{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T16:43:21Z","timestamp":1791045801270,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T00:00:00Z","timestamp":1693872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This systematic review with meta\u2010analysis was performed to assess whether motivational interviewing (MI) effectively prevents oral morbidities in adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Studies considered were randomized controlled trials, cluster\u2010randomized controlled trials and community\u2010based randomized trials assessing interventions based on MI or indicating that a counselling technique based on the principles developed by Miller and Rollnick was used. Controls were any type of oral health education or negative controls. Participants were 18\u201360\u2009years old. The main outcome was any oral morbidity. From 602 studies identified in MEDLINE, Scopus, Web of Science and LILACS databases, seven studies were included in the synthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Studies included only evaluated periodontal outcomes, no studies were found for other oral morbidities. Patients' mean age was 43.7\u2009years, and the follow\u2010up time after MI or MI\u2010based intervention varied between 1\u2009month and 1\u2009year. The total study population was 272 people with moderate\u2010to\u2010severe periodontitis; other groups analysed were pregnant women (<jats:italic>n<\/jats:italic>\u2009=\u2009112) and patients with mental disorders and alcohol problems (<jats:italic>n<\/jats:italic>\u2009=\u200960). Meta\u2010analysis for the plaque index (four studies, <jats:italic>n<\/jats:italic>\u2009=\u2009267), bleeding on probing (two studies, <jats:italic>n<\/jats:italic>\u2009=\u2009177) and gingival index (two studies, <jats:italic>n<\/jats:italic>\u2009=\u2009166) were carried out. The summary effects for the random\u2010effects model were estimated respectively as \u22123.59 percentage points (CI: [\u221211.44; 4.25] for plaque index, \u22126.41 percentage points (CI: [\u221212.18, \u22120.65]) for bleeding on probing and \u22120.70 (CI: [\u22121.87; 0.48]) for gingival index, marginally favouring the MI group. The reduced number of studies, the non\u2010disclosure of some aspects of the data and the heterogeneity among them undermine the precision of the estimates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The current evidence available is limited to periodontal outcomes, and it is not possible to determine whether MI effectively prevents oral morbidities in adults.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12904","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T11:24:05Z","timestamp":1693913045000},"page":"84-92","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Motivational interviewing for preventing oral morbidities in adults: Systematic review and 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