241062 American Indian community engagement to promote oral health behavior changes: A pilot study

Monday, October 31, 2011

Karen Fehringer, PhD , University of Colorado, Aurora, CO
Judith Albino, PhD , University of Colorado, Aurora, CO
Terry Batliner, DDS, MBA , Centers for American Indian and Alaska Native Health, Colorado School of Public Health, Aurora, CO
Dallas Daniels, RDH, BS , Centers for American Indian and Alaska Native Health, University of Colorado-Colorado School of Public Health, Aurora, CO
Oral health is one determinant of overall health status in children and adults. The prevalence of oral disease is disproportionately high in individuals of low income and in American Indian populations. Indian Health Service data (1999) shows American Indian and Alaska Native children have nearly three times the number of untreated lesions as children in the general U. S. population. In an unpublished study from the Northern Plains (2010) 88% of children have untreated lesions. Our University partnership with a Northern Plains Tribe led to development of a community based intervention focused on oral health promotion. Six hundred families will receive enhanced community services and three hundred of those families will receive four motivational interviewing (MI) intervention sessions focused on pediatric oral health. The goal is to elicit oral health behavior changes in the mother on behalf of her child. Fifteen mothers participated in the pilot of the motivational interviewing materials and process. The interventionist engaged the mother in dialogue about daily routines with her child. Each mother identified supports and challenges to making oral health behavior changes. An independent interviewer audio recorded the participant's answers to a set of questions to ascertain the usability of motivational interviewing in this American Indian population. Analysis of the post MI-session interviews revealed the mothers unanimously favored the motivational interviewing format. Mothers found oral health and early childhood caries information useful and stated they felt motivated to make changes. Mothers emphasized the importance of all mothers learning about early childhood caries prevention.

Learning Areas:
Implementation of health education strategies, interventions and programs

Learning Objectives:
1. Identify five factors related to the development of early childhood caries. 2. Describe a community based intervention developed to address early childhood caries in an American Indian population. 3. Discuss the outcomes of the motivational interviewing pilot study and project successes and challenges for full study implementation.

Keywords: Oral Health, American Indians

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present as I am the Co-Investigator and Director of Behavioral Intervention for this oral health research project. I have worked for more than 30 years as an occupational therapist with infants and families to promote improved physical and cognitive developmental outcomes as well as in infant mental health. I have worked in American Indian research focused on infants, young children, and families for the past seven years. Areas of interest have been infant and young children’s development, family development, and Native Head Start programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.