| 0674 A Rehabilitative Dental Intervention in a Welfare Reform Population | ||
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S. HYDE, University of California San Francisco, USA, and J.A. WEINTRAUB, University of California San Francisco, Center to Address Disparities in Children's Oral Health, USA The San Francisco welfare-to-work Personal Assisted Employment Services Program (PAES) implemented a novel dental component to provide rehabilitative dental care to participants. Objectives: To assess the change in the oral health-related quality of life (OHRQoL) and employment outcome following the receipt of rehabilitative dental treatment in this welfare reform population. Methods: A convenience sample of 377 participants in the PAES Dental Program received baseline oral examinations, Oral Health Impact Profile (OHIP-14) questionnaires, and treatment plans. 265 participants (70%) completed their rehabilitative dental treatment. Change scores, effect size, ANOVA, t-test, chi square, and multivariate regression were used to analyze the associations between demographic, clinical, treatment, employment, and OHRQoL variables. Results: 79% of participants exhibited improvement in their total OHIP-14 scores following dental treatment, 3% no change, and 18% deteriorated. The greatest improvement in OHRQoL occurred for those who had poor overall health (vs. excellent to fair health; p=0.01), emergency treatment urgency (vs. moderate to severe urgency; p=0.002), and were satisfied with the dental treatment received (vs. sometimes or not satisfied; p=0.0008). Moderate to large effect sizes (0.41 - 1.09) were obtained for 6 of the 7 subscales of the OHIP-14 change scores. In the regression model, higher change scores were associated with Caucasians and African Americans (p=0.0066), poor overall health (p=0.0375), greater severity of treatment urgency (p=0.0133), higher baseline OHIP-14 scores (p<0.0001), patient satisfaction with the Dental Program (p=0.001), and patient satisfaction with the resolution of their chief complaint (p=0.0028). Those who completed their dental treatment were twice as likely to achieve a favorable or neutral employment outcome (67%) than an unfavorable outcome (32%). Conclusions: Rehabilitative dental treatment improved the OHRQoL and employment outcome of this welfare reform population. Race, overall health, treatment urgency, baseline OHIP-14 scores, and patient satisfaction were associated with OHRQoL change scores. Supported by NIDCR/NIH/DHHS K16 DE00386. | ||
| Seq #85 - Clinical Trials, Tooth Whitening, Health Promotion 10:15 AM-11:30 AM, Thursday, 11 March 2004 Hawaii Convention Center Exhibit Hall 1-2 | ||
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