EFFICACY OF TAILORED ORAL HEALTH EDUCATION

定制口腔健康教育的功效

• 批准号: 6927319
• 负责人: UNTO E PALLONEN
• 金额: $ 10.61万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6927319
• 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的行为改变专家系统（ES） 教育计划，以促进和保持良好的口腔健康和预防口腔 低收入儿童及其照顾者的疾病。要实现这一点， 建议的多媒体为基础的自助干预的目的是易于使用 并且易于通过个人计算机扩散以用于大规模使用。由于 目前缺乏量身定制的自助行为改变牙科干预， 需要大量的时间和资源来开发内容和测试 拟议干预措施的手段和可行性。这个项目 五个具体目标：1）设计和制作两个干预措施，以促进口头 保健和预防口腔疾病：（i） 互动，量身定制，理论驱动，行为改变ES教育计划，以及 (ii)一个未经定制的健康信息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 可行性研究，最终实施。3)修改 根据可行性研究的结果采取干预措施， 功效试验4)为了评估干预措施的有效性， 临床结果：照顾者中的牙龈炎和未治疗的蛀牙 照顾者及其子女。5)检查临床的程度 结果是由情感、评价和情境个体介导的 受定制干预或更广泛的心理社会因素影响的因素 在其他中心项目中解决的因素。定制ES的功效 干预，它是否会导致更好的口腔健康比未经定制的HI 干预，将通过随机对照试验进行检验。在第四年， 纵向中心研究的过程，参与的照顾者， 低收入非洲裔美国人从最贫穷的39个人口普查轨道招募， 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。口腔随访 第四年的检查将是本试验的基线测量， 将在年的随访检查中评估结局的变化 6.参与者和审查员都将对干预保持盲态 养生法生产和评估的科学，互动， 为口腔健康量身定制的多媒体自助ES程序将提供一个 有机会获得目前不存在的关于能力的信息， 影响决定低SES非洲人口腔健康状况行为 美国人照顾者和他们的孩子。