Community-based Intergenerational Oral Health Study

Study Overview
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Brief Summary
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The purpose of this study is to determine whether giving brief motivational interviewing counseling during the prenatal and/or postnatal period(s) will increase utilization of preventive dental care and improve the oral health of rural, low-income pregnant and postpartum women and their children, and to increase the number of home oral health practices taken by these women to prevent caries in their young children.

Official Title
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Community-based Intergenerational Oral Health Promotion In Rural America

Conditions
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Preventive Health Services

Intervention / Treatment
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* Behavioral: motivational interviewing counseling
* Behavioral: motivational interviewing counseling
* Behavioral: motivational interviewing counseling
* Behavioral: health education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant (week 26 or earlier) At least 15 years of age Medicaid eligible Speaks English Willing and able to comply with study instructions Mother AND child available for length of the study (  24 months) Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Prenatal MI - Postpartum MI<br>Motivational interviewing counseling given during the prenatal and postpartum phases | Behavioral: motivational interviewing counseling<br>* Motivational interviewing counseling given during the prenatal and postpartum phases<br>|
| Experimental: Prenatal MI - Postpartum Health Ed<br>Motivational interviewing counseling given during the prenatal phase with traditional health education given during the postpartum phase | Behavioral: motivational interviewing counseling<br>* Motivational interviewing counseling given during the prenatal phase with traditional health education given during the postpartum phase<br>|
| Experimental: Prenatal Health Ed - Postpartum MI<br>Traditional health education given during the prenatal phase with motivational interviewing counseling given during the postpartum phase | Behavioral: motivational interviewing counseling<br>* Traditional health education given during the prenatal phase with motivational interviewing counseling given during the postpartum phase<br>|
| Placebo Comparator: Prenatal Health Ed/Postpartum Health Ed<br>Traditional health education given during the prenatal phase and the postpartum phase | Behavioral: health education<br>* Traditional health education given during the prenatal phase and the postpartum phase<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visiting the dentist during pregnancy and up to two months postpartum for the mother and visiting the dentist before 18 months for the child. |  | During pregnancy and up to two months post partum (mother); up to 18 months (child) |