Center to Address Disparities in Children's Oral Health

解决儿童口腔健康差异中心

• 批准号: 7893940
• 负责人: Jane A Weintraub
• 金额: $ 31.56万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-24 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7893940
• 关键词: 3 year old; 6 year old; Address; Adolescent; Adopted; Adult; American; American Dental Association; Area; Attention; Behavioral; Bicuspid; Blinded; Budgets; California; Caregivers; Caries prevention; Child; Childhood; Chronic; Chronology; Clinic; Code; Collaborations; Communication; Communities; Complement; Counseling; Country; Critiques; Data Coordinating Center; Dental; Dental caries; Dentists; Development; Diagnosis; Disease; Early treatment; Economically Deprived Population; Education; Effectiveness; Electronics; Ensure; Environment; Evaluation; Evolution; Extramural Activities; Federally Qualified Health Center; Fluoride Varnishes; Fluorides; Fostering; Funding; Future; Goals; Grant; Healthy People 2010; Hispanics; Incidence; Individual; Infant; Institution; International; Intervention Studies; Language; Latino; Leadership; Low income; Marketing; Measurement; Medical; Mentors; Methodology; Methods; Mexico; Minor; Minority; Mission; Molar tooth; Monitor; National Institute of Dental and Craniofacial Research; Office of Administrative Management; Operative Surgical Procedures; Oral health; Outcome; Participant; Pit and Fissure Sealants; Policies; Policy Research; Population; Population Research; Prevention; Preventive; Primary Health Care; Process; Protocols documentation; Provider; Public Health; Public Health Dentistry; Publications; Published Comment; Qualitative Research; Questionnaires; Randomized; Randomized Clinical Trials; Relative (related person); Reporting; Research; Research Design; Research Ethics Committees; Research Personnel; Research Project Grants; Resources; Role; Sales; San Francisco; Science; Scientist; Site; Social Work; Speech; Strategic Planning; Structure; Summary Reports; Surgeon; Telephone; Text; Training; Translations; Universities; Update; Validity and Reliability; Vision; Woman; Work; base; career development; clinical efficacy; clinical practice; community organizations; cost; cost effective; dissemination research; early childhood; evidence base; expectation; experience; flexibility; glass ionomer; health disparity; health practice; high risk; improved; innovation; investigator training; meetings; method development; multidisciplinary; nutrition; outreach; permanent tooth; prevent; programs; quality assurance; research data dissemination; seal; statistics; teledentistry; theories; time use; working group

DESCRIPTION (provided by applicant): Early childhood caries (ECC) is the most prevalent chronic childhood disease in the U.S., particularly among economically disadvantaged, underserved children. We propose to continue our existing Center to Address Disparities in Children's Oral Health (U54DE014251) and its efforts to understand, prevent, and reduce oral health disparities, with a focus on preventing ECC. The themes of our collaborative, community-based program are (1) to provide the high-quality evidence base for new methods to prevent ECC in populations experiencing oral-health disparities and (2) to identify the most effective dissemination methods for delivering fluoride varnish (FV), an efficacious preventive method. We will actively engage California communities and providers in two large-scale intervention studies utilizing randomized clinical trial (RCT) methodology, stratified by settings, to assess the effectiveness or clinical efficacy of different preventive methods on caries incidence and increment among low-income children. Using the RE-AIM framework, Project 1 will identify the most effective setting (medical, social service agency or dental) to disseminate FV to the greatest number of 1-3-year-old children. Stratifying on setting, a parallel groups practical RCT will be conducted in 24 community-based primary care clinics (CPCCs) from the UCSF primary care collaborative research network, and 24 California Special Supplemental Nutrition Programs for Women, Infants and Children (WICs). Each non-dental site (CPCC or WIC) will be randomized to a program of parental counseling and onsite FV application or to parental counseling and referral to a dentist for child's FV application. We will also compare two automated telephone counseling methods and utilize teledentistry approaches for blinded caries assessments. Project 2 is an intervention study to be conducted in dental and non-dental settings, both affiliated with Federally Qualified Health Centers near the US-Mexico border, to compare the relative caries prevention efficacy of four protocols in 3-6 year-old children: 1) parental oral-health counseling (C) alone; 2) C+ FV; 3) C+ fluoride-releasing, glass ionomer (Gl) sealants applied to primary molars, and 4) C+FV+ Gl. Our Administrative Core, Statistics and Data Coordinating Center, and Community Liaison Program will support our two RCTs and developmental projects. These endeavors, with other education and career development activities, will foster new investigators to increase oral-health-disparity research capacity.

描述（由申请人提供）：儿童早期龋齿 (ECC) 是美国最常见的慢性儿童疾病，特别是在经济困难、服务不足的儿童中。我们建议继续现有的解决儿童口腔健康差异中心 (U54DE014251) 及其努力，以了解、预防和减少口腔健康差异，重点是预防 ECC。我们基于社区的协作计划的主题是 (1) 为在口腔健康差异人群中预防 ECC 的新方法提供高质量的证据基础；(2) 确定最有效的传播方法来提供氟化物清漆 (FV)，这是一种有效的预防方法。我们将积极让加州社区和服务提供者参与两项大规模干预研究，利用随机临床试验（RCT）方法，按环境分层，评估不同预防方法对低收入儿童龋齿发病率和增量的有效性或临床功效。利用 RE-AIM 框架，项目 1 将确定最有效的环境（医疗、社会服务机构或牙科），以向最大数量的 1-3 岁儿童传播 FV。根据设置分层，将在加州大学旧金山分校初级保健合作研究网络的 24 个社区初级保健诊所 (CPCC) 和 24 个加州妇女、婴儿和儿童特殊补充营养计划 (WIC) 中进行平行小组实用随机对照试验。每个非牙科场所（CPCC 或 WIC）将被随机分配到家长咨询和现场 FV 申请计划，或家长咨询和转介给牙医以进行儿童 FV 申请。我们还将比较两种自动电话咨询方法，并利用远程牙科方法进行盲法龋齿评估。项目 2 是一项在牙科和非牙科环境中进行的干预研究，均隶属于美国-墨西哥边境附近的联邦合格健康中心，旨在比较四种方案对 3-6 岁儿童的相对龋齿预防效果：1) 仅父母口腔健康咨询 (C)； 2）C+FV； 3)将C+释放氟化物的玻璃离聚物(G1)密封剂应用于乳磨牙，以及4)C+FV+G1。我们的行政核心、统计和数据协调中心以及社区联络计划将支持我们的两项随机对照试验和开发项目。这些努力与其他教育和职业发展活动一起，将培养新的研究人员，以提高口腔健康差异的研究能力。