Date of Award

Fall 2016

Document Type


Degree Name

Doctor of Philosophy (PhD)


Community & Environ Health

Committee Director

Susan J. Daniel

Committee Member

Muge Akpinar-Elci

Committee Member

Linda Bennington


The purpose of this study was to determine if the use of a theory-based educational intervention would increase the frequency of performing oral health assessments (OHAs) during well-child visits among nurses. A randomized experimental design was conducted to determine if the educational intervention would improve frequency of performing OHAs, in addition to, knowledge, confidence in performing OHAs, and advising parents. Using a non-probability sampling frame, “snowball technique,” a total of 46 participants were recruited. After exclusion criteria, 33 advanced practice registered nurses (APRNs), registered nurses (RNs), and licensed practical nurses (LPNs); were randomized into a control or experimental group. Data collection occurred over a four-week period. An adapted validated 21-question survey designed through Qualtrics© software was used to measure oral health-related practices on children of all participants at pre and post-intervention. The electronically delivered intervention was a continuing education (CE) course that focused on children’s oral health. Participants in the experimental group received the CE course immediately following completion of the electronic survey whereas; participants in the control group received the CE course content after completing the post-survey at 4 weeks. At 3 weeks, a trivia question related to children’s oral health, and a brochure, “Promoting Oral Health” sponsored by the American Academy of Pediatrics was electronically delivered. Participants received 1 free CME credit as an incentive for participating and completing all portions of the study. A two-way Analysis of Variance (ANOVA) mixed design statistical analysis was used to determine statistical significant difference (p =