Oral Health Knowledge, Attitudes, and Learned Clinical Skills in Pediatric Medicine Residents and Nurse Practitioner Students: A Pre-Post Design

Author:

Love Laurie1ORCID,Ramos-Gomez Francisco2ORCID,Kinsler Janni J.2ORCID,Cabrera-Mino Cristina1ORCID,Garell Cambria3ORCID,Pike Nancy A.14ORCID

Affiliation:

1. School of Nursing, University of California Los Angeles, Los Angeles, CA 90095, USA

2. Division of Pediatric Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, CA 90095, USA

3. Department of Pediatrics, UCLAHealth, Los Angeles, CA 90095, USA

4. Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, CA 92697, USA

Abstract

(1) Background/Objective: California has one of the highest rates of pediatric dental caries in the nation. One way to combat this problem is through non-dental provider training programs that focus on prevention. However, there are limited data on healthcare provider training program integration and evaluation of oral health curricula focused on prevention of early childhood caries. This study will assess the change in healthcare providers’ attitudes, knowledge, and skills by implementing an interprofessional educational (IPE) oral health curriculum in medicine and nurse practitioner programs at one university in Southern California. (2) Methods: A mixed method design was employed using a pre- and post-educational survey, and end-of-program focus group interviews. Descriptive statistics and paired t-tests were used to assess group differences and thematic analyses for the focus groups. (3) Results: A total of 81 students (14 pediatric medicine residents, 18 pediatric, and 49 family nurse practitioners) completed the curriculum and surveys. Attitudes related to oral hygiene remained unchanged, with the nurse practitioner group showing improved clinical skills (all questions; p < 0.021). Knowledge scores significantly improved across all groups (paired t-test; p < 0.001). All focus groups expressed the helpfulness of the educational modules, the usefulness of the skills learned, and the benefits of IPE activities. (4) Conclusion: Healthcare providers showed improved oral health knowledge and clinical skills acquired through the oral health program and can serve as a model to educate across disciplines on the prevention of early childhood caries.

Funder

Health Resources and Services Administration

National Institutes of Health

Publisher

MDPI AG

Reference28 articles.

1. U.S. Department of Health and Human Services (2000). Oral Health in America: A Report of the Surgeon General, National Institute of Dental and Craniofacial Research.

2. (2024, August 08). National Survey of Children’s Health, Health Resources and Services Administration, Maternal and Child Health Bureau, Available online: https://mchb.hrsa.gov/data-research/national-survey-childrens-health.

3. (2024, July 08). California Oral Health Surveillance Plan- 2019–2023, Available online: https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CDCB/Pages/OralHealthProgram/DataStatistics.aspx.

4. Contreas, O.A., Stewart, D., Stewart, J., and Valachovic, R.W. (2024, July 08). American Dental Education Policy Brief. Interprofessional Education and Practice—An Imperative to Optimize and Advance Oral and Overall, Health. Available online: https://www.adea.org/policy/publications/ipe/.

5. Integrating oral health into health professions school curricula;Gill;Med. Educ. Online,2022

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