Feasibility Study of Dentofacial Injury in Adolescents

描述（由申请人提供）：本研究源于对有效行为干预的迫切需求，以减少牙面损伤的不良后果和高危少数民族青少年再次受伤的可能性。为了减少发病率和再损伤，重要的是要了解与损伤相关的风险和保护因素，并提供适合患者年龄范围和文化背景的成熟行为干预措施。在这项探索性研究中，我们将评估进行大规模观察和干预研究以减少高危少数民族青少年牙面损伤的可行性。具体目标是：（1）在接受牙面损伤治疗的高危少数民族青少年及其成年照顾者中测试招募和知情同意的协议;（2）评估青少年和照顾者参与牙面损伤前瞻性观察和干预研究的意愿;（3）评估风险和保护因素措施的心理测量特性和文化适当性;（4）探讨少数民族青少年牙颌面损伤的危险因素和保护因素。将在与青少年（n=100）及其成年照顾者（n = 100）的单独访谈中收集有关颌面损伤特征、健康史（包括既往损伤）以及风险和保护因素的数据。青少年（15-20岁）将在洛杉矶县DSC医疗中心接受牙面损伤治疗。访谈数据将补充从医疗记录中提取的信息。研究结果将扩大我们对颌面部损伤的研究范围;将为进一步研究青少年颌面部损伤的风险，原因和后果的设计提供信息;并将有助于行为干预措施的发展，以减少损伤的不良后果和再损伤的可能性。

DESCRIPTION (provided by applicant): This study arises from the urgent need for effective behavioral intervention to reduce the adverse consequences of dentofacial injury and the likelihood of re-injury in high-risk minority adolescents. To reduce morbidity and re-injury, it is important to understand risk and protective factors related to injury and to deliver proven behavioral interventions appropriate to the age range and cultural backgrounds of patients. In this exploratory study, we will assess the feasibility of conducting large-scale observational and intervention research to reduce dentofacial injury among high-risk minority adolescents. Specific Aims are: (1) to test protocols for recruitment and informed consent among high-risk minority adolescents receiving treatment for dentofacial injury and their adult caregivers; (2) to assess adolescents' and caregivers' willingness to participate in prospective observational and intervention research on dentofacial injury; (3) to assess psychometric properties and cultural appropriateness of measures of risk and protective factors; and (4) to identify possible risk and protective factors relevant to dentofacial injury among high-risk minority adolescents. Data on dentofacial injury characteristics, health history including prior injury, and risk and protective factors will be collected in separate interviews with adolescents (n=100) and their adult caregivers (n=100). Adolescents (age 15-20) will be receiving treatment for dentofacial injury at Los Angeles County DSC Medical Center. Interview data will be supplemented with information extracted from medical records. Study findings will extend the scope of our research on dentofacial injury; will inform the design of further research on risks, causes, and consequences of dentofacial injury in adolescents; and will contribute to the development of behavioral interventions to reduce the adverse consequences of injury and the likelihood of re-injury.