoting self-driven behavioral change that moves beyond traditional lecture-based oral health education. Future research should focus on evaluating the effectiveness of the program and exploring its applicability to other age groups.

Abstract

Background: Motivational interviewing (MI) is effective in promoting sustained behavioral changes across various fields. However, there is a lack of research on the application of MI in oral health education, targeting elementary school students in South Korea. This study aimed to develop an MI-based oral health education program to positively influence oral health behaviors and improve the oral health of elementary school students. Methods: The program was developed using Sussman’s curriculum development model in four stages: theoretical research and needs assessment; collection of program activity strategies; evaluation and review of activities; and final production of the program. The program was refined based on feedback from four experts to enhance its validity and effectiveness. Results: The final program consisted of five one-hour sessions. Fifteen activity sheets were created to align the contents of each session. The sessions incorporated key MI techniques, including open questions, affirmations, reflections, summaries and information provision, with the goals of building rapport, assessing readiness for behavior change, exploring ambivalence, creating discrepancies, motivating change, and planning for action. The oral health education content was tailored to the level of upper elementary students, covering topics such as tooth structure and function, causes and progression of dental caries, Bass method of tooth brushing, use of dental floss and tongue cleaners, and identification of cariogenic foods. Conclusion: This study is significant because it developed an MI-based program capable of promoting self-driven behavioral change that moves beyond traditional lecture-based oral health education. Future research should focus on evaluating the effectiveness of the program and exploring its applicability to other age groups.

참고문헌 (33)

  1. "2021-2022 Survey on children’s oral health" (2023)[URL]
  2. Sandström A, "Tooth-brushing behaviour in 6-12 year olds", Int J Paediatr Dent, 21, pp.43~49 (2011)[DOI]
  3. Bartley M, "Health and the life course : why safety nets matter", BMJ, 314, pp.1194~1196 (1997)[DOI]
  4. Wu L, "Motivational interviewing to promote oral health in adolescents", J Adolesc Health, 61, pp.378~384 (2017)[DOI]
  5. Miller WR, "Motivational interviewing with problem drinkers", Behav Cogn Psychother, 11, pp.147~172 (1983)[DOI]
  6. Miller WR, "Motivational interviewing: helping people change", pp.1~211 (2013), Guilford Press
  7. Li X, "Effects of a transtheoretical model-based intervention and motivational interviewing on the management of depression in hospitalized patients with coronary heart disease : a randomized controlled trial", BMC Public Health, 20, pp.420~ (2020)[DOI]
  8. He G, "The effect of motivational interviewing based on the transtheoretical model on oral cleaning behavior of patients with periodontitis who have undergone implant restoration", Technol Health Care, 31(S1), pp.541~549 (2023)[DOI]
  9. Kang HY, "The effect of motivational interviewing program on self-efficacy and suicidal ideation of suicide attempters", Ment Health Soc Work, 45, pp.116~143 (2017)[DOI]
  10. Hawrot H, "Does motivational interviewing promote oral health in adolescents?", Evid Based Dent, 22, pp.134~135 (2021)[DOI]
  11. Melnick R, "Effectiveness of motivational interviewing in smoking groups in primary healthcare : a community-based randomized cluster trial", Cad Saude Publica, 37, pp.e00038820~ (2021)[DOI]
  12. Rigau-Gay MM, "Effectiveness of motivational interviewing to improve oral hygiene in orthodontic patients : a randomized controlled trial", J Health Psychol, 25, pp.2362~2373 (2020)[DOI]
  13. Han YS, "The effect of oral health care program based on motivational interviewing", J Dent Hyg Sci, 14, pp.287~294 (2014)[DOI]
  14. Sussman S, "Curriculum development in school-based prevention research", Health Educ Res, 6, pp.339~351 (1991)[DOI]
  15. Mohammadi TM, "Improving oral health status of preschool children using motivational interviewing method", Dent Res J (Isfahan), 12, pp.476~481 (2015)[DOI]
  16. Naidu R, "The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children : an exploratory cluster randomised controlled study", BMC Oral Health, 15, pp.101~ (2015)[DOI]
  17. Gao X, "Face-to-face individual counseling and online group motivational interviewing in improving oral health : study protocol for a randomized controlled trial", Trials, 16, pp.416~ (2015)[DOI]
  18. Henshaw MM, "Randomized trial of motivational interviewing to prevent early childhood caries in public housing", JDR Clin Trans Res, 3, pp.353~365 (2018)[DOI]
  19. Tellez M, "Motivational interviewing and oral health education : experiences from a sample of elderly individuals in North and Northeast Philadelphia", Spec Care Dentist, 39, pp.201~207 (2019)[DOI]
  20. Faustino-Silva DD, "Motivational interviewing effects on caries prevention in children differ by income : a randomized cluster trial", Community Dent Oral Epidemiol, 47, pp.477~484 (2019)[DOI]
  21. Tellez M, "Randomised clinical trial of a motivational interviewing intervention to improve oral health education amongst older adults in Philadelphia : 12-month evaluation of non-clinical outcomes", Gerodontology, 37, pp.279~287 (2020)[DOI]
  22. Saffari M, "Effect of a health-education program using motivational interviewing on oral health behavior and self-efficacy in pregnant women : a randomized controlled trial", Eur J Oral Sci, 128, pp.308~316 (2020)[DOI]
  23. Jiang S, "Motivational interviewing to prevent early childhood caries : a randomized controlled trial", J Dent, 97, pp.103349~ (2020)[DOI]
  24. Wu L, "Motivational interviewing for caries prevention in adolescents : a randomized controlled trial", Clin Oral Investig, 26, pp.585~594 (2022)[DOI]
  25. Arnett MC, "Brief motivational interviewing : evaluation of a skills-based education program", J Dent Hyg, 96, pp.46~56 (2022)
  26. Ramírez-Trujillo M, "Impact of a maternal motivational interviewing on oral health in the mother-child dyad", Healthcare (Basel), 10, pp.1044~ (2022)[DOI]
  27. Falahinia N, "The effectiveness of motivational interviewing on the oral health of leukemic children and oral health care knowledge, attitude and practice of their mothers : a hospitalbased intervention", BMC Pediatr, 23, pp.261~ (2023)[DOI]
  28. Arrow P, "Motivational interviewing and childhood caries : a randomised controlled trial", Int J Environ Res Public Health, 20, pp.4239~ (2023)[DOI]
  29. Lee JN, "The effects of motivational group art therapy on symptoms of internet addiction and self-control of internet-addicted children", Korean J Art Ther, 27, pp.259~281 (2020)[DOI]
  30. Kim H, "The development and effectiveness of motivational interviewing smartphone addiction prevention program for the middle grades of elementary school", J Educ Cult, 28, pp.573~597 (2022)[DOI]
  31. Ha YS, "Effectiveness of a motivational interviewing smoking cessation program on cessation change in adolescents", J Korean Acad Nurs, 42, pp.19~27 (2012)[DOI]
  32. Shin ES, "The effect of motivational counseling program on the knowledge and attitude of smoking cessation and smoking cessation behaviors of middle school students", J Korea Contents Association, 16, pp.444~455 (2016)[DOI]
  33. Chang KO, "The effects of motivation enhancement for smoking cessation program on middle school students’knowledge on smoking, self-efficacy, and daily amount of smoking", J Korea Acad Ind Coop Soc, 19, pp.393~403 (2018)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (19건)