BRIDGING SOCIO-CULTURAL BOUNDARIES IN ORAL HEALTH

跨越口腔健康的社会文化界限

• 批准号: 7255541
• 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
• 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/7255541
• 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 providers 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 benefited 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 professionals' effectiveness at providing the most appropriate care to patients, potentially affecting patient adherence. The current project proposes to develop a web-based tool (EthnoDent) 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 user profiles of EthnoDent and manage the 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 use of EthnoDent The long-term vision of this project is to reduce disparities in children's oral health through enhancing the providers' attitudes and skills in communicating with multi-cultural families.

该项目的广泛的长期目标是提高各种牙科的文化能力， 提供者使用基于网络的工具（EthnoDent）。华盛顿州的人口，除了美国， 种族和民族构成越来越多样化。从1995年到2025年， 将为华盛顿州带来额外的394，000人（坎贝尔，1996年）。美国文化越来越 随着许多少数民族文化的涌入，他们有自己的信仰和传统， 生活在同一个国家有一个共同点--口腔健康状况较差（Brookins，1993; Ahmann， 1994年）。美国的低收入和少数族裔人口受益较少，尽管 儿童龋齿等口腔健康疾病知识的进步（Seow，1998; Milnes，1996）。 随着人口多样性的增加，医疗服务提供者将照顾可能不属于 对健康和疾病有相同的传统或意义。文化产生的基本传统和价值观可能 控制着群体对健康、疾病和治疗方法的感知意义。无法沟通 跨文化可能会损害卫生专业人员为患者提供最适当护理的有效性， 可能影响患者依从性。目前的项目建议开发一个基于网络的工具（EthnoDent） 这将侧重于减少提供者和多文化患者在儿童保健领域的文化障碍， 口腔健康.拟议研究的具体目标是：1）定性描述美洲土著/阿拉斯加 土著（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， （三）儿童口腔健康。2)开发一个基于网络的工具（EthnoDent）， 收集的信息，其中将包含有关文化的信息，他们的语言，信仰，传统， 在儿童口腔健康方面的做法。3)描述EthnoDent的用户配置文件并管理 基于来自这些配置文件的反馈的系统变化的演变。4)为了确定牙科提供者的 (e.g.,一年级牙科学生，牙科助理和牙科卫生学生）的知识和文化能力是 该项目的长期愿景是减少儿童口腔健康的差异， 通过提高服务提供者与多元文化家庭沟通的态度和技能，促进健康。