Table 3

Confidence, attitudes, and behavior of pediatric nurse practitioners in study about providing oral health service measured before and after oral health educational intervention, by number and percentage of total participants (n=30)

Pre-InterventionPost-Intervention
Confidence QuestionsVery ConfidentSlightly ConfidentNot ConfidentVery ConfidentSlightly ConfidentNot Confidentp-value*
Consult on child’s oral hygiene8 (27%)19 (63%)3 (10%)17 (57%)13 (43%)0<0.005
Consult on water fluoridation3 (10%)9 (31%)17 (59%)6 (21%)23 (79%)0<0.0001
Dietary consult on caries prevention8 (27%)19 (63%)3 (10%)24 (80%)6 (20%)0<0.0005
Consult on fluoride supplement in infancy2 (7%)8 (27%)20 (66%)9 (30%)20 (67%)1 (3%)<0.0005
Consult on dental visits in infancy/childhood5 (17%)19 (63%)6 (20%)23 (77%)7 (23%)0<0.0005
Perform oral exam on infants and toddlers3 (10%)13 (43%)14 (47%)8 (27%)22 (73%)0<0.001
Identify early childhood tooth decay3 (10%)13 (43%)14 (47%)8 (27%)21 (70%)1 (3%)<0.005
Identify other signs of oral pathology014 (37%)16 (53%)5 (17%)18 (60%)7 (23%)<0.01
Evaluating risk of tooth decay in infants and toddlers3 (10%)19 (63%)8 (27%)12 (40%)18 (60%)0<0.0005
Refer a child to a dentist3 (10%)19 (63%)8 (27%)12 (40%)18 (60%)0<0.0005
Sum of scoresMean (SD)MedianMean (SD)Medianp-value**
7.8 (4.1)7.014.1 (2.8)13.5<0.0001
Pre-InterventionPost-Intervention
Attitude QuestionsStrongly AgreeAgreeDisagreeStrongly DisagreeStrongly AgreeAgreeDisagreeStrongly Disagreep-value*
Assess early signs of dental problems during the physical exam15 (50%)15 (50%)0025 (83%)5 (17%)000.06
Refer children aged 1 to a dentist10 (33%)15 (50%)5 (17%)021 (70%)7 (23%)2 (7%)0 0.06
Consult on dental preventions16 (53%)14 (47%)0021 (70%)9 (30%)000.49
Prescription of fluoride supplements15 (50%)15 (50%)0020 (67%)10 (33%)000.57
Sum of scoresMean (SD)MedianMean (SD)Medianp-value**
9.7 (1.8)10.010.8 (1.6)11.50.0057
Post-Intervention
Behavior Questions0–10 Cases11–20 Cases21–30 Cases31–40 Cases>40 Cases
Number routine physical exams over past 3 months7 (23%)10 (33%)8 (27%)3 (10%)2 (7%)
Number oral exams in past 3 months5 (17%)10 (33%)8 (27%)3 (10%)4 (13%)
Number fluoride varnishes applied in past 3 months30 (100%)0000
How often performed the following tasks during a routine exam over past 3 months:AlwaysFrequentlyOccasionallyRarelyNever
• Assess a child’s fluoride intake for the need of supplementation1 (3%)8 (27%)6 (20%)7 (23%)8 (27%)
• Prescribe fluoride supplements05 (17%)2 (7%)5 (17%)18 (60%)
• Discuss fluoride toothpaste use with parents4 (13%)6 (20%)9 (30%)3 (10%)8 (27%)
• Inquire about a child’s use of a bottle in bed12 (40%)13 (43%)5 (17%)00
• Counsel parents on the importance of regular dental visits11 (37%)12 (40%)5 (17%)02 (7%)
• Inquire about mother’s dental health1 (3%)2 (7%)5 (17%)14 (37%)8 (27%)
• Refer high-risk patients to a dentist5 (17%)6 (20%)5 (17%)4 (13%)10 (33%)
  • * Bhapkar test was used for pre and post comparison for each individual question.

  • ** Wilcoxon signed-rank test was used to compare overall change in sum of scores in the pre- and post-intervention surveys.