ACCESS TO ORAL CARE

获得口腔护理

• 批准号: 7377353
• 负责人: EDWARD F ROSSOMANDO
• 金额: $ 0.53万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7377353
• 关键词: ACCESS; ORAL; CARE

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Given the conclusion of the Surgeon General's Report on Oral Health In America that all our citizens do not have equal access to dental services, the American Dental Trade Association (ADTA)/Santa Fe initiative to support research programs to investigate possible causes for this inequity is most welcome. While the research from their initiative is likely to identify numerous causes, one of the most prevalent maybe the lack of information on the part of the public concerning the importance of oral health and of the necessity of regular oral health examinations. However, a recent study by Alfano and Horowitz suggests that when presented with information about the prevalence of oral cancer, the public will visit a dentist. This finding, taken together with the availability of a new product for the testing of oral cancer, a brush biopsy called OralCDx, suggests an opportunity to test the hypothesis \i that an educational campaign designed to raise public awareness of the life threatening statistics on oral cancer together with the message that oral cancer screening is available at a local dental clinic will result in visits to dentists by those members of the public who do not regularly seek access to dental services. A corollary to this hypothesis is that a given number of those that seek the free screenings, when informed of the need for additional services to soft and hard oral tissues, will remain with the practice to obtain these services. In this proposal we describe a feasibility study, which begins with an educational campaign to inform the public of the incidence of oral cancer and to offer a screening for oral cancer. The aim will be to entice new patients to obtain oral cancer screening. At the testing site, the OralCDx test will be used for screening of oral lesions identified during the examination. In addition, as part of the study, each patient will receive a full mouth examination of hard and soft tissues and, when appropriate, will be advised of the need for additional dental services. The project will: 1) track the number of new patients that seek the oral cancer test in response to the campaign, 2) track the number of patients with an oral lesion 3) track the results of the OralCDx brush biopsy 4) track the number of patients that return for additional services. 5) For those patients with an abnormal brush biopsy result who have a scalpel biopsy subsequently, compare the results of the brush biopsy and scalpel biopsy. At the conclusion of the 3-6 month study period, the number of returnees as a result of the oral screening examination will be compiled and reported. An increase in this number will support the hypothesis that connecting oral health to a potentially life-threatening disease such as oral cancer can increase utilization of oral health services.

该子项目是利用NIH/NCRR资助的中心赠款提供的资源的许多研究子项目之一。子项目和研究者（PI）可能从另一个NIH来源获得主要资金，因此可以在其他CRISP条目中表示。所列机构为中心，不一定是研究者所在机构。鉴于美国卫生部长关于口腔健康的报告的结论是，我们所有的公民都没有平等的机会获得牙科服务，美国牙科贸易协会（ADTA）/圣达菲倡议支持研究计划，调查这种不平等的可能原因，这是最受欢迎的。虽然他们的研究可能会发现许多原因，但最普遍的原因之一可能是公众缺乏有关口腔健康重要性和定期口腔健康检查必要性的信息。然而，Alfano和Horowitz最近的一项研究表明，当公众看到有关口腔癌患病率的信息时，他们会去看牙医。 这一发现，再加上一种新的口腔癌检测产品的可用性，一种名为OralCDx的刷检活检，这意味着有机会检验假设i当局会推行一项教育运动，提高市民对口腔癌的致命统计数字的认识，并向他们宣传可在本港牙科诊所进行口腔癌普查，不经常寻求牙科服务的公众。 这一假设的一个必然结果是，一定数量的寻求免费筛查的人在被告知需要对口腔软硬组织提供额外服务时，将继续接受这些服务。 在本提案中，我们描述了一项可行性研究，该研究首先是一项教育活动，以告知公众口腔癌的发病率，并提供口腔癌筛查。目的是吸引新患者接受口腔癌筛查。在检测中心，OralCDx检测将用于筛查检查期间发现的口腔病变。此外，作为研究的一部分，每名患者将接受硬组织和软组织的全面口腔检查，并在适当时被告知需要额外的牙科服务。 该项目将：1）跟踪响应活动寻求口腔癌检测的新患者数量，2）跟踪口腔病变患者数量3）跟踪OralCDx刷检结果4）跟踪返回额外服务的患者数量。5)对于刷检结果异常且随后进行手术刀活检的患者，比较刷检和手术刀活检的结果。在3至6个月的学习期结束时，将汇编和报告通过口头筛选考试返回的人数。这一数字的增加将支持这一假设，即将口腔健康与口腔癌等可能危及生命的疾病联系起来，可以增加口腔健康服务的利用率。