{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T01:58:38Z","timestamp":1779242318583,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005227","name":"Centers for Medicare and Medicaid Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005227","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate parent knowledge and belief changes following the MySmileBuddy (MSB) early childhood caries (ECC) intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pre\u2010 and post\u2010intervention surveys were completed by 669 parents of children with visually\u2010evident ECC from among 977 participants in a 6\u201312\u2010month pragmatic community\u2010based caries management trial administered by community health workers (CHWs). Six domains of knowledge about caries and motivating and facilitating determinants were assessed via 26 survey items. Principal components analysis and reliability testing reduced dataset dimensionality. Parent and CHW characteristics were analyzed as potential moderators. Paired <jats:italic>T<\/jats:italic>\u2010tests measured pre\u2010to\u2010post\u2010intervention changes. Generalized estimating equations accounted for within\u2010participant correlation with significance set at <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty items consolidated into five factors (<jats:italic>saliva, hygiene, diet, seriousness\/susceptibility, and outcome expectations<\/jats:italic>). Six additional items were evaluated individually. Positive post\u2010intervention changes (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) were observed across all factors and all but one individual item (<jats:italic>tooth decay is very common<\/jats:italic>). Greatest knowledge increases related to caries as a bacterial disease in two measures, the <jats:italic>saliva factor<\/jats:italic> and a single caries belief item <jats:italic>tooth decay is an infectious disease<\/jats:italic> (0.59 unit increase, 95% CI [0.55, 0.64] and 0.46 unit increase, 95% CI [0.4, 0.51], respectively), and in the value of fluoridated water over bottled (0.46 unit increase, 95% CI [0.39\u20130.53]). Most parents improved knowledge of ECC salivary (72%) and dietary risks (57%), and preventative hygiene behaviors (59%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>MSB enhanced knowledge and beliefs about caries and confirmed hypothesized mediators of behavior change among parents of high\u2010risk children. Engaging peer\u2010like CHW interventionists may have moderated intervention effects, warranting further exploration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12620","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T01:39:05Z","timestamp":1714441145000},"page":"251-259","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Change in parental knowledge and beliefs about early childhood dental caries following a pragmatic community\u2010based trial"],"prefix":"10.1111","volume":"84","author":[{"given":"Christie L.","family":"Lumsden","sequence":"first","affiliation":[{"name":"Section of Oral, Diagnostic, and Rehabilitation Sciences Columbia University College of Dental Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burton L.","family":"Edelstein","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, Professor Emeritus of Dental Medicine (in Pediatric Dentistry) and Health Policy &amp; Management at Columbia University Irving Medical Center Columbia University College of Dental Medicine and Mailman School of Public Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng\u2010Shiun","family":"Leu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Mailman School of Public Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaqing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Human Development Teachers College Columbia University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0573-3396","authenticated-orcid":false,"given":"Marcie S.","family":"Rubin","sequence":"additional","affiliation":[{"name":"Section of Growth and Development Columbia University College of Dental Medicine  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Andrews","sequence":"additional","affiliation":[{"name":"Columbia Data Coordinating Center, Mailman School of Public Health Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2009.0250"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6541e1"},{"key":"e_1_2_6_4_1","volume-title":"Oral health surveillance report: trends in dental caries and sealants, tooth retention, and Edentulism, United States, 1999\u20132004 to 2011\u20132016","author":"Centers for Disease Control and Prevention","year":"2019"},{"key":"e_1_2_6_5_1","first-page":"79","volume-title":"Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies","author":"American Academy of Pediatric Dentistry","year":"2016"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.200915"},{"key":"e_1_2_6_7_1","first-page":"82","volume-title":"Policy on early childhood caries (ECC): unique challenges and treatment options","author":"American Academy of Pediatric Dentistry","year":"2020"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12137"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.127810"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40496-015-0056-9"},{"key":"e_1_2_6_11_1","article-title":"A simulation model for designing effective interventions in early childhood caries","volume":"9","author":"Hirsch GB","year":"2012","journal-title":"Prev Chronic Dis"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2014.12.024"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515609034"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034519873842"},{"key":"e_1_2_6_15_1","volume-title":"Integrating community health workers into complex care teams: key considerations","author":"Lloyd J","year":"2017"},{"key":"e_1_2_6_16_1","first-page":"617","volume-title":"Social foundations of thought and action: a social cognitive theory","author":"Bandura A","year":"1986"},{"key":"e_1_2_6_17_1","first-page":"78","article-title":"Health belief model","volume":"1","author":"Hochbaum G","year":"1952","journal-title":"U S Public Health Serv"},{"key":"e_1_2_6_18_1","first-page":"140","article-title":"Behavioral outcomes of a pragmatic early childhood caries management trial","author":"Lumsden C","year":"2023","journal-title":"J Dent Res Clin Transl Res"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59091559"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2017.00228"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.11.030"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12250"},{"key":"e_1_2_6_23_1","first-page":"30","article-title":"Parental knowledge about urban preschool children's oral health risk","volume":"43","author":"Mahat G","year":"2017","journal-title":"Pediatr Nurs"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2017.05.002"},{"key":"e_1_2_6_25_1","article-title":"Community health workers: roles and opportunities in health care delivery system reform","author":"Snyder JE","year":"2016","journal-title":"ASPE ISSUE BRIEF, Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation"},{"key":"e_1_2_6_26_1","unstructured":"Jewish Healthcare Foundation and The Network for Excellence in HEalth Innovation.Community health workers: getting the job done in healthcare delivery; 2015."}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12620","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T09:30:16Z","timestamp":1732008616000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,29]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1111\/jphd.12620"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12620","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,29]]},"assertion":[{"value":"2023-08-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}