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A Qualitative Study of Health Care Providers' Views on Integrating Oral Health into Prenatal Care.
JDR Clin Trans Res. 2021 10; 6(4):409-419.JC

Abstract

OBJECTIVE

Providing preventive oral health during prenatal care is a recognized strategy for improving pregnant women's access to oral health care. This study sought to qualitatively explore the views of health care providers in British Columbia (BC), Canada, on strategies for integrating preventive oral health into prenatal care.

METHODS

Twenty-four purposefully selected health care providers (13 oral health and 11 prenatal care providers) in Vancouver and Surrey BC participated in audio-recorded semistructured interviews. Interviews lasted from 31 to 61 min, were transcribed verbatim, and were analyzed using an inductive thematic analysis with N-Vivo software. Study validity was ensured via memoing, fieldnotes, member checking, and external audit.

RESULTS

Thematic analysis revealed 5 major themes: perception of integrated care, relevance of integrated prenatal oral health, strategies for achieving integrated prenatal oral health, drivers of the integration process, and barriers to integrating oral health during pregnancy. Interprofessional collaboration based on information sharing and communication was identified as a critical factor for integrated care. Oral health checks should be a component of prenatal assessments for achieving integrated prenatal oral health. Participants recommended that prenatal providers should offer oral health education and use screening questions to identify the pregnant woman's oral health needs. The establishment of referral systems was advocated, while dental assessments and oral prophylaxis via the medical services plan were proposed. The inclusion of dental providers in prenatal teams and educating health care providers on interprofessional collaboration were also supported.

CONCLUSION

Oral health and prenatal providers in BC are positively disposed to adopting integrated preventive prenatal oral health care based on interprofessional collaborative practices. The inclusion of oral health providers in prenatal teams was suggested.

KNOWLEDGE TRANSFER STATEMENT

The results of this study can be used by policymakers for advocacy and decision making when planning care delivery programs for women during pregnancy. Including the suggested strategies could lead to increased access to, and utilization of, oral health services among pregnant women.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Adeniyi A
Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Donnelly L
Department of Oral and Biological Medical Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Janssen P
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Jevitt C
Midwifery Program, Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
von Bergman H
Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Brondani M
Dental Public Health, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.

MeSH

British ColumbiaFemaleHealth PersonnelHumansOral HealthPregnancyPrenatal CareQualitative Research

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32996370

Citation

Adeniyi, A, et al. "A Qualitative Study of Health Care Providers' Views On Integrating Oral Health Into Prenatal Care." JDR Clinical and Translational Research, vol. 6, no. 4, 2021, pp. 409-419.
Adeniyi A, Donnelly L, Janssen P, et al. A Qualitative Study of Health Care Providers' Views on Integrating Oral Health into Prenatal Care. JDR Clin Trans Res. 2021;6(4):409-419.
Adeniyi, A., Donnelly, L., Janssen, P., Jevitt, C., von Bergman, H., & Brondani, M. (2021). A Qualitative Study of Health Care Providers' Views on Integrating Oral Health into Prenatal Care. JDR Clinical and Translational Research, 6(4), 409-419. https://doi.org/10.1177/2380084420961998
Adeniyi A, et al. A Qualitative Study of Health Care Providers' Views On Integrating Oral Health Into Prenatal Care. JDR Clin Trans Res. 2021;6(4):409-419. PubMed PMID: 32996370.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Qualitative Study of Health Care Providers' Views on Integrating Oral Health into Prenatal Care. AU - Adeniyi,A, AU - Donnelly,L, AU - Janssen,P, AU - Jevitt,C, AU - von Bergman,H, AU - Brondani,M, Y1 - 2020/09/30/ PY - 2020/10/1/pubmed PY - 2021/11/3/medline PY - 2020/9/30/entrez KW - communication KW - health personnel KW - integrated care KW - interprofessional collaboration KW - pregnancy KW - referral and consultation SP - 409 EP - 419 JF - JDR clinical and translational research JO - JDR Clin Trans Res VL - 6 IS - 4 N2 - OBJECTIVE: Providing preventive oral health during prenatal care is a recognized strategy for improving pregnant women's access to oral health care. This study sought to qualitatively explore the views of health care providers in British Columbia (BC), Canada, on strategies for integrating preventive oral health into prenatal care. METHODS: Twenty-four purposefully selected health care providers (13 oral health and 11 prenatal care providers) in Vancouver and Surrey BC participated in audio-recorded semistructured interviews. Interviews lasted from 31 to 61 min, were transcribed verbatim, and were analyzed using an inductive thematic analysis with N-Vivo software. Study validity was ensured via memoing, fieldnotes, member checking, and external audit. RESULTS: Thematic analysis revealed 5 major themes: perception of integrated care, relevance of integrated prenatal oral health, strategies for achieving integrated prenatal oral health, drivers of the integration process, and barriers to integrating oral health during pregnancy. Interprofessional collaboration based on information sharing and communication was identified as a critical factor for integrated care. Oral health checks should be a component of prenatal assessments for achieving integrated prenatal oral health. Participants recommended that prenatal providers should offer oral health education and use screening questions to identify the pregnant woman's oral health needs. The establishment of referral systems was advocated, while dental assessments and oral prophylaxis via the medical services plan were proposed. The inclusion of dental providers in prenatal teams and educating health care providers on interprofessional collaboration were also supported. CONCLUSION: Oral health and prenatal providers in BC are positively disposed to adopting integrated preventive prenatal oral health care based on interprofessional collaborative practices. The inclusion of oral health providers in prenatal teams was suggested. KNOWLEDGE TRANSFER STATEMENT: The results of this study can be used by policymakers for advocacy and decision making when planning care delivery programs for women during pregnancy. Including the suggested strategies could lead to increased access to, and utilization of, oral health services among pregnant women. SN - 2380-0852 UR - https://www.unboundmedicine.com/medline/citation/32996370/A_Qualitative_Study_of_Health_Care_Providers'_Views_on_Integrating_Oral_Health_into_Prenatal_Care_ DB - PRIME DP - Unbound Medicine ER -