Protocolos de la Entrevista Motivacional para la prevención de la caries dental en niños: Revisión de alcance

Autores/as

DOI:

https://doi.org/10.47990/b9r16366

Palabras clave:

Entrevista Motivacional, Salud Bucal, Caries Dental, Salud Infantil

Resumen

Introducción: La caries en la infancia continúa representando un desafío para la salud pública en Brasil. La Entrevista Motivacional (EM) se destaca en la literatura como un enfoque eficaz para promover cambios en el comportamiento. El acceso de los profesionales de la salud bucal a un protocolo estructurado de EM puede favorecer su aplicación en las acciones de educación en salud. Objetivo: Mapear sistemáticamente los estudios que emplearon protocolos de la EM en la prevención de la caries en niños, así como evaluarlos. Materiales y Métodos: Se realizó una revisión de alcance por dos revisores independientes, previamente entrenados y calibrados, quienes llevaron a cabo la búsqueda sistemática, selección y extracción de datos de estudios que aplicaron protocolos estructurados de EM en el manejo de la caries en niños. Se consultaron las bases de datos MEDLINE, LILACS, BBO, CUMED, BDENF, SciELO y Scopus, el período de recolección de datos abarcó de 2019 a 2024. La concordancia entre los revisores fue excelente (kappa≥0,84). Resultados: De las 862 referencias identificadas, se seleccionaron diez estudios por emplear un protocolo estructurado de la EM con padres o cuidadores de niños. Predominaron los ensayos clínicos aleatorizados, realizados en poblaciones de bajos ingresos y en niños con alto riesgo de caries. Conclusión: El mapeo de la producción científica sobre la EM en la prevención de la caries en la infancia identificó un número reducido de intervenciones basadas en un protocolo estructurado, siendo el Protocolo de Weinstein y colaboradores el único instrumento traducido y adaptado a otros idiomas.

Referencias

1. Early Childhood Caries: IAPD Bangkok Declaration. Int J Paediatr Dent. 2019 May;29(3):384-386. doi: 10.1111/ipd.12490.

2. de Silva AM, Hegde S, Akudo Nwagbara B, Calache H, Gussy MG, Nasser M, et al. Community-based population-level interventions for promoting child oral health. The Cochrane database of systematic reviews. 2016;9:Cd009837.

3. Antunes LAA, Ornellas G, Fraga RS, Antunes LS. Oral health outcomes: the association of clinical and socio-dental indicators to evaluate dental caries in preschool children. Cien Saude Colet. 2018;23(2):491-500.

4. Nobrega AVD, Moura L, Andrade NS, Lima CCB, Dourado DG, Lima MDM. Impact of dental caries on the quality of life of preschoolers measured by PedsQL questionnaire. Cien Saude Colet. 2019;24(11):4031-42.

5. Do LG. Distribution of caries in children: variations between and within populations. Journal of dental research. 2012;91(6):536-43.

6. Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Estratégias e Políticas de Saúde Comunitária. SB Brasil 2023 : Pesquisa Nacional de Saúde Bucal: relatório final [recurso eletrônico] / Ministério da Saúde, Secretaria de Atenção Primária à Saúde, Departamento de Estratégias e Políticas de Saúde Comunitária. – Brasília : Ministério da Saúde, 2024. p. 537.

7. Kay EJ, Locker D. Is dental health education effective? A systematic review of current evidence. Community dentistry and oral epidemiology. 1996;24(4):231-5.

8. Hooley M, Skouteris H, Boganin C, Satur J, Kilpatrick N. Parental influence and the development of dental caries in children aged 0-6 years: a systematic review of the literature. J Dent. 2012;40(11):873-85.

9. Santos O. Entrevista motivacional na prevenção e tratamento da obesidade. Endocrinologia, Diabetes e Obesidade. 2009;3(3):109-15.

10. Miller WR, Rose GS. Toward a theory of motivational interviewing. Am Psychol. 2009;64(6):527-37.

11. Boveda Fontan J, Perula de Torres LA, Campinez Navarro M, Bosch Fontcuberta JM, Barragan Brun N, Prados Castillejo JA, et al. [Current evidence on the motivational interview in the approach to health care problems in primary care]. Aten Primaria. 2013;45(9):486-95.

12. Faustino-Silva DD, Colvara BC, Meyer E, Hugo FN, Celeste RK, Hilgert JB. Motivational interviewing effects on caries prevention in children differ by income: A randomized cluster trial. Community dentistry and oral epidemiology. 2019;47(6):477-484.

13. Figlie NB, Guimarães LP. A Entrevista Motivacional: conversas sobre mudança. Boletim - Academia Paulista de Psicologia. 2014;34(87):472-89.

14. Gao X, Lo EC, Kot SC, Chan KC. Motivational interviewing in improving oral health: a systematic review of randomized controlled trials. Journal of periodontology. 2014;85(3):426-37.

15. Cascaes AM, Bielemann RM, Clark VL, Barros AJ. Effectiveness of motivational interviewing at improving oral health: a systematic review. Revista de saude publica. 2014;48(1):142-53.

16. Kopp SL, Ramseier CA, Ratka-Kruger P, Woelber JP. Motivational Interviewing As an Adjunct to Periodontal Therapy-A Systematic Review. Frontiers in psychology. 2017;8:279.

17. Albino J, Tiwari T. Preventing Childhood Caries: A Review of Recent Behavioral Research. Journal of dental research. 2016;95(1):35-42.

18. Abirami, Sivasubramanian et al. Effect of Sustained Interventions from Infancy to Toddlerhood in Children with Cleft Lip and Palate for Preventing Early Childhood Caries. Caries research. 2021; 55(5):554-562.

19. Cartes-Velásquez R, Luengo-Machuca L. Motivational interviewing at home: A community trial to improve oral health literacy and reduce morbidity in disadvantaged Chilean families. J Am Dent Assoc. 2024 Dec;155(12):1060-1069

20. Duarte, F. C. R. Pré-teste de protocolo de entrevista motivacional para prevenção da cárie dentária na primeira infância. (Dissertação de Mestrado). Belo Horizonte: Universidade Federal de Minas Gerais, Faculdade de Odontologia. 2024.

21. Werner H, Hakeberg M, Dahlstrom L, Eriksson M, Sjogren P, Strandell A, et al. Psychological Interventions for Poor Oral Health: A Systematic Review. Journal of dental research. 2016;95(5):506-14.

22. Carra MC, Detzen L, Kitzmann J, Woelber JP, Ramseier CA, Bouchard P. Promoting behavioural changes to improve oral hygiene in patients with periodontal diseases: a systematic review. Journal of clinical periodontology. 2020; 47(S22):72–89.

23. Peters MDJ GC, McInerney P, Munn Z, Tricco AC, Khalil, H. Scoping Reviews (2020 version). 2020. In: Joanna Briggs Institute Reviewer's Manual [Internet]. JBI. Available from: https://reviewersmanual.joannabriggs.org/

24. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005;8(1):19-32.

25. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73.

26. Team TE. EndNote. EndNote X9 ed. Philadelphia, PA: Clarivate Analytics; 2013.

27. González-Del-Castillo-McGrath M, Guizar-Mendoza J-M, Madrigal-Orozco C, Anguiano- Flores L, Amador-Licona N. A parent motivational interviewing program for dental care in children of a rural population. J Clin Exp Dent. 2014;6(5):e524-9.

28. Naidu R, Nunn J, Irwin JD. 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. 2015;15:101.

29. Weinstein P, Harrison R, Benton T. Motivating parents to prevent caries in their young children: one-year findings. Journal of the American Dental Association. 2004;135(6):731-8.

30. Harrison RL, Veronneau J, Leroux B. Effectiveness of maternal counseling in reducing caries in Cree children. Journal of dental research. 2012;91(11):1032-7.

31. Riedy CA, Weinstein P, Mancl L, Garson G, Huebner CE, Milgrom P, et al. Dental attendance among low-income women and their children following a brief motivational counseling intervention: A community randomized trial. Social science & medicine. 2015;144:9-18.

32. Kapoor V, Gupta A, Arya V. Behavioral changes after motivational interviewing versus traditional dental health education in parents of children with high caries risk: Results of a 1- year study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2019;37(2):192.

33. Arrow, Peter et al. Motivational Interviewing and Childhood Caries: A Randomised Controlled Trial. International journal of environmental research and public health. 2023;20(5):4239.

34. Arrow P, Raheb J, Miller M. Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay. BMC public health. 2013;13:245.

35. Batliner T, Fehringer KA, Tiwari T, Henderson WG, Wilson A, Brega AG, et al. Motivational interviewing with American Indian mothers to prevent early childhood caries: study design and methodology of a randomized control trial. Trials. 2014;15:125.

36. Mohammadi TM, Hajizamani A, Bozorgmehr E. Improving oral health status of preschool children using motivational interviewing method. Dental research journal. 2015;12(5):476-81.

37. Jarvinen M, Stolt M, Honkala E, Leino-Kilpi H, Pollanen M. Behavioural interventions that have the potential to improve self-care in adults with periodontitis: a systematic review. Acta odontologica Scandinavica. 2018;76(8):612-20.

38. Borrelli B, Tooley EM, Scott-Sheldon LA. Motivational Interviewing for Parent-child Health Interventions: A Systematic Review and Meta-Analysis. Pediatric dentistry. 2015;37(3):254-65.

39. Madson M, Loignon A, Lane C. Training in motivational interviewing: A systematic review. Journal of substance abuse treatment. 2009; 36(1):101-9.

40. Menegaz AM, Silva AER, Cascaes AM. Educational interventions in health services and oral health: systematic review. Revista de saude publica. 2018;52:52.

Publicado

06-06-2026

Número

Sección

Revisiones Narrativas

Cómo citar

Protocolos de la Entrevista Motivacional para la prevención de la caries dental en niños: Revisión de alcance. (2026). Revista De Odontopediatría Latinoamericana, 16. https://doi.org/10.47990/b9r16366