Implementing Evidence-based Behavioral Skills in Pediatric Oral Healthcare Providers

项目摘要/摘要 这个为期7年的UG3/UH3合作项目的总体目标是开发一种介入性的 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。这一系列研究的目标是 为了衡量牙科培训的有效性所涉及的机制 提供商对这些技能的利用，以及技能利用如何影响满意度， 幼儿(6岁以下)及其子女的依从性和行为 父母/照顾者。将需要两年的资金来协调社区合作伙伴， 制定培训方案、测试程序并为员工做好准备。未来五年将是 需要招募、交付和衡量这一独特培训的结果。 该项目将协调基于社区和大学的牙科提供者(牙医、 卫生员、助理)与研究团队一起开发和测试培训的效果 与提供商实施有关的成果研讨会(可接受性、理解性、 可行性、系统环境和系统支持)、培训(提供商知识、保真度、技能使用、 可接受性、满意度)，以及牙科预约中的照顾者-儿童体验(儿童 合作、苦恼和痛苦，以及家庭的接受度和满意度)。带着一个 创新培训基于为学龄前儿童制定的完善的行为管理计划， 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责任可以改变并有效 影响幼儿的牙科护理体验。 与西弗吉尼亚州、阿肯色州社区合作伙伴的宝贵联系， 和北卡罗来纳州允许这项研究既可行又具有代表性 牙科设置。该项目旨在培训牙科提供者几项关键技能，这些技能可以 极大地影响儿童在牙科办公室的舒适度，并为未来的课程奠定基础 面向所有牙科工作人员的发展。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套餐，帮助牙科 提供者减少了儿童的痛苦。具体地说，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 口腔健康治疗中对发育敏感的策略 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.