An innovative psychoeducational method & ECC prevention

创新的心理教育方法

• 批准号: 6950437
• 负责人: Karin Weber-Gasparoni
• 金额: $ 25.81万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-20 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6950437
• 关键词: behavior therapy; behavioral /social science research tag; behavioral habituation /sensitization; clinical research; data collection methodology /evaluation; dental caries; dental disorder diagnosis; dental health education; dental plaque; diet; fluorine; health behavior; health disparity; human subject; human therapy evaluation; longitudinal human study; low socioeconomic status; mother child interaction; motivation; oral health; outcomes research; preschool child (1-5); preventive dentistry; questionnaires; toothbrushing; videotape /videodisc

DESCRIPTION (provided by applicant): There are profound disparities in Early Childhood Caries (ECC) experiences such that children from minority and low-income families suffer a disproportionate share of the disease burden. Many authors recommend educational interventions as one mean of preventing ECC. However, such previous interventions have been only moderately effective and the dental literature still lacks more comprehensive preventive approaches using psychological and behavioral strategies. Thus, the goal of this proposed study is to explore an innovative psychoeducational intervention as a preventive approach for ECC in low-income toddlers enrolled in the WIC supplemental nutritional program. Self-Determination Theory will provide the theoretical support for the psychoeducational intervention to facilitate motivation through people's three innate psychological needs: autonomy, competence and relatedness. Specifically, the study will test a psychoeducational intervention for the prevention of ECC, as well as gather a variety of caries risk pilot data from low-income toddlers enrolled at WIC. Collection of pilot data in this population will allow our research team and others to (1) to examine whether mothers exposed to an autonomy-supportive message will demonstrate changes in self-reported knowledge, behavioral intent and subsequent behavior concerning their child's oral health, and (2) to determine the extent to which their child will present with positive oral health outcomes, such as low levels of Streptococcus mutans, incisor plaque and dental caries. We will collect data on caries occurrence, children's dietary and oral hygiene habits, fluoride exposures, saliva transmission from mother to child, and mothers' self-reported knowledge, behavioral intent, and subsequent behavior concerning their child's oral health. With data from this pilot study, investigators will be able to assess the impact of this innovative intervention on mothers of high-ECC risk children. If successful, widespread use of this psychoeducational intervention could have a profound impact in efforts to reduce oral health disparities.

描述（由申请人提供）：在幼儿龋齿（ECC）的经验，使少数民族和低收入家庭的儿童遭受疾病负担的不成比例的份额有很大的差异。许多作者建议教育干预作为预防ECC的一种手段。然而，这种以前的干预措施只有适度的有效性和牙科文献仍然缺乏更全面的预防方法，使用心理和行为策略。因此，本研究的目的是探索一种创新的心理教育干预作为ECC的预防方法，在低收入的幼儿参加WIC补充营养计划。自我决定理论将为心理教育干预提供理论支持，通过人的三种内在心理需要：自主性、能力和关联性来促进动机。具体来说，该研究将测试一种预防ECC的心理教育干预措施，并从WIC登记的低收入幼儿中收集各种龋齿风险试点数据。在这一人群中收集试点数据将使我们的研究团队和其他人能够（1）检查暴露于支持性信息的母亲是否会表现出自我报告的知识，行为意图和随后的行为变化关于他们孩子的口腔健康，以及（2）确定他们的孩子将在多大程度上呈现积极的口腔健康结果，例如低水平的变形链球菌，门齿菌斑和龋齿。我们将收集有关龋齿发生、儿童的饮食和口腔卫生习惯、氟化物暴露、母亲向儿童的唾液传播以及母亲自我报告的有关儿童口腔健康的知识、行为意图和随后行为的数据。根据这项试点研究的数据，研究人员将能够评估这种创新干预措施对高ECC风险儿童母亲的影响。如果成功的话，这种心理教育干预的广泛使用可能会对减少口腔健康差距产生深远的影响。

项目成果

Spill-proof beverage container usage among young WIC-enrolled children.

WIC 注册儿童使用防溢饮料容器。

• 发表时间: 2014
• 期刊: Pediatric dentistry
• 影响因子: 1.6
• 作者: Shonka,JillM;Weber-Gasparoni,Karin;Kramer,KatherineWO;Warren,John;Marshall,TeresaA;Dawson,DeborahV
• 通讯作者: Dawson,DeborahV

Factors associated with mutans streptococci among young WIC-enrolled children.

WIC 注册儿童中与变形链球菌相关的因素。

• DOI: 10.1111/j.1752-7325.2012.00335.x
• 发表时间: 2012
• 期刊: Journal of public health dentistry
• 影响因子: 2.3
• 作者: Weber-Gasparoni,Karin;Goebel,BryceM;Drake,DavidR;Kramer,KatherineWO;Warren,JohnJ;Reeve,Johnmarshall;Dawson,DeborahV
• 通讯作者: Dawson,DeborahV

An effective psychoeducational intervention for early childhood caries prevention: part I.

预防儿童早期龋齿的有效心理教育干预：第一部分。

• 发表时间: 2013
• 期刊: Pediatric dentistry
• 影响因子: 1.6
• 作者: Weber-Gasparoni,Karin;Reeve,Johnmarshall;Ghosheh,Natalie;Warren,JohnJ;Drake,DavidR;Kramer,KatherineWO;Dawson,DeborahV
• 通讯作者: Dawson,DeborahV

An effective psychoeducational intervention for early childhood caries prevention: part II.

预防儿童早期龋齿的有效心理教育干预：第二部分。

• 发表时间: 2013
• 期刊: Pediatric dentistry
• 影响因子: 1.6
• 作者: Weber-Gasparoni,Karin;Warren,JohnJ;Reeve,Johnmarshall;Drake,DavidR;Kramer,KatherineWO;Marshall,TeresaA;Dawson,DeborahV
• 通讯作者: Dawson,DeborahV