Special Issue "Dental Hygiene"
A special issue of Dentistry Journal (ISSN 2304-6767).
Deadline for manuscript submissions: closed (31 October 2013)
Ms. Maria Perno Goldie
International Federation of Dental Hygienists, Seminars for Women's Health
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Type of Paper: Article
Title: Dental Hygienist Students´ Learning about Motivational Interviewing
Authors: Ann-Christin Johannsen 1, Lars Uhlin 2, Gunnar Johannsen 1,3, Annsofi Johannsen 1
Affiliations: 1 Division of Periodontology and Dental Hygiene, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden; 3 Department of Periodontology, Dana-Clinic, Stockholm, Sweden; 2 Institute of Education, Learning, Informatics, Management & Ethics, Karolinska Institutet, Solna, Sweden
Information: In order to promote oral health, the National guidelines for adult dental care in Sweden (National Board of Health and Welfare, 2011) recommend methods to influence or change behaviors. One way of achieving this is by means of a structured interview methodology which has a theory based foundation. Motivational interviewing (MI) is a method that aims to help people to implement changes in behavior by respecting the person´s autonomy, stimulate positive changes and enhance the person´s own motivation.
Objective: To investigate whether dental hygienist students through mentoring can increase their ability to conduct motivational interviewing compared with students who follow the regular curriculum.
Material & Method: Ten dental hygienist students were randomly selected to either the intervention group (IG) or the control group (CG). Students in the IG performed two motivational interviewing calls which were discussed in a peer group and a tutor, where reflections of the calls and design were made. Thereafter the students performed the third MI call which was evaluated by the standardized assessment schedule “Motivational Interviewing Treatment Integrity Code, Version 3.1” (MITI 3.1) (Forsberg et al 2011). This assessment measure how well MI calls were performed. The CG consisted of five students who followed the regular curriculum in the education. They conducted one MI call which also was measured by the (MITI 3.1). A questionnaire was used to study how students reflected before and after these MI calls. The analysis was performed by using descriptive statistics and for the comparison between groups the Mann-Whitney test was used.
Result: The students in the IG asked more open-ended questions to the patients and conducted significantly more simple and complex reflections in line with what is meant by motivational interviewing compared to the CG (15 vs. 7 occasions, p < 0.05; 11 vs. 1 occasions, p < 0.05). The IG gave also significant less information during the call, and thereby asked more open-ended questions to the patients than the CG (19 vs. 35 occasions, p < 0.05). The questionnaire showed that both groups planned their MI calls carefully by preparing questions before they met the patients. They also mentioned during the seminar that it was difficult to get a good flow in the conversation.
Conclusion: Dental hygienist students in the present study increase their skills in motivational interviewing by mentoring from a peer group and by the help of a tutor.