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Current Oral Health Reports

, Volume 3, Issue 3, pp 187–192 | Cite as

SBIRT-Based Interventions to Improve Pediatric Oral Health Behaviors and Outcomes: Considerations for Future Behavioral SBIRT Interventions in Dentistry

  • Josué Cuevas
  • Donald L. ChiEmail author
Dental Public Health (R Collins, Section Editor)
  • 333 Downloads
Part of the following topical collections:
  1. Topical Collection on Dental Public Health

Abstract

Dental caries is the most common chronic disease in children and is caused by poor oral health behaviors. These behaviors include high-sugar diet, inadequate exposure to topical fluorides, and irregular use of professional dental care services. A number of behavioral intervention approaches have been used to modify health behaviors. One example is based on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model, which has been widely used to reduce substance abuse in both adults and children. SBIRT is a promising behavior change approach that could similarly be used to address problematic oral health behaviors. In this paper, we will review oral health studies that have adopted SBIRT components, assess if these interventions improved oral health behaviors and outcomes, and outline considerations for researchers interested in developing and testing future oral health-related interventions in dentistry using a SBIRT approach.

Keywords

Screening, Brief Intervention, and Referral to Treatment (SBIRT) Behavior change Dental caries Randomized controlled trials Motivational interviewing (MI) Behavioral determinants of oral health 

Notes

Compliance with Ethical Standards

Conflict of Interest

Josué Cuevas and Donald L. Chi declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. 1.
    U.S. Department of Health and Human Services (USDHHS). Oral health in America: a report of the surgeon general—executive summary. Rockville: USDHHS, NIDCR, NIH; 2000.Google Scholar
  2. 2.
    Dye BA et al. Dental caries and sealant prevalence in children and adolescents in the United States, 2011–2012. NCHS Data Brief. 2015;191:1–8.Google Scholar
  3. 3.
    Dye BA, Li X, Thornton-Evans G. Oral health disparities as determined by selected Healthy People 2020 oral health objectives for the United States, 2009–2010. NCHS Data Brief. 2012;104:1–8.Google Scholar
  4. 4.
    Chi DL, Rossitch KC, Beeles EM. Developmental delays and dental caries in low-income preschoolers in the USA: a pilot cross-sectional study and preliminary explanatory model. BMC Oral Health. 2013;13:53.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Treadwell HM, Northridge ME. Oral health is the measure of a just society. J Health Care Poor Underserved. 2007;18(1):12–20.CrossRefPubMedGoogle Scholar
  6. 6.
    Riddle M, Clark D. Behavioral and social intervention research at the National Institute of Dental and Craniofacial Research (NIDCR). J Public Health Dent. 2011;71(1):123–9.CrossRefGoogle Scholar
  7. 7.
    McCance-Katz EF, Satterfield J. SBIRT: a key to integrate prevention and treatment of substance abuse in primary care. Am J Addict. 2012;21(2):176–7.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Moyer VA, U.S. Preventive Services Task Force (USPSTF). Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2013;159(3):210–8.PubMedGoogle Scholar
  9. 9.
    Yuma-Guerrero PJ et al. Screening, brief intervention, and referral for alcohol use in adolescents: a systematic review. Pediatrics. 2012;130(1):115–22.CrossRefPubMedGoogle Scholar
  10. 10.
    Moyer VA, U.S. Preventive Services Task Force (USPSTF). Primary care behavioral interventions to reduce illicit drug and nonmedical pharmaceutical use in children and adolescents: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;160(9):634–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Mitchell SG et al. SBIRT for adolescent drug and alcohol use: current status and future directions. J Subst Abuse Treat. 2013;44(5):463–72.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Johnston BD et al. Behavior change counseling in the emergency department to reduce injury risk: a randomized, controlled trial. Pediatrics. 2002;110:267–74.CrossRefPubMedGoogle Scholar
  13. 13.
    Harris SK, Louis-Jacques J, Knight JR. Screening and brief intervention for alcohol and other abuse. Adolesc Med State Art Rev. 2014;25(1):126–56.PubMedGoogle Scholar
  14. 14.
    Levy SJ et al. Substance use screening, brief intervention, and referral to treatment for pediatricians. Pediatrics. 2011;128(5):e1330–40.CrossRefPubMedGoogle Scholar
  15. 15.
    Ghitza UE, Tai B. Challenges and opportunities for integrating preventive substance-use-care services in primary care through the Affordable Care Act. J Health Care Poor Underserved. 2014;25(1):36–45.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.••
    Binkley CJ, Garrett B, Johnson KW. Increasing dental care utilization by Medicaid-eligible children: a dental care coordinator intervention. J Public Health Dent. 2010;70:76–84. This is one of the first published studies describing a dental intervention based on the SBIRT model.Google Scholar
  17. 17.
    Källestål C. The effect of five years’ implementation of caries-preventive methods in Swedish high-risk adolescents. Caries Res. 2005;39:20–6.CrossRefPubMedGoogle Scholar
  18. 18.•
    Weinstein P, Harrison R, Benton T. Motivating mothers to prevent caries: confirming the beneficial effect of counseling. J Am Dent Assoc. 2006;137:789–93. This is one of the first dental behavioral interventions to test the concept of motivational interviewing as a way to improve dental behaviors and reduce dental disease.CrossRefPubMedGoogle Scholar
  19. 19.
    Ismail A et al. Evaluation of a brief tailored motivational intervention to prevent early childhood caries. Community Dent Oral Epidemiol. 2011;39:433–48.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Harrison R, Veronneau J, Leroux B. Effectiveness of maternal counseling in reducing caries in Cree children. J Dent Res. 2012;91:1032–7.CrossRefPubMedGoogle Scholar
  21. 21.
    Riedy CA et al. Dental attendance among low-income women and their children following a brief motivational counseling intervention: a community randomized trial. Soc Sci Med. 2015;144:9–18.CrossRefPubMedGoogle Scholar
  22. 22.
    Brickhouse TH, Haldiman RR, Evani B. The impact of a home visiting program on children’s utilization of dental services. Pediatrics. 2013;132(2):S147–52.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Niederman R et al. A model for extending the reach of the traditional dental practice: the ForsythKids program. J Am Dent Assoc. 2008;139:1040–50.CrossRefPubMedGoogle Scholar
  24. 24.
    Shirazi M et al. Targeting and tailoring health communications in breast screening interventions. Prog Community Health Partnersh. 2015;9:83–9.CrossRefPubMedGoogle Scholar
  25. 25.•
    Jarrett C et al. Strategies for addressing vaccine hesitancy—a systematic review. Vaccine. 2015;33(34):4180–90. This systematic review calls for tailored behavioral interventions to address problem health behaviors like vaccine hesitancy.CrossRefPubMedGoogle Scholar
  26. 26.
    Chi DL. Caregivers who refuse preventive care for their children: the relationship between immunization and topical fluoride refusal. Am J Public Health. 2014;104(7):1327–33.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.•
    Bartholomew LK, Mullen PD. Five roles for using theory and evidence in the design and testing of behavior change interventions. J Public Health Dent. 2011;71(1):S20–33. This publication describes the role and importance of theory in developing and testing behavior change interventions.Google Scholar
  28. 28.
    Mars T et al. Fidelity in complex behaviour change interventions: a standardised approach to evaluate intervention integrity. BMJ Open. 2013;3(11), e003555.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Reho K et al. Are we there yet? A review of screening, brief intervention, and referral to treatment (SBIRT) implementation fidelity tools and proficiency checklists. J Prim Prev. 2016:1–12.Google Scholar
  30. 30.
    Chi DL et al. Relationship between medical well baby visits and first dental examinations for young children in Medicaid. Am J Public Health. 2013;103(2):347–54.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Agerwala SM, McCance-Katz EF. Integrating screening, brief intervention, and referral to treatment (SBIRT) into clinical practice settings: a brief review. J Psychoactive Drugs. 2012;44(4):307–17.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG 2016

Authors and Affiliations

  1. 1.School of Public HealthUniversity of WashingtonSeattleUSA
  2. 2.Department of Oral Health Sciences, School of DentistryUniversity of WashingtonSeattleUSA

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