{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T21:08:51Z","timestamp":1776373731702,"version":"3.51.2"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental & Craniofacial Research","doi-asserted-by":"publisher","award":["1U01DE028508-01"],"award-info":[{"award-number":["1U01DE028508-01"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Southwest Health Engagement & Research Collaborative at Northern Arizona University","award":["U54MD012388"],"award-info":[{"award-number":["U54MD012388"]}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>American Indian (AI) children have the highest incidence of dental caries of any ethnic group with 4 times the cases of untreated dental caries compared to white children. Great Beginnings for Healthy Native Smiles (NIDCR U01DE028508), a community focused oral health intervention, included culturally tailored oral health education materials utilized alongside adapted motivational interviewing (MI) techniques to promote oral health care and education at home.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The intervention was conducted by local community members from two partnered Indigenous communities. Using formative assessment data from semi-structured caregiver and provider interviews, session transcript data, and debriefing interview data from participants post-intervention, the objective of this study was to determine the impact of culturally tailored oral health education focused on behavior change in each community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results suggest that discussion with community health representatives using adapted MI and culturally tailored materials can result in self-reported behavioral change.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The findings highlight the importance of involving trusted community health workers in delivering culturally tailored oral health messages for mothers and their children to reduce ECC.<\/jats:p><\/jats:sec>","DOI":"10.3389\/froh.2025.1620597","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T05:28:57Z","timestamp":1759210137000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The short-term results of an MI-adapted and culturally tailored intervention on self-reported oral health behaviors of indigenous caregivers and their children"],"prefix":"10.3389","volume":"6","author":[{"given":"Christine","family":"Kirby","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Baldwin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristan","family":"Elwell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"B1","volume-title":"The oral health of American Indian and Alaska Native children aged 1\u20135 years: results of the 2014 IHS oral health survey. Indian Health Service Data Brief","author":"Phipps","year":"2015"},{"key":"B2","doi-asserted-by":"publisher","first-page":"9838","DOI":"10.3390\/ijerph18189838","article-title":"A formative assessment of social determinants of health related to early childhood caries in two American Indian communities","volume":"18","author":"Elwell","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B3","volume-title":"Motivational Interviewing: Helping People Change","author":"Miller","year":"2012"},{"key":"B4","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1037\/a0016830","article-title":"Toward a theory of motivational interviewing","volume":"64","author":"Miller","year":"2009","journal-title":"Am Psychol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.jsat.2016.01.001","article-title":"The motivational interviewing treatment integrity code (MITI 4): rationale, preliminary reliability and validity","volume":"65","author":"Moyers","year":"2016","journal-title":"J Subst Abuse Treat"},{"key":"B6","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1111\/jphd.12525","article-title":"Community based participatory research approaches to combat oral health inequities among American Indian and Alaska native populations","volume":"82","author":"Camplain","year":"2022","journal-title":"J Public Health Dent"},{"key":"B7","volume-title":"Social Determinants of Health","year":"2025"},{"key":"B8","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1186\/s12903-017-0374-5","article-title":"The basic research factors questionnaire for studying early childhood caries","volume":"17","author":"Albino","year":"2017","journal-title":"BMC Oral Health"},{"key":"B9","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1177\/2380084418787785","article-title":"Randomized trial of motivational interviewing to prevent early childhood caries in American Indian children","volume":"3","author":"Batliner","year":"2018","journal-title":"JDR Clin Transl Res"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e333","DOI":"10.3928\/24748307-20211105-01","article-title":"Longitudinal association of health literacy with parental oral health behavior","volume":"5","author":"Brega","year":"2021","journal-title":"Health Lit Res Pract"},{"key":"B11","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1016\/j.cden.2017.02.006","article-title":"Acculturation and pediatric minority oral health interventions","volume":"61","author":"Tiwari","year":"2017","journal-title":"Dent Clin N Am"},{"key":"B12","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/j.socscimed.2016.03.038","article-title":"Fostering reflective trust between mothers and community health nurses to improve the effectiveness of health and nutrition efforts: an ethnographic study in Ghana, West Africa","volume":"158","author":"Ackatia-Armah","year":"2016","journal-title":"Soc Sci Med"},{"key":"B13","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1097\/00002820-200611000-00001","article-title":"A systematic review of worldwide cancer nursing research: 1994 to 2003","volume":"29","author":"Molassiotis","year":"2006","journal-title":"Cancer Nurs"},{"key":"B14","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1111\/maq.12017","article-title":"Love isn't there in your stomach","volume":"27","author":"Nading","year":"2013","journal-title":"Med Anthropol Q"},{"key":"B15","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1186\/s12903-020-1052-6","article-title":"Using motivational interviewing to reduce parental risk related behaviors for early childhood caries: a pilot study","volume":"20","author":"Blue","year":"2020","journal-title":"BMC Oral Health"},{"key":"B16","first-page":"16","article-title":"Effect of motivational interviewing on rates of early childhood caries: a randomized trial","volume":"29","author":"Harrison","year":"2007","journal-title":"Pediatr Dent"},{"key":"B17","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1111\/j.1600-0528.2011.00613.x","article-title":"Evaluation of a brief tailored motivational intervention to prevent early childhood caries","volume":"39","author":"Ismail","year":"2011","journal-title":"Community Dent Oral Epidemiol"},{"key":"B18","doi-asserted-by":"publisher","first-page":"192","DOI":"10.4103\/JISPPD.JISPPD_115_18","article-title":"Behavioral changes after motivational interviewing versus traditional dental health education in parents of children with high caries risk: results of a 1-year study","volume":"37","author":"Kapoor","year":"2019","journal-title":"J Indian Soc Pedod Prev Dent"},{"key":"B19","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1186\/1471-2458-12-323","article-title":"Reducing disease burden and health inequalities arising from chronic disease among indigenous children: an early childhood caries intervention","volume":"12","author":"Merrick","year":"2012","journal-title":"BMC Public Health"},{"key":"B20","doi-asserted-by":"publisher","first-page":"11695","DOI":"10.3390\/ijerph182111695","article-title":"Aspirations and worries: the role of parental intrinsic motivation in establishing oral health practices for indigenous children","volume":"18","author":"Poirier","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B21","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1111\/cdoe.12072","article-title":"Evaluation of an oral health promotion program at the time of birth on dental caries in 5-year-old children in Vorarlberg, Austria","volume":"42","author":"Wagner","year":"2014","journal-title":"Community Dent Oral Epidemiol"},{"key":"B22","doi-asserted-by":"publisher","first-page":"789","DOI":"10.14219\/jada.archive.2006.0291","article-title":"Motivating mothers to prevent caries: confirming the beneficial effect of counseling","volume":"137","author":"Weinstein","year":"2006","journal-title":"J Am Dent Assoc"},{"key":"B23","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1111\/cdoe.12368","article-title":"Fidelity of motivational interviewing in an American Indian oral health intervention","volume":"46","author":"Wilson","year":"2018","journal-title":"Community Dent Oral Epidemiol"},{"key":"B24","volume-title":"Research Methods in Anthropology: Qualitative and Quantitative Approaches","author":"Bernard","year":"2011"},{"key":"B25","doi-asserted-by":"publisher","first-page":"270","DOI":"10.5195\/jmla.2022.1271","article-title":"NVivo","volume":"110","author":"Dhakal","year":"2022","journal-title":"J Med Libr Assoc"},{"key":"B26","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"B27","article-title":"ATLAS.ti Scientific Software Development GmbH","year":"2022"},{"key":"B28","doi-asserted-by":"publisher","first-page":"e37","DOI":"10.1111\/eje.12398","article-title":"Strengthening indigenous cultural competence in dentistry and oral health education: academic perspectives","volume":"23","author":"Forsyth","year":"2019","journal-title":"Eur J Dent Educ"},{"key":"B29","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1353\/hpu.2012.0156","article-title":"Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum","volume":"23","author":"Smith","year":"2012","journal-title":"J Health Care Poor Underserved"}],"container-title":["Frontiers in Oral Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2025.1620597\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T05:28:59Z","timestamp":1759210139000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2025.1620597\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":29,"alternative-id":["10.3389\/froh.2025.1620597"],"URL":"https:\/\/doi.org\/10.3389\/froh.2025.1620597","relation":{},"ISSN":["2673-4842"],"issn-type":[{"value":"2673-4842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,30]]},"article-number":"1620597"}}