Overcoming Barriers to Implementing Policies to Reduce Sugar Consumption for Dental Caries Prevention

克服实施减少糖消费预防龋齿政策的障碍

• 批准号: 10441394
• 负责人: Cristin Elizabeth Kearns
• 金额: $ 17.48万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-06 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10441394
• 关键词: Achievement; Adopted; Adoption; Advertisements; American; Award; Behavior; Belief; Beverages; California; Calories; Caries prevention; Communication; Communities; Complement; Consensus; Consumption; Cues; Data; Dental; Dental caries; Dentistry; Dentists; Development; Dissemination and Implementation; Education; Effectiveness; Evaluation; Evidence based intervention; Feeling; Focus Groups; Fostering; Goals; Health; Industry; Intake; Intervention; Interview; Knowledge; Label; Mentorship; Methods; Mission; Modeling; Motivation; National Institute of Dental and Craniofacial Research; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Oral; Oral health; Persuasive Communication; Policies; Policy Research; Population; Positioning Attribute; Price; Process; Public Health; Public Relations; Publishing; Questionnaires; Recommendation; Research; Research Personnel; Research Project Grants; Research Training; Sampling; San Francisco; Savings; Scheme; Schools; Scientist; Source; Speed; Strategic Planning; Surveys; Taxation; Taxes; Techniques; Testing; Training; Translational Research; Translations; Universities; Water fluoridation; Work; Workplace; base; behavior change; behavior change wheel; behavioral/social science; cardiovascular disorder risk; career; craniofacial; dietary guidelines; dissemination science; effective intervention; evidence base; implementation science; improved; innovation; member; outreach; pilot test; prevent; program dissemination; programs; provider behavior; public education; public health intervention; scale up; social; social science research; statistics; sugar; theories; therapy design; warning label

PROJECT SUMMARY/ABSTRACT The goal of this K08 award is for Dr. Kearns, a dentist scientist at the University of California, San Francisco, to gain support and training to become an independent investigator focused on translational research that encourages the use of evidence-based public health interventions to promote oral and overall health. Excess added sugars consumption leads to increased risk for cardiovascular disease, obesity, type 2 diabetes, and dental caries. While various evidence-based policies and programs have been developed to reduce sugar consumption in multiple-settings, to date, these strategies have not been widely adopted. The dental profession, comprised of numerous stakeholders (e.g., dental organizations, dental leaders, dentists), has the potential to help close this evidence to policy gap. Similar to efforts to support community water fluoridation, the dental profession can encourage innovative solutions to dental caries by engaging in sugar reduction policy dissemination (SRPD) behaviors (e.g., preparing issue briefs, publishing consensus statements, conducting policy research and surveillance, engaging with state coalitions, doing media outreach, and delivering office- based communication, among others.) However, dentist stakeholder involvement in sugar reduction policy and program dissemination is low. The overarching objective of this K08 proposal is to facilitate implementing an evidence-based intervention designed to increase dentist stakeholder engagement in SRPD. This K08 project aims to identify barriers and facilitators to dentist stakeholders' involvement in SRPD and to develop and pilot test an intervention that will increase dentists' SRPD behaviors. A carefully devised training plan will allow the candidate to gain expertise in dissemination and implementation (D&I) science, in-depth interviews and focus groups, quantitative methods and survey statistics, policy-relevant experimental methods to foster provider behavior change, and in grantwriting. Training goals will be achieved through rigorous mentorship from experts, graduate-level coursework, and advanced professional development activities. The proposed research project is congruent with training goals. Aim 1 includes an analysis of sugar industry public relations campaigns to identify the techniques used to influence dentist stakeholders' SRPD behaviors. Aim 2-Study A includes in- depth interviews with dentist leaders to identify facilitators and barriers to SRPD behaviors and to help identify questionnaire items for Aim 2-Study B, a large, nationally representative-survey of US licensed dentists to determine the relationship between drivers of SRPD behaviors and actual SRPD behaviors. Aim 3 involves developing and pilot testing an intervention strategy to change dentist stakeholders SRPD behaviors. The long-term objective of this research is to speed the translation of the US Dietary Guidelines added sugar recommendation into policy and practice. This award will complement the candidate's existing strengths by providing training in new domains and will prepare her for an independent research career in D&I science to improve oral health.

项目概要/摘要 K08 奖项的目标是让加州大学旧金山分校的牙医科学家卡恩斯 (Kearns) 博士 获得支持和培训，成为专注于转化研究的独立研究者 鼓励使用基于证据的公共卫生干预措施来促进口腔和整体健康。过量的 添加糖的摄入会增加患心血管疾病、肥胖、2型糖尿病和 龋齿。虽然已经制定了各种基于证据的政策和计划来减少糖分 迄今为止，这些策略尚未被广泛采用。牙科 牙科行业由众多利益相关者（例如牙科组织、牙科领导者、牙医）组成，具有 可能有助于缩小这一证据与政策差距。与支持社区水氟化的努力类似， 牙科行业可以通过参与减糖政策来鼓励针对龋齿的创新解决方案 传播 (SRPD) 行为（例如，准备问题简报、发布共识声明、开展 政策研究和监督、与国家联盟合作、进行媒体宣传以及提供办公室服务 ）然而，牙医利益相关者参与减糖政策和 节目传播度低。 K08 提案的总体目标是促进实施 基于证据的干预措施旨在提高牙医利益相关者对 SRPD 的参与度。这个K08项目 旨在确定牙医利益相关者参与 SRPD 的障碍和促进因素，并制定和试点 测试一种可以增加牙医 SRPD 行为的干预措施。精心设计的培训计划将使 候选人将获得传播和实施 (D&I) 科学、深度访谈和焦点方面的专业知识 群体、定量方法和调查统计、政策相关实验方法来培养提供者 行为改变，以及资助写作。培训目标将通过严格的指导来实现 专家、研究生水平的课程以及高级专业发展活动。拟议的研究 项目与培训目标一致。目标 1 包括对制糖业公共关系活动的分析 确定用于影响牙医利益相关者 SRPD 行为的技术。目标 2-研究 A 包括- 与牙医领导者进行深度访谈，以确定 SRPD 行为的促进因素和障碍，并帮助识别 Aim 2-Study B 的问卷项目，这是一项针对美国执业牙医的大型全国代表性调查 确定 SRPD 行为的驱动因素与实际 SRPD 行为之间的关系。目标 3 涉及 制定并试点测试干预策略，以改变牙医利益相关者 SRPD 的行为。这 这项研究的长期目标是加快美国添加糖膳食指南的翻译 将建议转化为政策和实践。该奖项将通过以下方式补充候选人的现有优势 提供新领域的培训，并为她在 D&I 科学领域的独立研究生涯做好准备 改善口腔健康。