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Strengthen the Evidence for Maternal and Child Health Programs

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Displaying records 1 through 18 (18 total).

Binkley C, Garrett B, Johnson K. Increasing dental care utilization by Medicaid-eligible children: a dental care coordinator intervention. J Public Health Dent. 2010;70(1):76-84.

Link: https://www.ncbi.nlm.nih.gov/pubmed/19765202

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Home Visit (caregiver), Educational Material (caregiver), Oral Health Product, Patient Navigation (Assistance), PROVIDER/PRACTICE, Outreach (Provider), Education/Training (caregiver)

Intervention Results:

Dental utilization during the study period was significantly higher in the intervention group (43 percent) than in the control group (26 percent). The effect was even more significant among children living in households well below the Federal Poverty Level. The intervention was effective regardless of whether the coordinator was able to provide services in person or via telephone and mail.

Dela Cruz A, Mueller G, Milgrom P, Coldwell S. A community-based randomized trial of postcard mailings to increase dental utilization among low-income children. J Dent Child (Chic). 2012;79(3):154-158.

Link: https://www.ncbi.nlm.nih.gov/pubmed/23433618

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Education/Training (caregiver)

Intervention Results:

There was no significant difference in the utilization of preventive dental services between intervention group 1 (61%) and the control group (60%) or between intervention group 2 (62%) and the control group (60%).

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: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Educational Material (caregiver), Motivational Interviewing/Counseling, Education/Training (caregiver)

Intervention Results:

Compared to statewide PRAMS, attendance was higher during pregnancy for study mothers (45% statewide; 95% CI = 40-50%) and for their children by 24 months (36% statewide; 95% CI = 27-44%).

Bailey SR, Marino M, Hoopes M, et al. Healthcare utilization after a Children's Health Insurance Program expansion in Oregon. Matern Child Health J. 2016;20(5):946-954.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26987861

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)

Intervention Results:

Among the newly insured group, utilization rates of preventive dental visits increased significantly from 0.24 to 0.63 encounters per patient per year between pretest and posttest (adjusted rate ratio=2.56, 95% CI: 2.38-2.75). Between-group pretest-posttest differences in rate ratios revealed that changes in utilization of preventive dental visits were significantly different from those of the continuously insured and continuously uninsured groups (p<0.001).

Kenney G. The impacts of the State Children's Health Insurance Program on children who enroll: findings from ten states. Health Serv Res. 2007;42(4):1520-1543.

Link: https://www.ncbi.nlm.nih.gov/pubmed/17610436

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)

Intervention Results:

SCHIP enrollment was found to improve access to care along a number of different dimensions, other things equal, particularly relative to being uninsured. Established SCHIP enrollees were more likely to receive office visits, preventive health and dental care, and specialty care, more likely to have a usual source for medical and dental care and to report better provider communication and accessibility, and less likely to have unmet needs, financial burdens, and parental worry associated with meeting their child's health care needs. The findings are robust with respect to alternative specifications and hold up for individual states and subgroups.

Nasseh K, Vujicic M. The impact of Medicaid reform on children's dental care utilization in Connecticut, Maryland, and Texas. Health Serv Res. 2015;50(4):1236-1249.

Link: https://www.ncbi.nlm.nih.gov/pubmed/25483733

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Medicaid Reform

Intervention Results:

Relative to Medicaid-ineligible children and all children from a group of control states, preventive dental care utilization increased among Medicaid-eligible children in Connecticut and Texas. Unmet dental need declined among Medicaid-eligible children in Texas.

Clemans-Cope L, Kenney G, Waidmann T, Huntress M, Anderson N. How well is CHIP addressing oral health care needs and access for children? Acad Pediatr. 2015;15(3 Suppl):S78-84.

Link: https://www.ncbi.nlm.nih.gov/pubmed/25813409

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)

Intervention Results:

The percentage of established CHIP enrollees (continuously enrolled for at least 12 months) having had a dental visit for checkup or cleaning in the past year was 38% higher (p≤0.01) than recent enrollees who were uninsured for 5 to 12 months before enrollment and 5.3% higher (p≤0.05) than recent enrollees who were privately insured for 12 months before enrollment.

Grembowski D, Milgrom PM. Increasing access to dental care for Medicaid preschool children: the Access to Baby and Child Dentistry (ABCD) program. Public Health Rep. 2000;115(5):448-459.

Link: https://www.ncbi.nlm.nih.gov/pubmed/11236017

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), PROVIDER/PRACTICE, POPULATION-BASED SYSTEMS, STATE, Medicaid Reform, Education/Training (caregiver), Provider Training/Education

Intervention Results:

Children in the ABCD program had a mean of 10.27 preventive dental services compared to 0.24 among children not in the ABCD program (p=0.00).

Howell E, Trenholm C, Dubay L, Hughes D, Hill I. The impact of new health insurance coverage on undocumented and other low-income children: lessons from three California counties. J Health Care Poor Underserved. 2010;21(2 Suppl):109-124.

Link: https://www.ncbi.nlm.nih.gov/pubmed/20453380

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)

Intervention Results:

Results consistently showed that health insurance enrollment increased access to and use of medical and dental care, and reduced unmet need for those services. After one year of enrollment the programs also improved the health status of children, including reducing the percentage of children who missed school due to health.

Kaplan DW, Brindis CD, Phibbs SL, Melinkovich P, Naylor K, Ahlstrand K. A comparison study of an elementary school-based health center: effects on health care access and use. Arch Pediatr Adolesc Med. 1999;153(3):235-243.

Link: https://www.ncbi.nlm.nih.gov/pubmed/10086399

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): SCHOOL, School-Based Dental Services

Intervention Results:

Independent of confounders, access to a school-based health center was significantly associated with a greater likelihood of the child having received a yearly dental examination (OR=1.36, 95% CI: 1.91=1.83, p<0.05). Stratifying the sample by insurance status revealed that among insured students, a higher percentage of students in the comparison school without a school-based health center (65.0%) obtained a yearly dental examination compared to the intervention school with a school-based health center (53.4%) (p<0.05). Among uninsured students, a significantly higher percentage of those in the intervention school (36.5%) obtained a yearly dental examination compared to the comparison school (18.5%) (p<0.01).

Kenney G, Rubenstein J, Sommers A, Zuckerman S, Blavin F. Medicaid and SCHIP coverage: findings from California and North Carolina. Health Care Financ Rev. 2007;29(1):71-85.

Link: https://www.ncbi.nlm.nih.gov/pubmed/18624081

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)

Intervention Results:

Established Medicaid enrollees were 12 and 16 percentage points more likely to receive a dental visit for checkup/cleaning than all recent enrollees and recent enrollees who were previously uninsured for 6 months prior to enrollment (p<0.05). Established enrollees were not more likely to receive preventive dental visits than recent enrollees who were insured for some or all of the 6 months prior to enrollment.

Martin AB, Hardin JW, Veschusio C, Kirby HA. Differences in dental service utilization by rural children with and without participation in Head Start. Pediatr Dent. 2012;34(5):107-111.

Link: https://www.ncbi.nlm.nih.gov/pubmed/23211894

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): SCHOOL, Head Start Participation

Intervention Results:

Head Start participants were more than twice as likely to visit dentists for preventive, diagnostic, and restorative care (P<.001). The odds ratio of HS participants relative to the nonexposed group for PC visits for oral health problems was 1.94 (P=.03). No differences between HS participants and the nonexposed group for oral health-related ER visits were observed (P=0.33).

Beazoglou T, Douglass J, Myne-Joslin V, Baker P, Bailit H. Impact of fee increases on dental utilization rates for children living in Connecticut and enrolled in Medicaid. J Am Dent Assoc. 2015;146(1):52-60.

Link: https://www.ncbi.nlm.nih.gov/pubmed/25569499

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), PROVIDER/PRACTICE, Outreach (Provider), POPULATION-BASED SYSTEMS, STATE, Medicaid Reform

Intervention Results:

The percentage of preventive dental services among continuously enrolled children stayed relatively constant from pretest to posttest (24.1% in 2006 at pretest and 22.7%, 23.1%, 23.3%, and 24.4% in 2009, 2010, 2011, and 2012 respectively).

Nietert PJ, Bradford WD, Kaste LM. The impact of an innovative reform to the South Carolina dental Medicaid system. Health Serv Res. 2005;40(4):1078-1091.

Link: https://www.ncbi.nlm.nih.gov/pubmed/16033493

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Patient Navigation (Assistance), PROVIDER/PRACTICE, Outreach (Provider), POPULATION-BASED SYSTEMS, STATE, Medicaid Reform

Intervention Results:

From 1998 to 1999, there was a downward trend in the number and percent of Medicaid enrollees ages 21 and younger receiving dental services and in the total number of services provided. This trend was dramatically reversed in 2000.

Chalmers D. An enhanced screening and referral program: a community dental hygiene pilot project. Probe. 2003;37(1):35-37.

Link:

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): SCHOOL, School-Based Dental Services, CAREGIVER, Patient Navigation (Assistance), Educational Material (caregiver)

Intervention Results:

Between pretest and posttest, the percentage of students who received an examination with a dentist in the past 12 months increased from 71% to 83% for the same group of students. However, statistical testing was not performed in the study.

Kulkarni GV. Long-term effectiveness of parent education using the "baby oral health" model on the improvement of oral health of young children. Int J Dent. 2013;2013:137048.

Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844188/

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Education/Training (caregiver)

Intervention Results:

There was a difference in caries incidence, knowledge levels of caregivers, and utilization of dental services (P < 0.05) when comparing the SGB to the SGFU. Conclusions. One-time exposure to parent education using a comprehensive interactive audio-visual aid has an effect on reducing caries incidence and increasing dental utilization.

Lave JR, Keane CR, Lin CJ, Ricci EM, Amersbach G, LaVallee CP. Impact of a children's health insurance program on newly enrolled children. JAMA. 1998;279(22):1820-1825.

Link: https://www.ncbi.nlm.nih.gov/pubmed/9628715

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Public Insurance (State)

Intervention Results:

Among the continuously enrolled children, preventive dental visits increased from 34.2% to 55.6% between enrollment and 6 months post-enrollment (p<0.005). Between 6 months post-enrollment and 12-months post-enrollment, it increased from 55.6% to 61.5% (p<0.005). The increase from enrollment to 12-months post enrollment was significant (p<0.005). Comparison children at enrollment (28.5%) had a lower percentage of preventive dental visits than continuously enrolled children at enrollment (34.2%); therefore, the changes observed in the study group were attributable to the insurance programs rather than to other environmental trends.

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: 13-2: Oral Health in Childhood
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.