Process evaluation of the midwifery initiated oral health-dental service program: Perceptions of dental professionals

被引：6

作者：

Ajwani, Shilpi ^{[1
]}

Sousa, Mariana S. ^{[2
]}

Villarosa, Ariana C. ^{[3
]}

Bhole, Sameer ^{[1
]}

Johnson, Maree ^{[4
]}

Dahlen, Hannah G. ^{[5
]}

Hoolsema, Julia ^{[6
]}

Blinkhorn, Anthony ^{[7
]}

Srinivas, Ravi ^{[8
]}

Yaacoub, Albert ^{[9
]}

Milat, Andrew ^{[10
]}

Skinner, John ^{[7
]}

George, Ajesh ^{[11
]}

机构：

[1] Univ Sydney, Sydney Dent Hosp, Sydney Local Hlth Dist Oral Hlth Serv, Sydney Res, Sydney, NSW, Australia

[2] Univ New South Wales, Western Sydney Univ, South Western Sydney Local Hlth Dist, Ingham Inst Appl Med Res,Prince Wales Clin Sch,CO, Sydney, NSW, Australia

[3] Western Sydney Univ, South Western Sydney Local Hlth District, Ingham Inst Appl Med Res, COHORT, Liverpool, NSW, Australia

[4] Australian Catholic Univ, Ingham Inst Appl Med Res, Fac Hlth Sci, Sydney, NSW, Australia

[5] Western Sydney Univ, Ingham Inst Appl Med Res, Sch Nursing & Midwifery, Parramatta, NSW, Australia

[6] Western Sydney Univ, South Western Sydney Local Hlth Dist, COHORT, Ingham Inst Appl Med Res, Liverpool, NSW, Australia

[7] Univ Sydney, Fac Dent, Sydney, NSW, Australia

[8] Univ Sydney, Western Sydney Univ, South Western Sydney Local Hlth Dist Oral Hlth Se, Ingham Inst Appl Med Res,COHORT, Liverpool, NSW, Australia

[9] Nepean Blue Mt Local Hlth Dist Oral Hlth Serv, Penrith, NSW, Australia

[10] Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia

[11] Univ Sydney, Western Sydney Univ, South Western Sydney Local Hlth Dist, Ingham Inst Appl Med Res,COHORT,Translat Hlth Res, Liverpool, NSW, Australia

来源：

HEALTH PROMOTION JOURNAL OF AUSTRALIA | 2019年 / 30卷 / 03期

关键词：

children; dentists; oral health; pregnancy; process evaluation; QUALITATIVE RESEARCH; PREGNANCY; KNOWLEDGE; CARE; INTERVIEWS; ATTITUDES; DENTISTS; WOMEN;

D O I：

10.1002/hpja.224

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Issue addressed All pregnant women should have a comprehensive oral health evaluation. Unfortunately, many pregnant women seldom seek dental care and some dentists are hesitant to treat during pregnancy. To address these issues, the Midwifery Initiated Oral Health Dental Service (MIOH-DS) program was developed in Australia. The aim of this study was to undertake a process evaluation and explore the perceptions of dental professionals involved in the program to determine the acceptability, feasibility and effectiveness of the program if it were to be upscaled. Methods A qualitative approach using content analysis was conducted on data from two focus groups involving 12 dental professionals. Results All participants were supportive of the MIOH-DS program. They thought pregnant women were receptive to their care, and reported markedly improved oral health. The provision of free dental care and the involvement of midwives were cited as major factors that improved the uptake of the program. Some of the challenges encountered were the prevailing misconceptions about the safety of dental treatment and pregnancy-related impairments. Conclusions Dental professionals found the MIOH-DS to be acceptable, feasible and effective in improving oral health of pregnant women and their uptake of dental services. However, some challenges need to be addressed as the MIOH-DS program is upscaled into a cost-effective model. So what? Dental professionals are important stakeholders in the MIOH-DS model. The process evaluation of the successful dental intervention is necessary to understand how and why such interventions work, and is an important step in scaling up to a population-wide intervention.

引用

页码：333 / 343

页数：11