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Updated: Mar 15, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Evaluation of an oral health education session for Early Head Start home visitors
Kevin Glatt1, Christopher Okunseri2, Diane Flanagan3
1Department of Pediatrics, Center for the Advancement of Underserved Children, Medical College of Wisconsin, Milwaukee, WI, USA.
Objectives:
Home visiting programs promote the education and health of Early Head Start (EHS) children and pregnant women. However, EHS's oral health component is unevenly implemented. We conducted an educational intervention to improve oral health knowledge and motivational interviewing techniques among Wisconsin EHS home visitors.
Methods:
A questionnaire assessing oral health-related knowledge and confidence was administered to home visitors before and after an educational session. Changes between pre/post-responses were analyzed with McNemar's test and Wilcoxon Signed Rank test.
Results:
After the intervention there were increases in both knowledge and confidence related to oral health communication. Knowledge increases were observed in such topics as fluoridation, dental caries, and caregivers' role in assisting and supervising children's tooth brushing.
Conclusions:
A brief educational intervention was associated with increased home visitor knowledge and confidence in communicating oral health messages to EHS caregivers and pregnant women.
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