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Motivational Interviewing (MI) is a person-centred behavioural management technique that is valuable in prevention in healthcare including dentistry. This useful tool increases the motivation of patients and their carers and has been incorporated in the professional guidelines for the prevention of dental disease and also behavioural management. This review explores the relevance to the whole dental team in the promotion of oral health behaviour and discusses the relevant evidence related to dentistry.
CPD/Clinical Relevance: All dental professionals who deliver prevention should understand the clinical relevance of using MI so that dental disease can be minimized with positive behaviour change in patients and their care-givers.
Article
‘A collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal eliciting and exploring the person's own reason for change within an atmosphere of acceptance and compassion.’
Motivational Interviewing (MI) is a person-centred, goal-directed, therapeutic communication approach that supports the person's readiness to change by intrinsic motivation. This term was coined by a psychologist, Millner, in the early 1980s from his experience of helping people with alcohol addiction problems. It was further developed by Rollnick and Millner in the early 90s and later described and developed in more detail.1
Since its conception, MI has been applied to many clinical settings to prompt a change in health-threatening behaviour, including managing obesity, diabetes, eating disorders, hypertension, smoking, drug and addiction and oral healthcare. It is based on the fact that behaviour change is not easy and the person has to be ready, willing and able to make the behaviour change. MI resolves the ambivalence, which is a psychological state. Among the common styles to help implement behaviour change, MI is the guiding type rather than directing or following. MI is a collaborative process with a purposeful conversation directed towards a specific goal.1 The aim of this review is to explore the relevance of MI in the practice of dentistry.
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