Training of Trainer Integrated Health Center Cadre: A pilot motivational interviewing-based training program on dental health behavior

Abstract

Background: To reduce the prevalence of dental problems, especially dental caries, the Ministry of Health has launched a "2030 Indonesia Caries-free" program. The program targets the DMF-T of 12-year-old children to be reduced to below 1.26 by 2030. Therefore, it is necessary to design a dental health education program to increase people's motivation to adopt dental health behavior. Motivation is focused because it is an essential factor that supports a person in making decisions and behaving. Aim: This study evaluates the pilot training for trainers using the motivational interviewing method to change dental health behavior. Method: This program is designed using training for trainer methods with prepared participants to educate the community in their area. Participants are trained by a motivational interviewing coach and practice the motivational interviewing skills with a simulated client. This thirty-hour training includes a four-phase structure; lectures, case handling, practicum, and trials. The evaluation is carried out through three out of four-level evaluation methods from Kirkpatrick. Result: Thirty women were recruited for this training. The women are cadres in integrated health service posts. Evaluation of this training revealed that reaction, learning, and behavior level show a good outcome. Conclusion: Despite the limitation of participants' stiffness during skill practice, the trial run of this training program succeeded in producing thirty cadres ready to implement the program in the community.