CenteringPregnancy Oral Health Promotion (CPOP) Clinical Trial

摘要 联邦机构和专业组织已经做出了巨大努力，以解决日益增长的 公认的公共卫生问题--围产期口腔健康不良--这对孕产妇和 这在很大程度上是可以预防的。几个国家组织已经发表声明，优先考虑 需要改善怀孕期间的口腔健康和获得口腔保健的机会，以及全国孕产妇和 儿童卫生局发布了关于围产期口腔保健的共识声明和临床指南 在怀孕期间。在孕期提供推荐的口腔保健服务有可能 通过改进预防和恢复性保健改善妇女的口腔健康，并促进儿童口腔 通过对照顾者的教育和及时的前瞻性指导来实现健康。 通过NIDCR(R21DE019211 Adams，Pi；U54 DE019285 Chung，Pi)的资助，我们开发和 试点测试了中心妊娠口腔健康促进(CPOP)干预，这是一种口腔健康干预措施 参加CenteringPregnancy®(CP)的孕妇，这是一项集体产前护理计划。CPOP 干预措施包括2个教育和技能培养模块(产妇和婴儿)，它们被整合到 CP课程，并由训练有素的CP辅导员讲授。为了评估这些模块，女性完成了 牙科检查和调查问卷评估口腔卫生知识、态度和行为 干预后时期。在婴儿6岁时，对婴儿和母亲的唾液细菌水平进行了评估 和12个月大的婴儿。CPOP试点研究的结果显示，孕产妇和 婴幼儿口腔健康临床评估。NIDCR资金(R34DE024574)支持了 U01 CPOP RCT的最终规划和准备。 该U01提案的目的是测试CPOP干预作为全面第三阶段的有效性 在北方地区接受CP产前护理的一组妇女中进行的随机对照试验 加利福尼亚。如果证明是有效的，CPOP可以在全国范围内迅速和广泛地实施。

Abstract Federal agencies and professional organizations have mounted a large effort to address an increasingly recognized public health problem – poor perinatal oral health – which has serious implications for maternal and child health and is largely preventable. Several national organizations have issued statements prioritizing the need to improve oral health and access to oral health care during pregnancy and the National Maternal and Child Health Bureau has released consensus statements and clinical guidelines on perinatal oral health care during pregnancy. The provision of the recommended oral health care during pregnancy has the potential to improve women's oral health through improved prevention and restorative care and to promote children's oral health through caregiver education and timely anticipatory guidance. Through funding from the NIDCR (R21DE019211 Adams, PI; U54 DE019285 Chung, PI), we developed and pilot tested the CenteringPregnancy Oral Health Promotion (“CPOP”) Intervention, an oral health intervention for pregnant women attending CenteringPregnancy® (CP), a group prenatal care program. The CPOP intervention consists of 2 educational and skills building modules (maternal and infant) that are integrated into the CP curriculum, and delivered by trained CP facilitators. To evaluate the modules, the women completed dental examinations and questionnaires assessments of OH knowledge, attitudes, and behaviors at pre- and post- intervention periods. Infant and maternal salivary bacterial levels were assessed when the infants were 6 and 12 months of age. Findings from the CPOP pilot studies show significant improvements in maternal and infant clinically-assessed oral health. NIDCR funding (R34DE024574) has supported the development of the final planning and preparation for the U01 CPOP RCT. The purpose of this U01 proposal is to test the efficacy of the CPOP intervention as a full scale Phase III randomized controlled trial among a group of women receiving CP prenatal care at sites across Northern California. If shown to be efficacious, CPOP could be implemented rapidly and broadly nationwide.