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A motivational interview intervention delivered at home to improve the oral health literacy and reduce the morbidity of Chilean disadvantaged families: a study protocol for a community trial
  1. Ricardo Cartes-Velasquez,
  2. Carlos Araya,
  3. Raúl Flores,
  4. Luis Luengo,
  5. Francisca Castillo,
  6. Alex Bustos
  1. Department of Preventive and Public Health Dentistry, Universidad de Concepción, School of Dentistry, Concepcion, Chile
  1. Correspondence to Dr Ricardo Cartes-Velasquez; cartesvelasquez{at}gmail.com

Abstract

Introduction Oral health education/promotion interventions have been identified as cost-efficient tools to improve the oral health of the population. These interventions are regularly made in contexts where the target population is captive, for example, in health centres. In Chile, there are no oral health interventions delivered at home.

Methods and analysis This community trial covers two disadvantaged urban areas in the province of Concepción. Both sectors have public preschool education coverage with a traditional programme (TP) to promote oral health. The intervention will comprise four to six visits by dental hygienists trained in the delivery of a standardised oral health promotion programme using motivational interviewing (MI) at home. The experimental group will receive TP and MI, while the control group will receive only TP. If a positive and significant effect of MI is found, 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 is estimated. Data will be gathered on demographic and socioeconomic variables; oral health outcomes using WHO oral health indicators (the prevalence and severity of caries, periodontal disease, dentofacial anomalies and oral hygiene); the oral health literacy of caregivers, measured by the Rapid Estimation of Adult Literacy in Dentistry and the Oral Health Literacy Instrument, both validated for the Chilean population. Assessments will take place at baseline and at 12-month follow-up.

Ethics and dissemination The university bioethics committee approved this study (EI/21/2014). We will submit the trial’s results for presentation at international scientific meetings and to peer-reviewed journals.

Trial registration number ACTRN12615000450516.

  • Oral health literacy
  • Caries
  • Children
  • Home visits
  • Chile
  • Motivational interviewing.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Twitter @cartesvelasquez

  • Contributors All authors designed the study. LL provided statistical advice. RCV and RF wrote the manuscript. All authors proofed and edited the manuscript.

  • Funding This study was funded by the Fondo Nacional de Investigación y Desarrollo en Salud (FONIS) N° SA14ID0162, Gobierno de Chile (National Fund for Health Research and Development, Chilean Government). The validation study of REALD-30 and OHLI used in this study is funded by the Proyecto de Iniciación de la Vicerrectoría de Investigación y Desarrollo (VRID) N° 214.089.005-1.OIN, Universidad de Concepción. Funders have no role in study design; collection, management, analysis and interpretation of data; writing of the report and the decision to submit the report for publication. Funder contact: Ms Ximena González, email: xgonzalez@conicyt.cl.

  • Competing interests None declared.

  • Patient consent Appendix 1

  • Ethics approval The study protocol was approved by the Bioethics Committee at the Universidad de Concepción School of Medicine with the code EI/21/2014.

  • Provenance and peer review Not commissioned; externally peer reviewed.