Pediatric Clinicians Can Help Reduce Rates of Early Childhood Caries

摘要: Objective—Early childhood caries (ECC) is a serious and preventable disease which pediatric clinicians can help address by counseling to reduce risk. Research Design—We implemented multifaceted practice-based intervention in outpatient clinic treating children vulnerable ECC (N = 635), comparing results those from similar nearby providing usual care 452). Intervention—We provided communication skills training using the approach of patient centered counseling, edited electronic medical record prompt parents/caregivers with an educational brochure. Outcome Measures—We assessed changes provider knowledge about after intervention, examined providers' practices incidence over time site, controlling for baseline ECC, sociodemographics parents'/caregivers' practice risk factors (diet, oral hygiene, tooth-monitoring), among 1045 complete data. Results—Provider increased (percentage correct answers improved 66% 79%). Providers at site used more