scholarly journals An ADePT evaluation for incorporating the TIPPS periodontal health intervention into primary care ante-natal programmes to enhance infant birthweight in Palestine: a feasibility study.

2021 ◽  
Author(s):  
Lamis Abuhaloob ◽  
Nahla Helles ◽  
Peter Mossey ◽  
Ruth Freeman
Keyword(s):  
Pregnant Women ◽  
Feasibility Study ◽  
Trial Design ◽  
Health Intervention ◽  
Size Estimation ◽  
Decision Tool ◽  
Periodontal Health ◽  
Design Modification ◽  
Clinic Staff ◽  
Full Trial

Abstract Background: A feasibility study was conducted to implement the T alk, I nstruct, P ractice, P lan and S upport (TIPPS) intervention for pregnant women to enhance infant birthweight in a conflict area in L ow and M iddle I ncome C ountries ( LMIC). The decision tool, A process for De cision-making after P ilot and feasibility T rials (ADePT) examines the methodological factors identified in a feasibility study, that may require modification for a full trial. Objectives: To use the ADePT decision tool to evaluate if the feasibility study had achieved its objectives and to identify the need for intervention, clinical context and trial design modification. Basic research design: Feasibility study: a one-arm, pre-test-post-test design. The ADePT framework was applied to evaluate the findings from the feasibility study. Clinical setting: Primary healthcare clinic located in Gaza City, Palestine. Participants: 25 pregnant women in their first trimester and clinic staff. Interventions: The TIPPS periodontal health intervention delivered by ante-natal nurses. Main outcome measures: ADePT checklist: sample size estimation, recruitment, consent, intervention adherence, intervention acceptability, costs and duration, completion and appropriateness of outcome assessments, retention, logistics and synergy between protocol components. Results: 25 pregnant women (aged 16-35 years old) attended the baseline and 22 (88%) completed the second follow-up appointment. This intervention significantly reduced (P<0.001) the mean percentage of plaque and bleeding scores from the baseline to Time 2. The participants stated the value of the intervention. The clinic staff voiced concerns regarding time and the cost of nurses providing the TIPPS intervention. This allowed suggestions to be made regarding the modification of trial design and context of implementation. Conclusions: The ADePT evaluation showed it was possible to progress to full trial with modifications in the trial design.

scholarly journals An ADePT Evaluation for Incorporating the TIPPS Periodontal Health Intervention Into Primary Care Ante-Natal Programmes to Enhance Infant Birthweight in Palestine: A Feasibility Study

2020 ◽  
Author(s):  
Lamis Abuhaloob ◽  
Nahla Helles ◽  
Peter Mossey ◽  
Ruth Freeman
Keyword(s):  
Pregnant Women ◽  
Feasibility Study ◽  
Trial Design ◽  
Health Intervention ◽  
Size Estimation ◽  
Decision Tool ◽  
Periodontal Health ◽  
Design Modification ◽  
Clinic Staff ◽  
Full Trial

Abstract Background: A feasibility study was conducted to implement the TIPPS intervention for pregnant women to enhance infant birthweight in a conflict area in a LMIC. The decision tool, ADePT examines the methodological factors, identified in a feasibility study, that may require modification for a full trial. Objectives: To use the ADePT decision tool to evaluate if the feasibility study had achieved its objectives and to identify the need for intervention, clinical context and trial design modification.Basic research design: Feasibility study: a one-arm, pre-test-post-test design. The ADePT framework was applied to evaluate the findings from the feasibility study.Clinical setting: Primary healthcare clinic located in Gaza City, Palestine. Participants: 25 pregnant women in their first trimester and clinic staff.Interventions: The TIPPS periodontal health intervention delivered by ante-natal nurses.Main outcome measures: ADePT checklist: sample size estimation, recruitment, consent, intervention adherence, intervention acceptability, costs and duration, completion and appropriateness of outcome assessments, retention, logistics and synergy between protocol components.Results: 25 pregnant women attended the baseline and 22 completed the second follow-up appointment. Data acquisition of the primary and secondary outcomes was mainly successful, the adherence and acceptability of the intervention was noted. The participants stated the value of the intervention. The clinic staff voiced concerns regarding time and costs of nurses providing the TIPPS intervention. This allowed suggestions to be made regarding modification of trial design and context of implementation. Conclusions: The ADePT evaluation showed it was possible to progress to full trial with modifications in trial design.

scholarly journals An ADePT evaluation for incorporating the TIPPS periodontal health intervention into primary care antenatal programmes to enhance infant birth weight in Palestine: a feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Lamis Abuhaloob ◽  
Nahla Helles ◽  
Peter Mossey ◽  
Ruth Freeman
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Sample Size ◽  
Feasibility Study ◽  
Trial Design ◽  
Decision Tool ◽  
Periodontal Health ◽  
The Cost ◽  
Infant Birth ◽  
Full Trial

Abstract Background A feasibility study was conducted to implement the Talk, Instruct, Practice, Plan and Support (TIPPS) intervention for pregnant women to enhance infant birth weight in a conflict area in Low- and Middle-Income Countries (LMIC). The decision tool, A process for Decision-making after Pilot and feasibility Trials (ADePT), examines the methodological factors identified in a feasibility study, that may require modification for a full trial. Thus, this study aimed to use the ADePT decision tool to evaluate if the feasibility study had achieved its objectives and to identify the need for intervention, clinical context and trial design modification. Methods A one-arm, pretest–posttest feasibility study recruited 25 pregnant women in their first trimester and clinic staff from a primary healthcare clinic located in Gaza City, Palestine. The TIPPS periodontal health intervention was delivered by antenatal care nurses to the pregnant women during their regular follow-up appointments. The ADePT framework was applied to evaluate the findings from the feasibility study. The ADePT checklist demonstrated sample size estimation, recruitment, consent, intervention adherence, intervention acceptability, costs and duration, completion and appropriateness of outcome assessments, retention, logistics, and synergy between protocol components. Results All recruited pregnant women (25, aged 16–35 years old) consented to participate in the study, and the adherence to the intervention was 88% (22 women). The TIPPS intervention was acceptable, but there was ambivalence over who should deliver it in the clinic. Only the cost of toothbrushing and TIPPS information materials was calculated, while the cost of nurses’ time was not included. The missing values of data were few (12% of gingival bleeding data and 22% from infant birth weight data). This intervention significantly reduced the mean percentage of plaque and bleeding scores after 3 months. The sample size for future randomised controlled trial was estimated around 400 participants. The participants stated the value of the intervention. The clinic staff voiced concerns regarding time and the cost of nurses providing the TIPPS intervention. This allowed suggestions to be made regarding the modification of trial design and context of implementation. Conclusions The ADePT evaluation showed it was possible to progress to full trial with modifications in the trial design.

Relationships between Periodontal Health, Salivary Steroids, and Bacteroides intermedius in Males, Pregnant and Non-pregnant Women

1988 ◽  
Vol 67 (8) ◽  
pp. 1062-1069 ◽  
Author(s):  
R. Jonsson ◽  
B.E. Howland ◽  
G.H.W. Bowden
Keyword(s):  
Pregnant Women ◽  
Subgingival Plaque ◽  
Clinical Parameters ◽  
Periodontal Health ◽  
Gram Negative ◽  
Pregnant Females ◽  
Whole Saliva ◽  
Severe Periodontal Disease ◽  
Gram Negative Organisms ◽  
Bacteriological Parameters

Relationships between four steroids, determined by radio-immunoassay of whole saliva, and clinical and bacteriological parameters were studied in 90 subjects: males, menstruating females, and pregnant females. Pocket depths and both plaque and gingival bleeding scores were recorded. Total counts and percentages of Gram-negative organisms Bacteroides and B. intermedius were determined from anaerobic cultures of subgingival plaque from 9-14 subjects in each group. None of the clinical parameters for the pregnant females differed significantly from those of non-pregnant females, nor did these parameters show any significant correlation with progression of pregnancy. No correlations were detected between bacterial and clinical parameters in the pregnant group. There were no statistically significant differences between the total bacterial counts from the three groups, yet males had significantly higher proportions of Gram-negative bacteria, Bacteroides, and B. intermedius, than did pregnant and non-pregnant females. Proportions of B. intermedius did not differ significantly between the two female groups, nor was there any correlation with progression of pregnancy. While some steroids appeared to affect some clinical or bacteriological parameters in some groups, no obvious patterns consistent with different steroid levels were detected. The results do not indicate that increased hormone levels cause more severe periodontal disease in pregnant women, nor that high salivary steroid levels result in increased recovery of B. intermedius from subgingival plaque.

Novel Interventions to Reduce Stress and Overeating in Overweight Pregnant Women: A Feasibility Study

2018 ◽  
Vol 22 (5) ◽  
pp. 670-678 ◽  
Author(s):  
B. A. Laraia ◽  
N. E. Adler ◽  
K. Coleman-Phox ◽  
C. Vieten ◽  
L. Mellin ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Feasibility Study

scholarly journals Effectiveness of a family-centered behavioral and educational counselling approach to improve periodontal health of pregnant women: a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pei Liu ◽  
Weiye Wen ◽  
Ka Fung Yu ◽  
Xiaoli Gao ◽  
Edward Chin Man Lo ◽  
...  
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Oral Hygiene ◽  
Controlled Trial ◽  
Test Group ◽  
Control Group ◽  
Oral Health Promotion ◽  
Periodontal Health ◽  
The Mean ◽  
Family Centered

Abstract Background Poor oral hygiene and high hormone levels during pregnancy can lead to a deterioration in periodontal health. This study assessed the effectiveness of a family-centered behavioral and educational counselling program on improving the periodontal health of women during pregnancy and postpartum. Methods A randomized controlled trial was conducted among pregnant women (10th-22nd gestational week) and their husbands. Participating families were randomized into test and control groups. Intervention in the test group included explanation of oral health education (OHE) pamphlets, oral hygiene instruction, individualized feedback, and proposed solutions to overcome barriers in self-care. Reinforcements were implemented in the 3rd trimester of pregnancy and six months postpartum. In the control group, only OHE pamphlets were distributed. The assessed outcomes were bleeding on probing (BOP), periodontal pocket (Poc), loss of clinical attachment (LoA), and Visible Plaque Index (VPI). The data collection was carried out at baseline (T0), in the 32nd gestational week (T1), and 12 months postpartum (T2). Results Altogether 589 pregnant women were recruited, and 369 attended all three visits (test:188; control:181). In the test group, the mean VPI score at T0 was 0.19, which decreased to 0.14 at T1 and 0.15 at T2. In the control group, the mean VPI decreased from 0.19 at T0 to 0.16 at T1, but increased to 0.22 at T2. A main effect of time and intervention and an interaction between time and intervention were detected (all p < 0.05), indicating that the intervention effect differed between T1 and T2. The test group showed a significantly greater decrease over time than the control group did. Similarly, the mean BOP% decreased more significantly over time in the test group (T0:57%, T1:46%, T2:35%) than in the control group (T0:58%, T1:52%, T2:46%). For Poc and LoA, there were improvements in both study groups at 12 months postpartum, compared with during pregnancy (p < 0.001). Conclusions Providing family-centered, behavioral, and educational counselling to pregnant women at an early stage of pregnancy and with reinforcements can improve their oral hygiene and reduce gingival inflammation. The effect can be sustained over an extended period and is greater than that of distributing oral health leaflets alone. Trial registration Clinicaltrials.gov, #NCT02937194. Registered 18 October 2016. Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02937194?cond=Family-centered+oral+health+promotion+for+new+parents+and+their+infants&draw=2&rank=1

DENTAL HEALTH OF PREGNANT WOMEN: 2. DENTAL AND PERIODONTAL HEALTH IN AN ANTENATAL CLINIC POPULATION

1971 ◽  
Vol 2 (22) ◽  
pp. 1117-1120 ◽  
Author(s):  
P. J. Chapman ◽  
A. M. McDonald ◽  
B. J. Stoddaet ◽  
E. V. Mackay
Keyword(s):  
Pregnant Women ◽  
Dental Health ◽  
Antenatal Clinic ◽  
Periodontal Health ◽  
Clinic Population

Operation Feasibility Study of Adding Fourth Main Feedwater Pump to CAP1000

2017 ◽  
Author(s):  
Ke Xiao
Keyword(s):  
Feasibility Study ◽  
Load Balance ◽  
Economic Benefit ◽  
Transient Analysis ◽  
Design Modification ◽  
Feedwater Pump ◽  
Partial Load ◽  
Standard Design ◽  
Transient Loss

The standard design of CAP1000 Feedwater system configures 3×33.3% main feedwater pumps. In the operational transient “loss of one main feedwater pump”, the plant will ramp down the turbine load to 70% automatically and remain load balance by the two operational pumps. The owners of CAP1000 submitted a claim for the fourth main feedwater pump so that the plant can maintain 100% turbine load throughout the transient “loss of one main feedwater pump”. The owners insisted that this design modification avoids partial-load operation and enhance the economic benefit. In this paper, the trip risk of the addition of the fourth main feedwater pump is evaluated base on the transient analysis of “loss of one main feedwater pump”. And the solution of the fourth pump actuation plan which farthest decrease the reactor trip probability is presented. It is the most balanced plan between economy and feasibility.

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