Implementing Evidence-based Behavioral Skills in Pediatric Oral Healthcare Providers

项目总结/摘要 这个为期7年的UG 3/UH 3合作项目的总体目标是开发一种干预性的 基于行为技能的口腔保健专业人员培训， 影响儿童牙科护理中的成人-儿童互动。这项研究的目标是 测量牙科培训的有效性所涉及的机制 提供者对这些技能的利用，以及技能利用如何影响满意度， 坚持，和行为的非常年幼的儿童（6岁以下）和他们的 父母/照顾者。将需要两年的资金来调整社区合作伙伴， 制定培训方案、测试程序并准备工作人员。未来五年， 需要招聘，交付和衡量这种独特的培训成果。 该项目将使社区和大学的牙科提供者（牙医， 培训师、助理）与一个研究小组一起开发和测试培训的效果。 关于与供应商执行有关的成果的讲习班（可接受性、理解、 可行性，系统环境和系统支持），培训（提供者知识，保真度，技能使用， 可接受性，满意度），以及牙科预约中的儿童体验（儿童 合作、苦恼和痛苦，以及家庭的可接受性和满意度）。与 创新的培训基于完善的学龄前儿童行为管理计划， 亲子互动疗法（PCIT），该项目的研究结果将揭示口腔健康 护理提供者对儿童发展需求的反应可以改变， 影响幼儿的牙齿护理体验。 与西弗吉尼亚州、阿肯色州、 和北卡罗来纳州允许这项研究是可行的，并代表了大量的各种 牙科设置。该项目旨在培训牙科医生的一些关键技能， 极大地影响儿童在牙科诊所的舒适度，并为未来的课程奠定基础 为所有牙科工作人员提供服务。长期目标是传播有效的培训， 为牙科学生和目前的牙科提供者提供的大规模， 提供者减少儿童的痛苦。具体来说，最终目的是传播这一点， 简明、有效的技能培训框架，以加强积极和 在口腔健康治疗的发展敏感的战略， 最年轻的病人

Project Summary/Abstract The overall goal of this 7-year UG3/UH3 collaborative project is to develop an interventional training for oral healthcare professionals based on behavioral skills determined to positively impact adult-child interactions in pediatric dental care. The goal of this line of research is to measure the mechanisms involved in the effectiveness of this training on dental provider utilization of these skills, and how skill utilization affects satisfaction, adherence, and behaviors of very young children (under the age of 6) and their parents/caregivers. Two years of funding will be required to align community partners, develop a training protocol, test procedures, and prepare staff. The following five years will be needed to recruit, deliver, and measure outcomes of this unique training. This project will align community- and university-based dental providers (dentists, hygienists, assistants) with a research team to develop and test the effects of a training workshop on outcomes related to provider implementation (acceptability, understanding, feasibility, system climate, and system support), training (provider knowledge, fidelity, skill use, acceptability, satisfaction), and caregiver-child experiences within a dental appointment (child cooperation, distress, and pain, as well as family acceptability and satisfaction). With an innovative training based on a well-established behavior management program for preschoolers, Parent-Child Interaction Therapy (PCIT), findings from this project will reveal if oral health care providers’ responsivity to children’s developmental needs can be changed and effectively impact the experience of dental care in very young children. The valuable connections with community partners in the states of West Virginia, Arkansas, and North Carolina allow this study to be both feasible and representative of a large variety of dental settings. The project is designed to train dental providers on a few key skills that could greatly impact child comfort in the dental office and create a foundation for future curriculum development for all dental staff. The long-term goal is to disseminate an effective training package for students of dentistry and current dental providers on a large scale that helps dental providers reduce child distress. Specifically, the ultimate intent is to disseminate this concise, effective skills training framework to enhance the use of positive and developmentally-sensitive strategies within the oral health treatment of the youngest patients.