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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:

  • Preventive and/or routine dental utilization during the study period was 43% for children in the intervention group and 26.5% for those in the control group (p=0.047).
  • Subgroup analysis by income level revealed that the difference in dental utilization was driven by children in poor households with income under $15,000 (43% in intervention group and 20% in control group; p=0.014). Children in households with income over $15,000 had the same utilization between the two groups.

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:

  • No significant differences were found between the postpartum motivational interviewing (MI) and the postpartum health education (HE) groups for children’s dental attendance (RR=1.03, 95% CI: 0.82-1.28).
  • No significant differences were found between prenatal MI-postnatal MI and prenatal HE-and postnatal MI groups (RR=0.97, 95% CI: 0.77-1.22).

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

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

Intervention Results:

  • In the bivariate model, established enrollees had greater service use of dental visits for checkup/cleaning compared to all recent enrollees and recent enrollees who were uninsured for 6 months prior to enrollment (p<0.01), but not different than recent enrollees who were insured for some or all of the 6 months prior to enrollment.
  • The multivariate model showed the same results; established enrollees were more likely to receive preventive dental care than recent enrollees as well as recent enrollees who were uninsured for 6 months prior to enrollment, but not different than recent enrollees who were insured for some or all of the 6 months prior to enrollment (p<0.01).

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:

  • Among Medicaid-eligible children, preventive dental care utilization increased from 74.9% to 81.1% in Connecticut, 69.9% to 71.9% in Maryland, and 65.9% to 80.7% in Texas. In the control states, preventive dental care utilization decreased from 66.8% to 65.2%. Relative to the control states, preventive dental care utilization significantly increased by 7.8% and 16.4% in Connecticut and Texas respectively, and insignificantly increased by 3.6% in Maryland.
  • The multivariate analysis revealed similar changes in preventive dental care utilization in Medicaid-eligible children comparing the three study states and control states (significant increases in Connecticut and Texas and insignificant change in Maryland).
  • The difference in observations between Maryland and the two other study states can be attributed to a more modest increase in the Medicaid-to-private insurance fee ratio in Maryland.

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

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

Intervention Results:

  • In the San Mateo study, 25% of new enrollees had a preventive dental visit in the six months prior to enrolling; 65% of established enrollees in Healthy Kids for a year had a preventive dental visit (p<0.01).
  • Similarly, in the Santa Clara study, 22% of new enrollees had a preventive dental visit in the six months prior to enrolling; 61% of established enrollees in Healthy Kids for a year had a preventive dental visit (p<0.01).

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

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 had a significantly higher average of preventive dental visits (1.07) than non-Head Start participants (0.46) (p<0.001). Controlling for age, race, and gender, Head Start participants had significantly more preventive visits to dentists than the unexposed group at the end of the study year. The incidence rate ratio was 2.31 (p<0.001). The adjusted odds ratio was 5.17 (p<0.001).

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:

The number of preventive dental procedures per Medicaid enrollee was 0.72, 0.61, and 0.74 for 1998, 1999, and 2000 respectively. Comparing 2000 to 1998/1999, the average percent increase per enrollee was 10.8%. For both age groups 0-2 years and 3-21 years, the reform had a statistically significant impact on the number of preventive dental services provided per Medicaid enrollee on a monthly basis. Comparing 2000 and 1998/1999, for the younger age group, preventive services rose by 0.003 units per enrollee per month (p<0.001) and 0.018 units in the older age group (p<0.001).

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 significantly higher degree of utilization of dental services by the study group participants (43.5%) as compared to those in the comparison group (17.1%) (p=0.02).

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

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.