Motivational Interviewing for Dental Hygienists

By Michelle Arnett, RDH, BS, MS and Anne E. Gwozdek, RDH, BA, MA

Oral health can significantly impact an individual’s speech, social development, and overall well-being.^1,2 While the incidence of oral disease can be prevented or reduced, the relationship between disease and behavior/lifestyle choices is complex.³ As prevention specialists, dental hygienists should apply evidence-based approaches to support behavioral changes that effectively reduce chronic diseases.^2–11 Typically, dental hygienists offer clinical advice and use “tell-show-do” approaches to elicit change in patient behavior.¹² These methods may not motivate patients, however, and can potentially impair individuals’ decision to change.^12,13 According to Brand et al,¹³ the use of fear tactics or warning patients of severe ramifications if they don’t follow recommendations will not encourage positive behavioral changes. Although Croffoot et al¹⁴ suggest that simply providing information is not enough to elicit change in patients, research indicates that health professionals who use appropriate strategies can motivate patients to adopt positive health behaviors and assume responsibility for their health.¹³ Motivational interviewing (MI) is a key tool in this endeavor.

* References can be found in the original article via the link below.
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