Great Beginnings for Healthy Native Smiles
健康原生微笑的良好开端
基本信息
- 批准号:10408126
- 负责人:
- 金额:$ 65.02万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-06-01 至 2025-05-31
- 项目状态:未结题
- 来源:
- 关键词:AbsenteeismAddressAdultAffectAgeAmerican IndiansArizonaAttitudeBehavioralBeliefBiologicalCaregiversChildChild HealthChild health careChronic DiseaseCollaborationsCommunitiesCommunity HealthCrow Tribe of MontanaCrowsDental CareDental ClinicsDental HygieneDental cariesDentistsDietEarly treatmentEducational StatusEmotionalEthnic groupFamily memberFluoride VarnishesGrowthGuidelinesHead Start ProgramHealthHealth Knowledge Attitudes PracticeHealth PersonnelHealth ServicesHealth Services AccessibilityHealth behaviorHealth educationHealthcareImpairmentIncidenceIndividualInfantInterventionInterviewKnowledgeLeadLeftLow incomeMeasuresMethodsModelingMontanaMothersOral healthOutcomePatientsPerceptionPopulationPredispositionPregnancyPregnant WomenPreventionRecommendationResearchResearch MethodologyResourcesRiskRisk FactorsSamplingSelf EfficacySelf PerceptionSeveritiesSiteSmilingSocial WorkSpecial Supplemental Nutrition Program for Women, Infants, and ChildrenSurveysTechniquesTestingTimeTooth LossTooth structureTrainingTribesUnited StatesUnited States Indian Health ServiceWomanbasecare coordinationcare providerscaregivingchronic paincostdeciduous toothdemographicsdesigndietaryearly childhoodethnic diversityexperiencefamily supportfeedingformative assessmenthealth beliefhealth disparityhealthy lifestyleholistic approachimprovedinnovationlifestyle interventionlow socioeconomic statusmotivational enhancement therapynutritionpeerpilot testpostnatalpostnatal periodprenatalprenatal experienceprenatal healthpreventrandomized controlled studyrural areasocialtooth surfacetransportation accesstribal communitytribal healthunderserved community
项目摘要
PROJECT SUMMARY
Early Childhood Caries (ECC) is the most common chronic disease among children. American Indian
(AI) children are 4 times more likely to have untreated dental decay than white children. If left untreated,
ECC can lead to chronic pain, loss of teeth, poor nutrition, and impaired growth. The proposed study
aims to reduce the burden of ECC in two AI communities through an innovative, community based
participatory approach. The project will: 1) partner with 2 tribes, the Hopi Tribe (Arizona) and the Crow
Tribe (Montana), to conduct a formative assessment on oral health (OH); 2) adapt a “bundled” best
practices OH intervention to be locally and contextually relevant for each of our tribal communities; and
3) conduct a randomized, controlled study to evaluate the impact of the “bundled” best practices OH
intervention (compared to a standard prenatal/postnatal healthy lifestyle intervention) on the reduction
of ECC. Community health representatives (CHRs) will be trained to deliver the interventions with
pregnant women and follow them until the child’s last exam (24-36 months). The OH intervention will
consist of 4 intervention components known to be effective (best practices) in the prevention of ECC: 1)
dietary and OH education provided during pregnancy and the postnatal period; 2) OH care of children
including the application of fluoride varnish; 3) motivational interviewing with children’s mothers; and 4)
patient navigation of existing OH and other social services in each study community, facilitated by
CHRs. Caries experience (dmfs) and severity will be compared across both conditions at the 1, 2, and 3-
year exams. Mother knowledge, attitudes, and behaviors related to ECC will be also measured for both
conditions at pre-test and post-test. Surveys will assess each level of the social ecological model.
Individual level domains will include: 1) demographics of mother and baby (pre-test only); 2) dental
health of the child to date; 3) mother’s and child’s OH (postnatal); 4) mother’s knowledge, beliefs, and
attitudes about best practices in OH; 5) mother’s perception of self-efficacy and susceptibility; and 6)
mother’s prenatal health and experiences. Interpersonal level domains will include: 1) current living
situation and family support; 2) availability of emotional, informational, and instrumental support; and 3)
perceptions of peers’ and family members’ attitudes toward caregiving and OH. Community level
domains will include: 1) tribal identity and related experiences; 2) care coordination, transportation, and
access to social and OH services; and 3) perceptions of cultural congruence of CHR interactions and
intervention materials. If successful, this community-based approach may prove to be a feasible
method for improving OH of AI children and reducing the burden of ECC in many Native communities
with limited access to regular dental care.
项目概要
儿童早期龋齿(ECC)是儿童中最常见的慢性疾病。美洲印第安人
(AI) 儿童未经治疗的蛀牙可能性是白人儿童的 4 倍。如果不及时治疗,
ECC 可导致慢性疼痛、牙齿脱落、营养不良和生长受损。拟议的研究
旨在通过创新的、基于社区的方式减轻两个人工智能社区的 ECC 负担
参与式方法。该项目将:1)与 2 个部落合作,霍皮部落(亚利桑那州)和克罗部落
Tribe(蒙大拿州),对口腔健康(OH)进行形成性评估; 2)调整“捆绑”最佳方式
实践 OH 干预措施,使其与我们每个部落社区的本地和环境相关;和
3) 进行随机对照研究来评估“捆绑”最佳实践的影响 OH
干预措施(与标准产前/产后健康生活方式干预相比)
的ECC。社区卫生代表 (CHR) 将接受培训以提供干预措施
孕妇并跟踪他们直到孩子最后一次检查(24-36 个月)。 OH 干预将
包括 4 个已知对预防 ECC 有效的干预措施(最佳实践):1)
怀孕期间和产后期间提供饮食和健康教育; 2) OH 儿童护理
包括氟化物清漆的应用; 3)对孩子母亲的动机访谈;和 4)
每个研究社区中现有 OH 和其他社会服务的患者导航,由
CHR。将在第 1、2 和 3 个条件下比较龋齿经历 (dmfs) 和严重程度
年考试。母亲与 ECC 相关的知识、态度和行为也将被衡量
测试前和测试后的条件。调查将评估社会生态模型的各个层面。
个人级别的领域将包括: 1) 母亲和婴儿的人口统计数据(仅限预测试); 2) 牙科
孩子迄今为止的健康状况; 3) 母亲和孩子的 OH(产后); 4) 母亲的知识、信仰和
对 OH 最佳实践的态度; 5)母亲对自我效能感和敏感性的认知;和 6)
母亲的产前健康状况和经历。人际层面的领域将包括:1)当前的生活
情况和家庭支持; 2) 情感、信息和工具支持的可用性;和 3)
同伴和家庭成员对护理和 OH 态度的看法。社区层面
领域将包括:1)部落身份和相关经验; 2) 护理协调、交通和
获得社会和职业健康服务; 3) 对 CHR 互动的文化一致性的看法
干预材料。如果成功,这种基于社区的方法可能被证明是可行的
改善 AI 儿童 OH 并减轻许多原住民社区 ECC 负担的方法
获得常规牙科护理的机会有限。
项目成果
期刊论文数量(3)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Julie Ann Baldwin其他文献
Julie Ann Baldwin的其他文献
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{{ truncateString('Julie Ann Baldwin', 18)}}的其他基金
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10376796 - 财政年份:2021
- 资助金额:
$ 65.02万 - 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10571814 - 财政年份:2021
- 资助金额:
$ 65.02万 - 项目类别:
Factors and Training Approaches that Enhance the Integration of American Indian Culture into Tele-Behavioral Substance Use/Substance Use Disorders Treatment.
促进美洲印第安人文化融入远程行为药物使用/药物使用障碍治疗的因素和培训方法。
- 批准号:
10441963 - 财政年份:2021
- 资助金额:
$ 65.02万 - 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
- 批准号:
10238380 - 财政年份:2021
- 资助金额:
$ 65.02万 - 项目类别:
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