BRIDGING SOCIO-CULTURAL BOUNDARIES IN ORAL HEALTH

跨越口腔健康的社会文化界限

• 批准号: 6406473
• 负责人: CHRISTINE A Riedy Murphy
• 金额: $ 12.51万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2004-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6406473
• 关键词: Alaskan Native American; Asians; Hispanic Americans; Internet; Native Americans; Pacific Islander; attitude; clinical research; computer human interaction; cooperative study; dental personnel; dental survey; education evaluation /planning; educational resource design /development; health behavior; health care personnel education; health care personnel performance; human subject; interview; oral health; patient care personnel relations; preventive dentistry; racial /ethnic difference; socioeconomics; statistics /biometry; videotape /videodisc

The broad, long-term objective of this project is to increase cultural competency in a wide array of dental using a web-based tool (EthnoDent). Washington state's population, in addition to the United States, is becoming increasingly diverse in its' ethnic and racial makeup. Between 1995 and 2025, international migration will bring to Washington state an additional 394,000 people (Campbell, 1996). The U.S. culture is becoming more heterogeneous with the influx of many minority cultures who have their own beliefs and traditions and may only share one commonality of living in the same country-poorer oral health status (Brookins, 1993; Ahmann, 1994). Low-income and minority populations in the U.S. have benefitted less than other groups in spite of advances in knowledge of oral health diseases such as childhood (caries (Seow, 1998; Milnes, 1996). As the population's diversity increases, providers will care for multi- cultural patients who may not attribute the same traditions or meanings for health and illness. Underlying traditions and values arising from cultures may govern the group's perceived meaning of health, illness and approach to curing. An inability to communicate cross-culturally may impair health professional's effectiveness at providing the most appropriate care to patients, potentially affecting patient adherence. The current project proposes to develop a we-based tool (EthnoDent) which will focus on reducing cultural barriers between providers and multi- cultural patients in the area of children's which will focus on reducing cultural barriers between providers and multi-cultural patients in the area of children's oral health. The specific aims of the proposed study are; 1) To qualitatively describe the Native American/Alaska Native (NA/AN), Asian /Pacific Islander (A/PI), and Latino/Hispanic (L/H) cultures (i.e., traditions, beliefs/values practices) with respect to children's oral health. 2) To develop a web-based tool (EthnoDent) based on the collected information, which will contain information about the cultures, their languages, beliefs, traditions, and practices with respect to children's oral health. 3) To describe the use profiles of EthnoDent and manage the evolution of system changes based on feedback from these profiles. 4) To determine whether dental providers' evolution of system changes based on feedback from these profiles. 4) To determine whether dental providers' (e.g., first-year dental students, dental assistant and dental hygiene students) knowledge and cultural competency is increased with the used of EthnoDent. The long-term vision of this project is to reduce disparities in children's oral health about enhancing the providers' attitudes and skills in communicating with multi-cultural families.

该项目的广泛的长期目标是使用基于网络的工具（EthnoDent）提高各种牙科的文化能力。除了美国之外，华盛顿州的人口在民族和种族构成上也越来越多样化。1995年至2025年期间，国际移徙将使华盛顿州增加394 000人（坎贝尔，1996年）。随着许多少数民族文化的涌入，美国文化变得更加异质化，这些少数民族文化有自己的信仰和传统，并且可能只有一个共同点，即生活在同一个国家，口腔健康状况较差（Brookins，1993; Ahmann，1994）。尽管在儿童口腔健康疾病（龋齿）方面的知识取得了进步，但美国低收入和少数民族人口的受益程度低于其他群体（Seow，1998; Milnes，1996）。随着人口多样性的增加，提供者将照顾多文化的病人，他们可能对健康和疾病没有相同的传统或意义。文化产生的基本传统和价值观可能支配着该群体对健康、疾病和治疗方法的认知意义。无法进行跨文化沟通可能会损害医疗专业人员为患者提供最适当护理的有效性，可能会影响患者的依从性。目前的项目建议开发一个基于我们的工具（EthnoDent），该工具将侧重于减少儿童口腔健康领域提供者和多文化患者之间的文化障碍。拟议研究的具体目的是：1）定性描述美洲原住民/阿拉斯加原住民（NA/AN）、亚洲/太平洋岛民（A/PI）和拉丁美洲/西班牙裔（L/H）文化（即，传统、信仰/价值观/做法）。2)根据收集的信息开发一个基于网络的工具（EthnoDent），其中将包含有关儿童口腔健康的文化，语言，信仰，传统和实践的信息。3)描述EthnoDent的使用配置文件，并根据这些配置文件的反馈管理系统变更的演变。4)以确定牙科服务提供者的系统是否会根据这些配置文件的反馈发生变化。4)为了确定牙科提供者（例如，牙科一年级学生、牙科助理和牙科卫生学生）的知识和文化能力随着EthnoDent的使用而增加。该项目的长远目标是减少儿童口腔健康方面的差距，提高提供者与多元文化家庭沟通的态度和技能。