Established Evidence Results

Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Oral Health Education, Oral Health Supplies, Assistance in Making Dental Appointment

Intervention Description: To test the effectiveness of an advanced practice nurse model of care to improve oral health in low-income pregnant women.

Intervention Results: At baseline, 30.1% of women in the control group and 27.4% of women in the experimental group had seen a dentist. At followup, the control group increased to 32.9% while the experimental group increased to 56.9% (p=0.006).

Conclusion: Implications for practice: Because adverse pregnancy outcomes have been linked to periodontitis in numerous research studies, pregnant women must be educated about the importance of oral health and the necessity of a check-up. APNs are in an ideal position to educate women and assist them to obtain necessary oral health services.

Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Oral Health Education, Assistance in Making Dental Appointment, Motivational Interviewing

Intervention Description: This study tested a behavioral intervention to increase dental attendance among rural Oregonian low-income women and their children.

Intervention Results: After the intervention, dental attendance for women in the prenatal period was 92.4% for those in the motivational interviewing (MI) group compared to 94.4% for those in the health education (HE) group (RR = 0.98; 95% CI = 0.93-1.04). No significant difference was observed between the two groups at follow-up.

Conclusion: High attendance may be attributable to the counselors' patient navigator function.

Intervention Components (click on component to see a list of all articles that use that intervention): Assistance in Making Dental Appointment, Prenatal Care Access,

Intervention Description: The intervention described in the study involved routinely asking pregnant women about dental problems and whether they had seen a dental provider in the previous six months. Additionally, the study utilized a dental referral form from the New York State Department of Health to facilitate referrals for dental care by prenatal providers. The findings indicated that this intervention resulted in a high rate of dental care referrals, and women who reported receiving a dental referral were more than four times more likely to report visiting a dentist during pregnancy compared to those without a referral

Intervention Results: The study found that 95.3% of the surveyed women were eligible for a dental referral, and almost three-quarters of these eligible women reported being referred for dental care by their prenatal provider. Among those who reported a referral, 67.3% reported visiting a dentist during their pregnancy, while only 35.1% of those who reported no referral or were unsure about receiving a referral reported a dental visit. Furthermore, when controlling for minority racial–ethnic status, women who reported receiving a referral for dental care by their prenatal provider were 4.6 times more likely to report a dental visit during pregnancy compared to those who reported no such referral . The study also highlighted that the dental referral program may serve as a model for improving access to and utilization of dental care by low-income pregnant women, as it demonstrated that low-income pregnant women who are referred for dental care by their prenatal provider will seek and utilize dental care when offered

Conclusion: The study concluded that integrating dental screening questions into prenatal care and routinely referring pregnant women for dental care can improve access to and utilization of dental care by low-income pregnant women. The findings showed that low-income pregnant women who reported receiving a dental referral were more likely to report visiting a dentist during pregnancy compared to those who did not receive a referral. The study suggested that the dental referral program may serve as a model for improving access to and utilization of dental care by low-income pregnant women

Study Design: The study was a cross-sectional analytic study conducted over a two-month period in 2010. It involved recruiting Medicaid-eligible pregnant women from targeted prenatal clinics and asking them to complete a written questionnaire in English or Spanish. The survey questions covered demographics, pregnancy characteristics, perceived oral health and oral health behaviors, dental symptoms during pregnancy, dental care history, dental care referral during pregnancy, and having a dental visit during pregnancy. The data were then analyzed using SPSS v.20, and means and proportions were reported. The study also compared groups regarding dental care utilization during pregnancy using Chi-Square tests and controlled for identified confounding variables using logistic regression

Setting: he setting of the study is prenatal clinics in New York, specifically in Long Island, Queens, and Brooklyn. The study evaluated data from an ongoing program that adopted the use of oral health screening within the prenatal setting to increase dental care utilization among low-income women at high risk of disease

Population of Focus: The target audience for the dental care referral program and the study's findings includes healthcare professionals, policymakers, public health practitioners, and researchers interested in improving access to dental care for low-income pregnant women. Additionally, the findings may be relevant to organizations and individuals involved in maternal and child health, oral health promotion, and healthcare access for underserved populations.

Sample Size: The sample size was not explicitly mentioned in the provided excerpts. However, the study collected data from a convenience sample of women who volunteered to complete surveys, which may have influenced the sample size and introduced selection bias

Age Range: The study targeted Medicaid-eligible pregnant women aged 18 and above

Intervention Components (click on component to see a list of all articles that use that intervention): Assistance in Making Dental Appointment, PATIENT_CONSUMER

Intervention Description: We investigated self-reported dental care referral and self-reported dental care attendance among a group of 298 low-income, largely racial-ethnic minority pregnant women attending two suburban prenatal care clinics that had integrated dental care referrals into their prenatal care according to these guidelines.

Intervention Results: Among those women who were eligible for a dental care referral (those who reported having dental symptoms, and those not having a recent dental visit), we found that 73.0% reported that they had indeed been referred for dental care by their prenatal provider, while the remaining women reported either no referral (23.5%, n = 67) or were not sure whether they had been referred (3.5%, n = 10). Among those who reported a dental care referral, 67.3% (n = 140) reported that they saw a dentist during their pregnancy, while of those who reported no dental care referral only 35.1% (n = 27) reported a dental visit (Chi-Sq. = 24.1, df = 1, p < 0.001). Having received a dental referral was a significant predictor of reporting a dental visit during pregnancy, with women who received a referral being 4.6 times more likely to report a dental visit during pregnancy compared to those women who did not report a referral.

Conclusion: These results demonstrate that vulnerable pregnant women referred for dental care by their prenatal provider will indeed seek and utilize dental care when offered. This dental referral program may serve as a model for improving the utilization of dental care among this population.