SAPNA Oral Health Project

SAPNA 口腔健康项目

• 批准号: 8211247
• 负责人: ALISON KARASZ
• 金额: $ 23.26万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-15 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8211247
• 关键词: Address; Adult; Affect; Age; Asia; Attention; Bangladesh; Behavior Therapy; Benefits and Risks; Bottle feeding; Caries prevention; Cereals; Child; Child Care; Child Rearing; Childhood; Clinic; Communities; Community Health; Counseling; Data; Data Collection; Dental; Dental Hygiene; Dental caries; Development; Economics; Education; Effectiveness; Enrollment; Epidemic; Evaluation; Family; Family member; Focus Groups; Funding; Health; Health Professional; Health Promotion; Health Services; Health education; Health system; Healthcare; Immigrant; India; Individual; Infant; Intervention; Intervention Studies; Interview; Knowledge; Learning; Life; Linguistics; Low income; Methods; Modeling; Mothers; Oral health; Pakistan; Parents; Participant; Partnership Practice; Patients; Physicians; Population; Prevention; Primary Care Physician; Primary Health Care; Process; Provider; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Site; Social Functioning; Sorting - Cell Movement; South Asian; Staging; Telephone; Testing; Training; United States; Visit; aged; base; behavior change; deprivation; empowered; empowerment; ethnic minority population; experience; feeding; follow-up; health disparity; high risk; improved; member; pediatrician; prevent; primary care setting; public health priorities; randomized trial; social; sugar; theories; therapy design; treatment as usual; trial comparing

DESCRIPTION (provided by applicant): This application describes the SAPNA Oral Health Project, a primary care based intervention designed to improve oral health and prevent dental caries in young children from the Bangladeshi immigrant community, a fast-growing immigrant group from South Asia that has received little attention from researchers. The project will be implemented in a new primary care research network, SAPPHIRE (South Asian Practice Partnership for Health Improvement and Research). Dental caries is a problem affecting the majority of poor and ethnic minority children in the United States. South Asian immigrant children are at particularly high risk for dental caries with rates nearly double that of native populations. A variety of structural factors, including social and economic deprivation, linguistic isolation, and difficulty accessing oral health care, and common South Asian infant feeding practices contribute to this problem. Specific aims involve the development, implementation and evaluation of a comprehensive oral health pilot intervention, based on Empowerment Theory, directed at Bangladeshi mothers of children aged 6-18 months. All participants (n=75) will receive enhanced usual care in the form of brief educational messages and oral health referrals by the primary care physician. For intervention participants, South Asian Community Health Navigators (CHNs) will provide two sessions of maternal and familial counseling support using an empowerment model that emphasizes the family's strengths, knowledge, and priorities, followed by patient navigation support in making and keeping an oral health visit, and three follow up phone calls to provide support during the twelve month study period. Development and evaluation of this intervention will involve participatory data collection among primary care providers, clinic staff, project team members, field staff, and patients in order to insure the acceptability and feasibility of the intervention. If the project is successful, investigators will apply for funds to conduct a formal test of SAPNA. PUBLIC HEALTH RELEVANCE: South Asians are a rapidly growing group in the United States, but remain understudied. South Asian children experience extremely high rates of childhood caries, due to child feeding practices and oral hygiene, as well as lack of access to oral health care. Culturally appropriate behavioral interventions for South Asians that address childhood caries risk are a vital public health priority. The project described in this application has potential to serve as a model for primary care-community collaborative interventions that can be used in similar culturally and linguistically isolated groups.

描述（由申请人提供）：本申请描述了 SAPNA 口腔健康项目，这是一项基于初级保健的干预措施，旨在改善孟加拉国移民社区幼儿的口腔健康和预防龋齿，孟加拉国移民社区是一个快速增长的南亚移民群体，但很少受到研究人员的关注。该项目将在一个新的初级保健研究网络 SAPPHIRE（南亚健康改善和研究实践伙伴关系）中实施。龋齿是影响美国大多数贫困儿童和少数族裔儿童的问题。南亚移民儿童患龋齿的风险特别高，其发病率几乎是本地人口的两倍。多种结构性因素，包括社会和经济匮乏、语言隔离、难以获得口腔保健以及常见的南亚婴儿喂养方式，导致了这一问题。具体目标包括基于赋权理论，针对 6-18 个月大儿童的孟加拉国母亲，制定、实施和评估综合口腔健康试点干预措施。所有参与者（n = 75）都将接受初级保健医生以简短教育信息和口腔健康转诊形式提供的强化日常护理。对于干预参与者，南亚社区健康导航员 (CHN) 将使用赋权模式提供两次孕产妇和家庭咨询支持，强调家庭的优势、知识和优先事项，随后为患者提供进行和保持口腔健康就诊的导航支持，并在 12 个月的研究期间提供 3 次后续电话以提供支持。该干预措施的制定和评估将涉及初级保健提供者、诊所工作人员、项目团队成员、现场工作人员和患者之间的参与性数据收集，以确保干预措施的可接受性和可行性。如果项目成功，研究人员将申请资金对SAPNA进行正式测试。 公共卫生相关性：南亚人在美国是一个快速增长的群体，但仍未得到充分研究。由于儿童喂养方式和口腔卫生以及缺乏口腔保健服务，南亚儿童的儿童龋齿率极高。对南亚人采取文化上适当的行为干预措施来解决儿童龋齿风险是至关重要的公共卫生优先事项。本申请中描述的项目有潜力作为初级保健社区协作干预的模型，可用于类似的文化和语言隔离群体。