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

Ajwani, S; Sousa, MS; Villarosa, AC; Bhole, S; Johnson, M; Dahlen, HG; Hoolsema, J; Blinkhorn, A; Srinivas, R; Yaacoub, A; Milat, A; Skinner, J; George, A

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

Ajwani, S Sousa, MS Villarosa, AC Bhole, S Johnson, M Dahlen, HG Hoolsema, J Blinkhorn, A Srinivas, R Yaacoub, A Milat, A Skinner, J George, A

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Health Promot J Austr, 2019, 30, (3), pp. 333-343
Issue Date:: 2019-09

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Field	Value	Language
dc.contributor.author	Ajwani, S
dc.contributor.author	Sousa, MS
dc.contributor.author	Villarosa, AC
dc.contributor.author	Bhole, S
dc.contributor.author	Johnson, M
dc.contributor.author	Dahlen, HG
dc.contributor.author	Hoolsema, J
dc.contributor.author	Blinkhorn, A
dc.contributor.author	Srinivas, R
dc.contributor.author	Yaacoub, A
dc.contributor.author	Milat, A
dc.contributor.author	Skinner, J
dc.contributor.author	George, A
dc.date.accessioned	2022-04-19T05:04:07Z
dc.date.available	2018-11-30
dc.date.available	2022-04-19T05:04:07Z
dc.date.issued	2019-09
dc.identifier.citation	Health Promot J Austr, 2019, 30, (3), pp. 333-343
dc.identifier.issn	1036-1073
dc.identifier.issn	2201-1617
dc.identifier.uri	http://hdl.handle.net/10453/156458
dc.description.abstract	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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Health Promot J Austr
dc.relation.isbasedon	10.1002/hpja.224
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.subject.mesh	Australia
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Dental Care
dc.subject.mesh	Female
dc.subject.mesh	Focus Groups
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Health Promotion
dc.subject.mesh	Humans
dc.subject.mesh	Midwifery
dc.subject.mesh	Oral Health
dc.subject.mesh	Pregnancy
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Professional Role
dc.subject.mesh	Program Evaluation
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Focus Groups
dc.subject.mesh	Program Evaluation
dc.subject.mesh	Dental Care
dc.subject.mesh	Health Knowledge, Attitudes, Practice
dc.subject.mesh	Professional Role
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Oral Health
dc.subject.mesh	Health Promotion
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.title	Process evaluation of the midwifery initiated oral health-dental service program: Perceptions of dental professionals.
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	Australia
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
dc.date.updated	2022-04-19T05:04:06Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	30
utslib.citation.issue	3

Abstract:

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.

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http://hdl.handle.net/10453/156458