Mapping Oral health and Local Area Resources (MOLAR): protocol for a randomised controlled trial connecting emergency department patients with social and dental resources.
Mapping Oral health and Local Area Resources (MOLAR): protocol for a randomised controlled trial connecting emergency department patients with social and dental resources.
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DOI：
10.1136/bmjopen-2023-078157
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发表时间：
2023-12-10
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
在美国，口腔保健的获取和结果存在严重不平等，包括收入和种族和民族身份方面的不平等。患有不利健康社会决定因素（aSDoH）（例如住房或粮食不安全）的人也更有可能存在未得到满足的牙科需求。许多有牙齿问题的患者都到急诊室 (ED) 就诊，那里通常只提供最低限度的牙科护理或转诊服务。尽管如此，急诊室还是一个重要的联系点，有助于筛查和转诊未满足的口腔健康需求和 aSDoH，特别是对于那些可能无法获得护理的患者。映射口腔健康和当地资源是一项随机对照试验，将 2049 名口腔健康需求未得到满足的成人和儿童 ED 患者纳入三个试验组之一：(a) 附近牙科和 aSDoH 资源的标准讲义； (b) 地理匹配的 aSDoH 资源列表以及用于识别地理匹配的牙科资源的搜索链接； (c) 地理匹配的资源以及个性化护理导航。第 3、6、9 和 12 个月的随访将评估与口腔健康相关的生活质量、与资源和牙科治疗的联系、牙科问题的急诊就诊以及联系与社区资源密度之间的关联。所有站点共享一个人类受试者审查委员会协议，该协议已得到麻省总医院布里格姆人类受试者审查委员会的完全批准。将获得所有成年人和成人护理人员的知情同意，并将获得适合年龄的儿童参与者的同意。结果将证明解决 aSDoH 对口腔健康获取的影响以及与强化标准护理相比各种形式的资源导航的有效性。我们的研究结果将促进可持续、可扩展的干预措施，以识别和解决急诊科的 aSDoH，从而改善口腔健康并减少口腔健康不平等。 NCT05688982。
There are substantial inequities in oral health access and outcomes in the USA, including by income and racial and ethnic identity. People with adverse social determinants of health (aSDoH), such as housing or food insecurity, are also more likely to have unmet dental needs. Many patients with dental problems present to the emergency department (ED), where minimal dental care or referral is usually available. Nonetheless, the ED represents an important point of contact to facilitate screening and referral for unmet oral health needs and aSDoH, particularly for patients who may not otherwise have access to care. Mapping Oral health and Local Area Resources is a randomised controlled trial enrolling 2049 adult and paediatric ED patients with unmet oral health needs into one of three trial arms: (a) a standard handout of nearby dental and aSDoH resources; (b) a geographically matched listing of aSDoH resources and a search link for identification of geographically matched dental resources; or (c) geographically matched resources along with personalised care navigation. Follow-up at 3, 6, 9 and 12 months will evaluate oral health-related quality of life, linkage to resources and dental treatment, ED visits for dental problems and the association between linkage and neighbourhood resource density. All sites share a single human subjects review board protocol which has been fully approved by the Mass General Brigham Human Subjects Review Board. Informed consent will be obtained from all adults and adult caregivers, and assent will be obtained from age-appropriate child participants. Results will demonstrate the impact of addressing aSDoH on oral health access and the efficacy of various forms of resource navigation compared with enhanced standard care. Our findings will facilitate sustainable, scalable interventions to identify and address aSDoH in the ED to improve oral health and reduce oral health inequities. NCT05688982.
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DOI：
10.1111/j.1754-4505.2012.00280.x
发表时间：
2012-11
期刊：
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
影响因子：
--
作者：
Kim JK;Baker LA;Seirawan H;Crimmins EM
通讯作者：
Crimmins EM
影响因子：
7.6
作者：
Lamster IB;Malloy KP;DiMura PM;Cheng B;Wagner VL;Matson J;Proj A;Xi Y;Abel SN;Alfano MC
通讯作者：
Alfano MC
影响因子：
2.9
作者：
Gazzaz, Arwa Z.;Carpiano, Richard M.;Laronde, Denise M.;Aleksejuniene, Jolanta
通讯作者：
Aleksejuniene, Jolanta
影响因子：
3.8
作者：
Rouxel P;Heilmann A;Demakakos P;Aida J;Tsakos G;Watt RG
通讯作者：
Watt RG
DOI：
10.5811/westjem.2020.5.46536
发表时间：
2020-08-20
期刊：
The western journal of emergency medicine
影响因子：
--
作者：
Ciccolo G;Curt A;Camargo CA Jr;Samuels-Kalow M
通讯作者：
Samuels-Kalow M