Building a Pediatric Oral Health Training Curriculum for Community Health Workers.
Building a Pediatric Oral Health Training Curriculum for Community Health Workers.
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DOI：
10.1097/phh.0000000000000582
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Sandoval A
中科院分区：
文献类型：
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作者：
Martin M;Frese W;Lumsden C;Sandoval A
社区卫生工作者（CHW）是一种很有前途的方法，以促进口腔健康的高危人群。这份手稿描述了创建儿科口腔健康CHW培训课程的过程。现有的课程是通过对口腔健康和CHW领域专家的外联工作以及PubMed和Google搜索确定的。编码后的基本信息，课程映射到定义的口腔健康领域。最后以小组讨论方式决定课程内容。如果美国课程涉及口腔健康，使用英语或西班牙语，涉及美国人群，不针对牙科临床医生，并且可以获得足够的数据，则将其纳入。课程进行了评估交付格式，小时数，目标受众，包括CHW，完整性和口腔健康内容。确定了18个独特的课程; 14个（78%）是CHW特定的。75%的课程在一定程度上涵盖了病理因素、龋齿形成、刷牙基础、牙线使用、营养、含糖饮料、口腔健康建议、婴儿奶瓶蛀牙、氟化物治疗和氟化物。超过一半的人没有提到牙齿类型，怀孕期间的口腔健康，抗氟，文化谦逊和特殊需要人群。在比较CHW课程与非CHW课程后，原来的26个口腔健康领域被浓缩为10个CHW培训领域。使用现有的证据和专家的见解，口腔健康CHW培训课程大纲，强调行为，社会支持和导航辅助，以促进预防性口腔健康行为的幼儿家庭。创建这一课程的过程及其基本要素可以应用于其他疾病领域。公开提供的明确定义的培训，如本培训，支持CHW领域标准化的努力，为将来的CHW认证和报销做准备。
Community health workers (CHWs) are a promising approach to oral health promotion in high-risk populations. This manuscript describes the process of creating a pediatric oral health CHW training curriculum. Existing curricula were identified through outreach efforts to experts in the oral health and CHW fields, as well as PubMed and Google searches. After coding basic information, curricula were mapped to defined oral health domains. Then group discussion was employed to determine final curriculum contents. United States Curricula were included if they addressed oral health, were in English or Spanish, involved United States populations, did not target dental clinicians, and if sufficient data could be obtained. Curricula were evaluated for delivery format, number of hours, target audience, inclusion of CHWs, completeness, and oral health content. Eighteen unique curricula were identified; 14 (78%) were CHW specific. Pathological factors, caries formation, toothbrushing basics, flossing, nutrition, sugar sweetened beverages, oral health recommendations, baby bottle tooth decay, fluoride treatments, and fluoride were covered to some extent in 75% of curricula. More than half did not mention types of teeth, oral health during pregnancy, anti-fluoride, cultural humility, and special needs populations. After comparing CHW curricula to non-CHW curricula, the original 26 oral health domains were condensed into 10 CHW training domains. Using existing evidence and expert insight, an oral health CHW training curriculum outline was created that emphasizes behaviors, social support, and navigation assistance to promote preventive oral health behaviors in families of young children. The process of creating this curriculum and its basic elements can be applied to other disease areas. Clearly defined trainings that are made publicly available, such as this one, support efforts to standardize the CHW field in preparation for CHW certification and reimbursement in the future.