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Interprofessional collaboration and smartphone use as promising strategies to improve prenatal oral health care utilization among US underserved women: results from a qualitative study.
BMC Oral Health. 2020 11 23; 20(1):333.BO

Abstract

BACKGROUND

Data on barriers and facilitators to prenatal oral health care among low-income US women are lacking. The objective of this study was to understand barriers/facilitators and patient-centered mitigation strategies related to the use of prenatal oral health care among underserved US women.

METHODS

We used community-based participatory research to conduct two focus groups with eight pregnant/parenting women; ten individual in-depth interviews with medical providers, dental providers and community/social workers; and one community engagement studio with five representative community stakeholders in 2018-2019. Using an interpretive description research design, we conducted semi-structured interviews and focus groups which were audio-recorded, transcribed, and analyzed for thematic content.

RESULTS

We identified individual and systemic barriers/facilitators to the utilization of prenatal oral health care by underserved US women. Strategies reported to improve utilization included healthcare system-wide changes to promote inter-professional collaborations, innovative educational programs to improve dissemination and implementation of prenatal oral health care guidelines, and specialized dental facilities providing prenatal oral health care to underserved women. Moreover, smartphones have the potential to be an innovative entry point to promote utilization of prenatal oral care at the individual level.

CONCLUSIONS

Low-income women face multiple, addressable barriers to obtaining oral health care during pregnancy. Inter-professional collaboration holds strong promise for improving prenatal oral health care utilization.

Authors+Show Affiliations

Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA. Peking University School of Stomatology, Beijing, China.University of Rochester River Campus, Rochester, NY, USA.Department of Family Medicine, University of Rochester Medical Center, Rochester, NY, USA.Healthy Baby Network, Rochester, NY, USA.Department of Family Medicine, University of Rochester Medical Center, Rochester, NY, USA.Department of Family Medicine, University of Rochester Medical Center, Rochester, NY, USA.Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.Department of Family Medicine, University of Rochester Medical Center, Rochester, NY, USA. Monroe County Department of Public Health, Rochester, NY, USA.Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.University of Rochester River Campus, Rochester, NY, USA.Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA. Jin_xiao@urmc.rochester.edu.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

33228617

Citation

Wang, Lin, et al. "Interprofessional Collaboration and Smartphone Use as Promising Strategies to Improve Prenatal Oral Health Care Utilization Among US Underserved Women: Results From a Qualitative Study." BMC Oral Health, vol. 20, no. 1, 2020, p. 333.
Wang L, Ren J, Fiscella KA, et al. Interprofessional collaboration and smartphone use as promising strategies to improve prenatal oral health care utilization among US underserved women: results from a qualitative study. BMC Oral Health. 2020;20(1):333.
Wang, L., Ren, J., Fiscella, K. A., Bullock, S., Sanders, M. R., Loomis, E. L., Eliav, E., Mendoza, M., Cacciato, R., Thomas, M., Kopycka-Kedzierawski, D. T., Billings, R. J., & Xiao, J. (2020). Interprofessional collaboration and smartphone use as promising strategies to improve prenatal oral health care utilization among US underserved women: results from a qualitative study. BMC Oral Health, 20(1), 333. https://doi.org/10.1186/s12903-020-01327-9
Wang L, et al. Interprofessional Collaboration and Smartphone Use as Promising Strategies to Improve Prenatal Oral Health Care Utilization Among US Underserved Women: Results From a Qualitative Study. BMC Oral Health. 2020 11 23;20(1):333. PubMed PMID: 33228617.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Interprofessional collaboration and smartphone use as promising strategies to improve prenatal oral health care utilization among US underserved women: results from a qualitative study. AU - Wang,Lin, AU - Ren,Johana, AU - Fiscella,Kevin A, AU - Bullock,Sherita, AU - Sanders,Mechelle R, AU - Loomis,Elizabeth L, AU - Eliav,Eli, AU - Mendoza,Michael, AU - Cacciato,Rita, AU - Thomas,Marie, AU - Kopycka-Kedzierawski,Dorota T, AU - Billings,Ronald J, AU - Xiao,Jin, Y1 - 2020/11/23/ PY - 2020/08/31/received PY - 2020/11/12/accepted PY - 2020/11/24/entrez PY - 2020/11/25/pubmed PY - 2021/2/11/medline KW - Inter-professional collaboration KW - Prenatal oral health KW - Underserved pregnant women SP - 333 EP - 333 JF - BMC oral health JO - BMC Oral Health VL - 20 IS - 1 N2 - BACKGROUND: Data on barriers and facilitators to prenatal oral health care among low-income US women are lacking. The objective of this study was to understand barriers/facilitators and patient-centered mitigation strategies related to the use of prenatal oral health care among underserved US women. METHODS: We used community-based participatory research to conduct two focus groups with eight pregnant/parenting women; ten individual in-depth interviews with medical providers, dental providers and community/social workers; and one community engagement studio with five representative community stakeholders in 2018-2019. Using an interpretive description research design, we conducted semi-structured interviews and focus groups which were audio-recorded, transcribed, and analyzed for thematic content. RESULTS: We identified individual and systemic barriers/facilitators to the utilization of prenatal oral health care by underserved US women. Strategies reported to improve utilization included healthcare system-wide changes to promote inter-professional collaborations, innovative educational programs to improve dissemination and implementation of prenatal oral health care guidelines, and specialized dental facilities providing prenatal oral health care to underserved women. Moreover, smartphones have the potential to be an innovative entry point to promote utilization of prenatal oral care at the individual level. CONCLUSIONS: Low-income women face multiple, addressable barriers to obtaining oral health care during pregnancy. Inter-professional collaboration holds strong promise for improving prenatal oral health care utilization. SN - 1472-6831 UR - https://www.unboundmedicine.com/medline/citation/33228617/Interprofessional_collaboration_and_smartphone_use_as_promising_strategies_to_improve_prenatal_oral_health_care_utilization_among_US_underserved_women:_results_from_a_qualitative_study_ DB - PRIME DP - Unbound Medicine ER -