{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:25Z","timestamp":1777859005855,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007305","name":"Maternal and Child Health Bureau","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007305","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NIH\/NCATS Colorado CTSA","award":["UL1 TR002535"],"award-info":[{"award-number":["UL1 TR002535"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Evaluate healthcare providers\u2019 and staffs\u2019 knowledge, self-reported abilities, activities, and barriers to providing preventive oral health services (POHS) at primary care medical visits before and after participation in the Rocky Mountain Network of Oral Health (RoMoNOH) project.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The RoMoNOH project integrated POHS into primary care medical visits of young children at 22 community health centers (CHCs) in Arizona, Colorado, Montana, and Wyoming by medical team members and\/or by embedded dental hygienists (DHs). Twelve CHCs embedded DHs onto their teams. In an observational pre\/post evaluation, a convenience sample of healthcare providers\u2019 characteristics were surveyed at baseline and 3\u2009years across 4 oral health domains: knowledge, self-reported abilities, behaviors, and barriers. Each domain was scored from 0% to 100%, with 100% being optimal. Differences between pre- and post-project domain scores were assessed using chi-square, t-tests, and linear and logistic regression adjusting for providers\u2019 age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Embedding DHs into CHCs and staff turnover impacted pre\/post survey participants. The final analytic cohort included 213 (pre-survey response rate: 71%) and 165 (post-survey response rate: 52%) healthcare providers who worked with children &lt; age 3. Participants were female (pre: 81%, post: 81%) and aged &gt;35\u2009years (pre: 39%, post: 41%). Unadjusted mean differences across surveys improved across all oral health domains (pre\/post): knowledge: 65%\/81%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001; self-reported ability: 52%\/71%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001; activities: 32%\/57%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001; barriers: 27%\/21%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.011. After adjustment for age, these improvements remained significant (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009\u2264\u2009.011).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Healthcare providers\u2019 oral health practices improved over a multi-year oral health integration project aimed at increasing delivery of POHS at medical visits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319251360952","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T10:51:04Z","timestamp":1753959064000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Providers\u2019 Oral Health Practices Participating in a Regional Oral Health Intervention"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7211-2114","authenticated-orcid":false,"given":"Patricia A.","family":"Braun","sequence":"first","affiliation":[{"name":"Denver Health and Hospital, Denver, CO, USA"},{"name":"Department of Family Medicine, University of Colorado Anschutz School of Medicine, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly T.","family":"Wiggins","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Colorado Anschutz School of Medicine, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cherith","family":"Flowerday","sequence":"additional","affiliation":[{"name":"Denver Health and Hospital, Denver, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bienstock","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Colorado Anschutz School of Medicine, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Miriam","family":"Dickinson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Colorado Anschutz School of Medicine, Aurora, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Trends in Oral Health Status: United States, 1988-1994 and 1999-2004","author":"Dye BATS","year":"2007","unstructured":"Dye BATS, Smith V, Lewis BG, et al. Trends in Oral Health Status: United States, 1988-1994 and 1999-2004. In: Statistics NCfH, ed. Vital Health Stat, Vol 11. Statistics NCfH; 2007."},{"key":"e_1_3_2_3_2","unstructured":"U.S. Department of Health and Human Services. National Institute of Dental and Craniofacial Research NIoH e. Oral Health in America: A Report of the Surgeon General. U.S. Department of Health and Human Services; 2000."},{"issue":"1","key":"e_1_3_2_4_2","first-page":"32","article-title":"Trends in dental utilization among young children in the United States, 1996-2016","volume":"44","author":"Watson D","year":"2022","unstructured":"Watson D, Rutten H, Yuen M. Trends in dental utilization among young children in the United States, 1996-2016. Pediatr Dent. 2022;44(1):32-35.","journal-title":"Pediatr Dent"},{"key":"e_1_3_2_5_2","unstructured":"United States General Accounting Office. Oral Health: Factors Contributing to Low Use of Dental Services by Low-Income Populations. United States General Accounting Office; 2000."},{"issue":"3","key":"e_1_3_2_6_2","first-page":"1","article-title":"Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis\u2013United States, 1988-1994 and 1999-2002","volume":"54","author":"Beltran-Aguilar E","year":"2005","unstructured":"Beltran-Aguilar E, Barker L, Canto M, et al. Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis\u2013United States, 1988-1994 and 1999-2002. MMWR Surveill Summ. 2005;54(3):1-43.","journal-title":"MMWR Surveill Summ"},{"issue":"3","key":"e_1_3_2_7_2","first-page":"21","article-title":"Embedding Dental Hygienists into Medical Care Teams: implementation and evaluation of a medical-dental integration approach in Colorado","volume":"97","author":"Braun PA","year":"2023","unstructured":"Braun PA, Chavez C, Flowerday C, Furniss A, Dickinson M. Embedding Dental Hygienists into Medical Care Teams: implementation and evaluation of a medical-dental integration approach in Colorado. J Dent Hyg. 2023;97(3):21-27.","journal-title":"J Dent Hyg"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jebdp.2016.01.017"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303817"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12010"},{"issue":"3","key":"e_1_3_2_11_2","first-page":"6","article-title":"Integrating dental hygienists into medical care teams: practitioner and patient perspectives","volume":"95","author":"Braun PA","year":"2021","unstructured":"Braun PA, Budzyn SE, Chavez C, Barnard JG. Integrating dental hygienists into medical care teams: practitioner and patient perspectives. J Dent Hyg. 2021;95(3):6-17.","journal-title":"J Dent Hyg"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cppeds.2018.08.006"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2020.01.002"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14439"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2022.06.008"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.18217"},{"key":"e_1_3_2_17_2","article-title":"Delivery of oral health services at medical visits through 3 medical dental integration models","volume":"9","author":"Braun PA","year":"2024","unstructured":"Braun PA, Flowerday C, Bienstock A, et al. Delivery of oral health services at medical visits through 3 medical dental integration models. 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