Primary care providers have not customarily provided oral assessments or offered anticipatory guidance about oral health care; dentists manage that task. Myths and access-to-care issues often result in limited or no dental care during pregnancy. Improving the oral health of pregnant women has a positive correlation with fewer dental caries in their children. Currently, evidence-based practice (EBP) oral health guidelines exist for pregnant women and children. While health care providers (HCPs) want to implement best practices, they find practice change challenging.
This project utilizes a planned change theory to guide the implementation of oral health guidelines with a methodical approach. Retrospective and prospective chart audits evaluate HCP behavior change. The chart audits reveal HCPs change behaviors after a practice intervention with a Primary Care Oral Assessment Tool (PCOAT), and again after introduction of EBP guidelines. Some changes in provider behavior were statistically and clinically significant.
Keywords: pregnancy, pregnant, prenatal, antenatal, dental care, oral health, and practice guidelines
|School:||New Mexico State University|
|School Location:||United States -- New Mexico|
|Source:||DAI-B 76/10(E), Dissertation Abstracts International|
|Subjects:||Dentistry, Nursing, Public health|
|Keywords:||Antenatal, Dental care, Oral health, Practice guidelines, Pregnancy, Pregnant, Prenatal|
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