Process evaluation of the midwifery initiated oral health-dental service program: Perceptions of midwives in Greater Western Sydney, Australia

Dahlen, Hannah G; Johnson, Maree; Hoolsema, Julia; Norrie, Tiffany Patterson; Ajwani, Shilpi; Blinkhorn, Anthony; Bhole, Sameer; Ellis, Sharon; Srinivas, Ravi; Yaacoub, Albert; Milat, Andrew; Skinner, John; George, Ajesh

doi:10.1016/j.wombi.2018.06.021

Cited by 27 publications

(40 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although pilot projects [6,40,43] have demonstrated that midwives are cognisant of the importance of oral health for their patients, they feel they do not have the time or skills to provide adequate care. At present, to our knowledge there is only one midwifery course in Australia offering formal oral health education to students [44]. While it shows promise in increasing the oral health promotion skills of midwives, it is limited in its ability to support the 'next step' in the care process [44].…”

Section: Discussionmentioning

confidence: 99%

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

et al. 2020

View full text Add to dashboard Cite

Background: Many factors influence how a person experiences oral health and how such experiences may facilitate supportive oral health behaviours. Women in particular face different challenges due to their environment, responsibilities and physiological differences to men. Within Australia, Aboriginal and Torres Strait Islander women are reported to have poorer oral health and are faced with additional barriers to supporting their oral health compared with non-Indigenous women. The objective of this paper is to report the experiences and perceptions of oral health from the perspective of urban, Aboriginal and Torres Strait Islander women. Methods: The present data derive from a descriptive study that used yarning circles and face-to-face interviews with women who were mothers/carers of urban, Aboriginal and/or Torres Strait Islander children. This was a qualitative study to investigate the impact of child oral health on families. Participants used the opportunity to share their own personal experiences of oral health as women, thus providing data for the present analyses. Information collected was transcribed and analysed thematically. Results: Twenty women shared their personal narratives on the topic of oral health which were reflective of different time points in their life: growing up, as an adult and as a mother/carer. Although women are trying to support their oral health across their life-course, they face a number of barriers, including a lack of information and the costs of accessing dental care. The teenage years and pregnancy were reported as important time periods for oral health support. Conclusions: To improve the oral health of Indigenous Australian women, policymakers must consider the barriers reported by women and critically review current oral health information and services. Current oral health services are financially out of reach for Indigenous Australian women and there is not sufficient or appropriate, oral information across the life-course.

show abstract

Section: Discussionmentioning

confidence: 99%

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The process evaluation showed that the program is feasible and could be scaled up in‐line with the national oral health plan; however, challenges exist with regard to providing a model that can be supported by public and private dental professionals. The study findings along with the perspectives of women and midwives will inform the overall scalability and implementation of the program.…”

Section: Resultsmentioning

confidence: 99%

“…The Australian National Oral Health Plan 2015‐2024 notes the importance of access to dental services during pregnancy and further national leadership is required to ensure that this is implemented uniformly . A study published elsewhere reported that midwives responded positively when asking pregnant women about their oral health during their first antenatal visit and using the oral health assessment tool to undertake a brief screening. Interestingly, the participants in this study reported that the majority of pregnant women did not have any issues regarding visiting the dentist.…”

Section: Discussionmentioning

confidence: 99%

“…This study describes the process evaluation of the MIOH‐DS program from the perspectives of the dental staff who delivered the dental intervention in the trial. The perceptions of the midwives and pregnant women who were part of the program have been detailed elsewhere …”

Section: Introductionmentioning

confidence: 99%

“…The perceptions of the midwives and pregnant women who were part of the program have been detailed elsewhere. 23,24…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Ajwani

Sousa

Villarosa

et al. 2018

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Implementing and evaluating the effectiveness of an oral health module for the bachelor of midwifery program at an Australian university

George

Kong

Villarosa

et al. 2020

Nurse Education Today

View full text Add to dashboard Cite

Process evaluation of the midwifery initiated oral health-dental service program: Perceptions of midwives in Greater Western Sydney, Australia

Cited by 27 publications

References 21 publications

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

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

Implementing and evaluating the effectiveness of an oral health module for the bachelor of midwifery program at an Australian university

Contact Info

Product

Resources

About