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Strengthen the Evidence for Maternal and Child Health Programs

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Displaying records 1 through 4 (4 total).

Cibulka NJ, Forney S, Goodwin K, Lazaroff P, Sarabia R. Improving oral health in low-income pregnant women with a nurse practitioner-directed oral care program. J Am Acad Nurse Pract. 2011;23(5):249-257.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21518073

NPM: 13-1: Oral Health During Pregnancy
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 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).

Riedy C, Weinstein P, Mancl L, et al. Dental attendance among low-income women and their children following a brief motivational counseling intervention: A community randomized trial. Soc Sci Med. 2015;144:9-18.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26372934

NPM: 13-1: Oral Health During Pregnancy
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 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.

Milgrom P, Lee RS, Huebner CE, Conrad DA. Medicaid reforms in Oregon and suboptimal utilization of dental care by women of childbearing age. J Am Dent Assoc. 2010;141(6):688-695.

Link: https://www.ncbi.nlm.nih.gov/pubmed/20516101

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Medicaid Managed Care Expansion

Intervention Results:

Before the intervention, the adjusted proportion of pregnant women with a dental service claim was 0.36. After the intervention, the proportion of pregnant women with a dental service claim declined to 0.22 (p<0.001).

Lipper J. Advancing Oral Health through the Women, Infants, and Children Program: A New Hampshire Pilot Project. (2016). Center for Health Care Strategies.

Link: https://www.chcs.org/resource/advancing-oral-health-through-the-women-infants-and-children-program-a-new-hampshire-pilot-project/

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Oral Health Education, Oral Health Supplies, PROVIDER/PRACTICE, Designated Clinic/Extended Hours, Quality Improvement/Practice-Wide Intervention

Intervention Results:

Preliminary data suggest promising results. Among the approximately 3,900 children served by the three pilot locations, 573 children (14 percent) received an oral health screening; 175 (31 percent) of those children were under age one. Of those screened, 48 children (8 percent) had untreated decay, 490 (86 percent) received a fluoride varnish application, and 80 (14 percent) received a dental sealant. A total of 857 pregnant women are served in the WIC program across all three pilot locations. Out of those women, 123 (14 percent) received an oral health screening. Of those screened, 88 (72 percent) showed untreated decay, and 46 (37 percent) were referred to a dentist for urgent needs. Out of the women who received an oral health screening, 114 (93 percent) received a fluoride varnish application, and 92 (75 percent) received sealants.
   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.