EFFICACY OF TAILORED ORAL HEALTH EDUCATION

定制口腔健康教育的功效

• 批准号: 7254005
• 负责人: UNTO E PALLONEN
• 金额: $ 6.89万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7254005
• 关键词: African American; behavior therapy; behavioral /social science research tag; caregivers; clinical trials; computer human interaction; cooperative study; dental caries; dental health education; gingivitis; human subject; human therapy evaluation; interactive multimedia; low socioeconomic status; method development; oral health; outcomes research; parent offspring interaction; patient oriented research; personality; preventive dentistry; self help; statistics /biometry

DESCRIPTION (Provided by the applicant): The long-term objective of this project is to develop an effective tailored behavior change expert system (ES) education program to promote and maintain good oral health and prevent oral diseases among low-income children and their caregivers. To achieve this, the proposed multimedia-based, self-help intervention is designed to be easy to use and easy to diffuse for large-scale use through personal computers. Due to the current lack of tailored self-help behavior change dental interventions, substantial time and resources are needed to develop the content and to test the instruments and feasibility of the proposed interventions. This project has five specific aims: 1) To design and produced two interventions to promote oral health and prevent oral disease among caregivers and their children: (i) an interactive, tailored, theory-driven, behavior change ES education program, and (ii) an untailored health information HI comparison program. 2) To assess the feasibility and usability of these unique interventions with a small-scale feasibility study prior to their final implementation. 3) To revise the interventions based on the findings of the feasibility study and implement the efficacy trial. 4) To evaluate the efficacy of the interventions with two clinical outcomes: gingivitis among caregivers and untreated tooth decay among caregivers and their children. 5) To examine the extent to which the clinical outcomes are mediated by the affective, evaluative, and situational individual factors influenced by the tailored intervention, or by broader psychosocial factors addressed in other center projects. The efficacy of the tailored ES intervention, whether it results in better oral health than the untailored HI intervention, will be tested by the randomized controlled trial. In year 4 of the course of the longitudinal center research, the participating caregivers, low income African Americans recruited from the poorest 39 census tracks in the city of Detroit, will be randomly assigned to one of the two education programs at the beginning of the multimedia intervention session. The oral follow-up examination at year four will be the baseline measurement of this trial, and changes in the outcomes will be assessed in the follow-up examination in year 6. Both the participants and examiners will be blinded from the intervention regimens. Production and evaluation of a state of the science, interactive, tailored multimedia self-help ES program for oral health will provide an opportunity to obtain currently nonexistent information about the ability to influence behaviors that determine oral health status among low SES African Americans caregivers and their children.

描述（由申请人提供）：本项目的长期目标 项目是开发一个有效的定制行为改变专家系统（ES） 促进和保持良好口腔健康并预防口腔疾病的教育计划 低收入儿童及其照顾者的疾病。为了实现这一目标， 提议的基于多媒体的自助干预旨在易于使用 并且易于通过个人计算机进行大规模传播和使用。由于 目前缺乏定制的自助行为改变牙科干预措施， 需要大量的时间和资源来开发内容并进行测试 拟议干预措施的手段和可行性。该项目有 五个具体目标： 1) 设计并制定两项干预措施以促进口语 照顾者及其子女的健康和预防口腔疾病：(i) 互动、定制、理论驱动、行为改变 ES 教育计划，以及 (ii) 未定制的健康信息 HI 比较程序。 2) 评估 这些独特的小规模干预措施的可行性和可用性 最终实施之前进行可行性研究。 3）修改 根据可行性研究的结果采取干预措施并实施 疗效试验。 4）评估两种干预措施的效果 临床结果：护理人员的牙龈炎和未经治疗的蛀牙 照顾者和他们的孩子。 5）检查临床的程度 结果是由个体的情感、评价和情境来调节的 受定制干预或更广泛的社会心理影响的因素 其他中心项目中涉及的因素。定制ES的功效 干预，是否比未定制的 HI 能带来更好的口腔健康 干预措施，将通过随机对照试验进行检验。在第 4 年 纵向中心研究的过程，参与的护理人员， 从美国最贫困的 39 个人口普查轨道招募的低收入非裔美国人 底特律市，将被随机分配到两个教育项目之一 在多媒体干预会议开始时。口头跟进 第四年的检查将是本试验的基线测量，并且 结果的变化将在当年的后续检查中进行评估 6. 参与者和审查员都将对干预不知情 治疗方案。科学、互动、 为口腔健康量身定制的多媒体自助ES计划将提供 有机会获得目前不存在的有关能力的信息 影响决定社会经济地位低的非洲人口腔健康状况的行为 美国护理人员和他们的孩子。