1. National Center on Health: Four-Year Evaluation of Outcomes Head Start Oral Health Project *Isman, BA; Geurink, K; Holt, K; Landrum, M; Goodman, H.

2. Funding and Disclosures Funding for this project was supported by an Office of Head Start (OHS) 4-year cooperative agreement to the American Academy of Pediatrics (AAP), with a subcontract to ASTDD through Georgetown University, National Maternal and Child Oral Health Resource Center (OHRC). Contents are solely the responsibility of the authors and do not necessarily represent the official views of OHS The authors have no relevant financial relationships to disclose.

3. This presentation will discuss findings from evaluation of several NCH Oral Health Project activities over four years using mixed methods

4. National Center on Health

5. American Academy of Pediatrics Education Development Center, Inc. Georgetown University Center for Child and Human Development Georgetown University, National Maternal and Child Oral Health Resource Center with Association of State and Territorial Dental Directors UCLA Health Care Institute at the UCLA Anderson School of Management National Center on Health Partners

6. Evaluation Strategies for Oral Health Project Quantitative and Qualitative Information Quarterly Dental Hygienist Liaison (DHL) reports Activity reports submitted to OHRC, AAP, and OHS Statistics on downloads/visits to pages with materials, materials ordered/sent Evaluations of webinars and presentations Sharing of reports, newsletter articles Consultant and other DHL reports Periodic surveys or listserv queries *Note: Overall NCH Evaluation Report will be available soon

7. Oral Health Project Logic Model Activity 1: Collaborate with American Dental Hygienists’ Association to maintain and enhance efforts of state Dental Hygienist Liaisons (DHL) and their networks Output: Information shared via at least 4 webinars, the DHL listserv, and 4 presentations (Met) Desired Outcome: DHLs voluntarily serve as primary information conduits between NCH’s Oral Health Project (OHP) and HS/EHS and between oral health and other health contacts within the state Outcomes: ADHA and ASTDD roles, DHL commitments and collaborations, webinar topics, DHL presentations

8. Logic Model (cont.) Activity 2: Conduct needs assessment of oral health educational materials for home visitors Output: Results of needs assessment includes list of materials, list of gaps, recommendations for new materials (Met) Desired Outcome: Annotated review of materials and prioritized recommendations for new materials Outcomes: Process used, report dissemination, follow-up workshop, use of materials by home visitors

9. Logic Model (cont.) Activity 3: Collect and share state activity submissions for promotion of oral health, prevention of oral diseases and access to/receipt of oral health services for HS families, children and pregnant women Output: At least 6 state activity submissions identified, categorized and posted on ECKLC (Met) Desired Outcome: Increased knowledge of strategies for increasing access to oral health care for pregnant women and children enrolled in HS/EHS Outcomes: Process for submissions, topics, dissemination of report, use and sharing of models

10. Logic Model (cont.) Activity 4: Integrate information and activities into dental, dental hygiene and dental assisting education programs, and dental public health residencies Output: Information shared via at least 3 webinars/conference calls and national presentations and incorporated into 1 or more learning modules (Met) Desired Outcome: Increased availability of information on oral health care for pregnant women and young children in dental and allied dental education and residency programs Outcomes: Webinars and presentations, focus of content, DHL involvement

11. Logic Model (cont.) Activity 5: Collaborate with other national organizations Output: At least 3 online newsletter articles and 4 national presentations (Met) Desired Outcome: Increased awareness of NCH OHP resources by members of ASTDD and other national organizations Outcomes: Survey and meeting to discuss ways to involve national organizations, target audiences and content for presentations and newsletter articles

12. Logic Model (cont.) Activity 6: Provide technical assistance to SOHPs and others on the Head Start Basic Screening Survey (BSS) and the HS oral health form Output: Technical assistance provided to DHLs and SOHP via webinars or presentations, and direct TA to at least 3 states on conducting HS BSS (Met) Desired Outcome: Increased knowledge and use of HS BSS and HS oral health form Outcome: TA to states, HS oral health indicator included in National Oral Health Surveillance System, new oral health form, DHL webinar

13. Logic Model (cont.) Activity 7: Summarize and analyze HS Program Information Report (PIR) oral health service data to identify national/regional trends, successful programs, and programs needing TA Output: Report of pilot project submitted to OHS and shared with stakeholders (Met) Desired Outcomes: Increased involvement of HS regional offices in collaborative strategies; TA to improve reporting of oral health performance measures Outcomes: Review and selection of pilot states, TA phone calls and FU, webinar and follow-up by DHLs

14. Logic Model (cont.) Activity 8: Provide evidence- and practice-based information and materials to the HS/EHS community Output: Posting of materials on ECKLC and direct distribution (Met) Desired Outcomes: Use of materials by Head Start staff and parents to increase healthy behaviors Outcomes: Distribution, use by ASTDD members, use by DHLs, examples on Next Slide

15. Resources for Head Start Staff, Health Professionals, and Families Resource guide Curricula Tip sheets Newsletter Booklet and poster Orientation guides Brochures Website https://eclkc.ohs.acf.hhs.gov/

16. Logic Model (cont.) Activity 9: Collaborate with the other OHS National Centers to ensure the development and dissemination of coherent, consistent messages Output: Development and dissemination of coherent, consistent messages (Met) Desired Outcome: Value oral health as an important part of overall health Outcome: Home Visitors Handbook, Family Well-Being: Oral Health Tip Sheet, Family Wellness (part of Research to Practice series)

17. Next Steps: New 5-year OHS Grant to AAP The National Center on Early Childhood Health and Wellness will disseminate high-quality, evidence-based, and research- informed resources and provide training and technical assistance (T/TA) to Early Head Start and Head Start agencies and state, territory, and tribal lead child care agencies. The resources and T/TA will address services for children from birth to 5 years, and their families, with additional services for expectant families. New Partners: Child Care Aware of America; National Resource Center for Health and Safety in Child Care and Early Education; Nemours; and Zero to Three: National Center for Infant, Toddlers, and Families

18. New NCECHW Evaluation Focus Participant reaction: Did participants like it? Was their time well spent? Did the materials make sense? Will it be useful? Participant learning: Did participants acquire the intended knowledge and skills? Participant behavior: Did participants use the knowledge to change their behavior? Practice change: Did participants use the knowledge to create change? Policy change: Was there an impact on state and local policies and initiatives?