Center for Research to Evaluate & Eliminate Dental Disparities

研究评估中心

• 批准号: 8081302
• 负责人: Raul I Garcia
• 金额: $ 16.15万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 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/8081302
• 关键词: 3 year old; Advocate; Age; Birth; Boston; Caregivers; Child; Clinical; Commit; Communities; Community Health Centers; Counseling; Dental; Dental Care; Dental caries; Development; Fluoride Varnishes; Foundations; Health; Health Policy; Health Promotion; Incidence; Individual; Information Systems; Institution; Intervention; Intervention Studies; Maryland; Massachusetts; Ohio; Oral health; Physicians; Provider; Public Housing; Randomized; Research; Research Design; Research Project Grants; Research Training; Risk Reduction; System; Training; Universities; aged; base; career development; clinical care; dissemination research; early childhood; health disparity; motivational enhancement therapy; multidisciplinary; patient oriented; peer; prevent

DESCRIPTION (provided by applicant): The Northeast Center for Research to Evaluate & Eliminate Dental Disparities (CREEDD) is committed to the elimination of oral health disparities through research, training and action. Our efforts will build on a strong foundation of early and continuous community engagement, community-based research interventions, integrated training and career development, broad dissemination of research findings, and targeted health policy initiatives. Based at Boston University, the CREEDD will maintain its current regional approach, with partnering institutions in Massachusetts, Maryland and Ohio. A diverse, multidisciplinary and multi-institutional team will implement community-based intervention research projects aimed at reducing early childhood caries (ECC). Our organizing theme is engaging non-dental care providers in oral health promotion, and extending the venues for oral health promotion to non-clinical care settings directly in health disparity communities. The two major community-based intervention research projects will be: Project #1 (D&IR Project) - Partnering with Community Health Centers to Prevent ECC (D&IR Project) Physician-delivered interventions, targeted at children aged 1 to 3 years old, with include fluoride varnish applications, patient-centered counseling, and systems-level changes to clinical information systems and clinical prompts used in order to include age-appropriate, oral health-specific anticipatory guidance items. Project #2 - Oral Health Advocates in Public Housing Resident Health Advocates (RHA), trained peer health advocates, will incorporate motivational interviewing and community oral health promotion activities into their ongoing health promotion efforts targeting caregivers with children from birth to 5 yrs old, aimed at caries risk reduction and lowering incidence of ECC. We will use a community-based cluster randomized study design, in Project #1 with community health centers (CHC) as the unit of randomization, with CHC located in Boston, Maryland, and southeastern Ohio; and in Project #2 with individual public housing developments in Boston as the unit of randomization.

描述（由申请人提供）：东北研究中心评估和消除牙齿差异（CREEDD）致力于通过研究，培训和行动消除口腔健康差异。我们的努力将建立在早期和持续的社区参与，以社区为基础的研究干预，综合培训和职业发展，广泛传播研究成果和有针对性的卫生政策举措的坚实基础上。CREEDD总部设在波士顿大学，将保持其目前的区域方法，与马萨诸塞州、马里兰州和俄亥俄州的伙伴机构合作。一个多元化，多学科和多机构的团队将实施以社区为基础的干预研究项目，旨在减少幼儿龋齿（ECC）。我们的组织主题是让非牙科保健提供者参与口腔健康促进，并将口腔健康促进的场所直接扩展到健康差异社区的非临床护理环境。 两个主要的社区干预研究项目将是： 项目#1（D&IR项目）-与社区卫生中心合作预防ECC（D&IR项目）医生提供的干预措施，针对1至3岁的儿童，包括氟化物保护漆应用，以患者为中心的咨询，以及对临床信息系统和临床提示的系统级更改，以便包括年龄适当的，口腔健康特定的预期指导项目。 计划#2 -公营房屋口腔健康倡导者 居民健康倡导者（RHA），训练有素的同龄人健康倡导者，将把动机访谈和社区口腔健康促进活动纳入他们正在进行的健康促进工作，目标是照顾从出生到5岁的儿童，旨在减少龋齿风险和降低ECC的发病率。我们将采用基于社区的整群随机研究设计，在项目1中，以社区卫生中心（CHC）作为随机化单位，CHC位于波士顿、马里兰州和俄亥俄州东南部;在项目2中，以波士顿的单个公共住房开发项目作为随机化单位。