Multi-Media Parent-based Intervention to Promote Dental Hygiene Among Young Children: BeReady2Smile

以家长为基础的多媒体干预措施促进幼儿牙齿卫生：BeReady2Smile

• 批准号: 10153750
• 负责人: EDWARD GUSTAV FEIL
• 金额: $ 75.31万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-08 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10153750
• 关键词: 2 year old; 5 year old; Academy; Address; Adolescent; Adopted; Advocate; American; Attitude; Beds; Behavior; Behavioral; Behavioral Research; Child; Child Rearing; Childhood; Clinical; Collaborations; Communities; Competence; Country; Dental; Dental Care; Dental Education; Dental Hygiene; Dental Offices; Dental caries; Dentists; Development; Education; Educational Activities; Family; Feedback; Fluorides; Foundations; Frequencies; Goals; Head Start Program; Health; Health behavior; Home; Home visitation; Infant; Infrastructure; Intervention; Knowledge; Longevity; Measures; Milk; Mouth Diseases; Multimedia; Online Systems; Oral health; Oregon; Outcome; Parenting Education; Parents; Participant; Pediatric Dentistry; Pediatrics; Phase; Prevention strategy; Preventive; Privatization; Problem behavior; Process; Protocols documentation; Randomized; Recommendation; Regimen; Reporting; Research; Research Institute; Resources; Risk; Sampling; Secure; Self Efficacy; Services; Small Business Innovation Research Grant; System; Testing; Time; Toddler; Toothbrushing; Toothpaste; Training; United States; Water fluoridation; base; behavioral health; dashboard; early childhood; emotional reaction; experience; health belief; innovation; intervention program; mobile application; pediatrician; preventive intervention; programs; prototype; psychologic; randomized trial; satisfaction; skills; skills training; social norm; standard of care; sugar; sweetened beverage; treatment as usual; universal prevention; usability; web app; web site

Project Description Approximately one out of three 2- to 5-year-old children in the United States has experienced caries (tooth decay). The American Academy of Pediatric Dentistry and American Academy of Pediatrics provide recommendations for preventive strategies, and recognize that infant, toddler and early childhood oral health is one of the foundations upon which preventive education and dental care must be built to enhance the opportunity for a lifetime free from preventable oral disease. Parents struggle to adopt these preventive strategies at the same time that challenging behaviors emerge in children's psychological development. This combination can make it very difficult to build the foundation of oral health practices that the AAPD recommends. There is a strong body of evidence supporting the use of behavioral parenting strategies in dealing with child behavioral problems. The proposed project introduces behavioral parent training strategies in concert with efforts to address other known parental barriers to provide an effective vehicle to promote dental health with a universal prevention intervention. This private/public collaboration between Oregon Research Behavioral Intervention Strategies, Oregon Research Institute & The Oregon Community Foundation will leverage resources and competencies to create a commercially viable coordinated oral health prevention intervention program to promote dental health targeted at parents of young children attending parenting education classes and families receiving home visiting services through Head Start. The program includes a video that can be shown in parenting education classes to engage parents on oral health and a mobile/web application to drive behavioral change. In this Phase II application, we propose refining and enhancing a coordinated oral health prevention intervention program, “BeReady2Smile”, including video and mobile/web- application and conducting a randomized trial to assess the efficacy of the BeReady2Smile (complete program and components) compared to the current standard-of-care for pediatric dental care education. BeReady2Smile will include video content that features demonstrations/content on encouraging brushing, proper loading of toothbrush, brushing duration and frequency, fluoride myths, and limiting sugar sweetened beverages and milk in baby bottles while in bed. BeReady2Smile will also include a mobile application built within a web-based infrastructure, so parents can participate in multi-media educational activities, develop dental health behavior plans, tailor features and receive feedback from the system on a secure website. The long-term goal of BeReady2Smile is to help parents provide the foundation for a lifetime free from preventable oral disease.

项目描述 在美国，大约三分之一的 2 至 5 岁儿童患有龋齿 （蛀牙）。美国儿科牙科学会和美国儿科学会提供 预防策略的建议，并认识到婴儿、幼儿和幼儿口腔健康是 必须建立预防教育和牙科保健的基础之一，以加强 终生远离可预防的口腔疾病的机会。父母努力采取这些预防措施 同时，儿童心理发展中会出现挑战性行为。这 两者的结合可能会导致很难为 AAPD 制定的口腔健康实践奠定基础。 推荐。有大量证据支持在儿童中使用行为养育策略 处理儿童行为问题。拟议的项目引入了行为家长培训策略 与解决其他已知的家长障碍的努力相一致，以提供有效的工具来促进牙科 通过普遍的预防干预措施实现健康。 俄勒冈州行为干预策略研究中心之间的私人/公共合作 研究所和俄勒冈社区基金会将利用资源和能力创建一个 商业上可行的协调口腔健康预防干预计划，以促进牙齿健康为目标 参加育儿教育课程的幼儿家长和接受家访的家庭 通过 Head Start 提供服务。该程序包括一个可以在亲子教育课程中播放的视频 让家长参与口腔健康和移动/网络应用程序以推动行为改变。 在此第二阶段应用中，我们建议完善和加强协调的口腔健康预防 干预计划“BeReady2Smile”，包括视频和移动/网络应用程序，并开展 评估 BeReady2Smile（完整程序和组件）功效比较的随机试验 儿童牙科护理教育的现行护理标准。 BeReady2Smile 将包含视频内容 包含有关鼓励刷牙、正确装载牙刷、刷牙持续时间的演示/内容 和频率、氟化物神话，以及在床上限制含糖饮料和婴儿奶瓶中的牛奶。 BeReady2Smile 还将包括一个基于网络基础设施构建的移动应用程序，因此家长可以 参与多媒体教育活动，制定牙齿健康行为计划，定制功能和 在安全网站上接收系统的反馈。 BeReady2Smile 的长期目标是帮助 父母为一生远离可预防的口腔疾病奠定了基础。