Dissertation/Thesis Abstract

Implementing evidence-based oral health guidelines: An evaluation of health care provider behavior change
by Cogil, Christine, D.N.P., New Mexico State University, 2015, 106; 3663311
Abstract (Summary)

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

Indexing (document details)
Advisor: Robinson, Kristynia
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
Publication Number: 3663311
ISBN: 978-1-321-86744-2
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