Changes in Oral Health Behaviors Associated With a Nursing Intervention in Primary Care
| Autor: | Jennifer K. Cheng MD, MPH, Abiola Faniyan MBBS, MPH, Jenny Chan Yuen MSPH, Tracy Myers RN, BSN, CPN, AE-C, Michelle Fleck BS, RN, CPN, Jane Burgess BSN, RN, CPN, Kathryn Williams MS, Rashmi Wijeratne MD, MPH, Romi Webster MD, MPH, Joanne Cox MD, Man Wai Ng DDS, MPH |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Global Pediatric Health, Vol 6 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2333-794X 2333794X |
| DOI: | 10.1177/2333794X19845923 |
| Popis: | Objective . To describe changes in oral health behaviors following implementation of a nursing intervention targeting children at risk for early childhood caries at an urban 2-site primary care practice. Methods . Nurses used a proprietary Nursing Caries Assessment Tool (N-CAT) to identify behaviors associated with early childhood caries risk, then provided brief focused dental education, fluoride varnish applications, and dental referrals to children without a dental home. We used generalized estimating equation logistic regression models, adjusted for age at visit, to analyze changes in oral health behaviors over time including the following: (1) tooth brushing frequency, (2) use of fluoride toothpaste, and (3) adult help with brushing among children younger than 5 years of age who had at least 2 N-CATs documented during well care visits between April 2013 and June 2015. We also evaluated dietary habits including going to bed with a bottle or sippy cup and sugar-sweetened beverage consumption, as secondary study outcomes during the same time frame. Results. A total of 2097 children with a mean age of 15.8 (SD 7.6) months at the initial visit were included in the analysis; 51% were boys; 28% were black, 36% Hispanic/Latino, 5% white, 2% Asian, and 19% other; 75% were publicly insured. During the study period, significant ( P < .05) improvements were noted across the 3 oral health behaviors studied among children younger than 18 months. Conclusion. Nursing interventions show promise for promoting preventive dental care in primary care settings and deserve further study. |
| Databáze: | Directory of Open Access Journals |
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