Integrating Social, Behavioral & Preventive Sciences to Reduce Children's Caries

整合社会、行为

• 批准号: 8211258
• 负责人: JIMMY T EFIRD
• 金额: $ 33.21万
• 依托单位: ADA FORSYTH INSTITUTE, INC.
• 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/8211258
• 关键词: Abscess; Acute; Address; Aerobic; American Indians; Area; Behavior; Behavior Therapy; Behavioral; Body Weight Changes; California; Cancer Detection; Caries prevention; Caring; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Clinical Research; Clinical Trials; Data; Data Coordinating Center; Dental; Dental caries; Dentistry; Dentists; Economic Models; Economics; Effectiveness; Environment; Epidemiologist; Family; Geographic Locations; Goals; Hawaii; Health; Health behavior; Healthcare; Home environment; Human; Infection; Informed Consent; Institutes; Institution; Island; Low income; Manuals; Markov Chains; Measures; Medicaid; Methods; Modeling; National Institute of Dental and Craniofacial Research; Native Americans; Nodal; Oral health; Outcome; Parents; Participant; Pathway Analysis; Pilot Projects; Prevention; Prevention program; Preventive; Preventive Intervention; Procedures; Protocols documentation; Race; Research Personnel; Risk; School-Age Population; Schools; Science; Site; Smoking Prevention; Social Change; Social Network; Socioeconomic Status; Time; Training; Universities; Work; after-school program; base; behavior change; disorder prevention; elementary school; evidence base; health disparity; improved; innovation; predictive modeling; primary outcome; programs; social

DESCRIPTION (provided by applicant): Our long-term goal is to improve the oral health and reduce disparities of children in Hawai'i. We hypothesize that the reach, and impact, of effective school-based caries prevention programs can be quantitatively increased by leveraging social networks to target behavioral change. 1. Significance: 10 million children (>20%) of U.S. elementary school age children have untreated dental decay. The disparity in health is notable, rising to 72% for American Indians/Native Americans. Effective school-based preventions are available but underutilized or unavailable. In Hawai'i there are: an abundance of dentists, but few accepting Medicaid; caries rates exceeding national averages; and no school-based caries prevention programs. 2. Innovation:Integrating social network analysis, behavior change and caries prevention has not before been attempted. If successful, a state-wide caries prevention could facilitate exceeding the goals of Healthy People 2020 prior to 2020. 3. Approach: Generate MOP and preliminary data. The specific aims are to: Create a manual of procedures (MOP) for pilot program, based on the NIDCR model, and modified from the PI's current successful, but independent, programs focusing social network analysis, behavioral change, and caries prevention. Carry out pilot program to generate and analyze preliminary data, working with two after school organizations. We will determine the social network and behavioral intent of all site coordinators (~100), and both parents and children in 4 pilot schools (~400 parents and children). Two sets of school's directors, parents, and children will receive targeted behavior change (experimental); the other two sets will receive no behavior change (control). Children in all four schools will receive comprehensive caries prevention. The primary outcome will be program impact, defined by RE-AIM. Prepare U01 application. We will use outcomes, RE-Aim, Markov Chain/Monte Carlo modeling, economic assessments, and power calculations to generate predictive models. These will allow us to revise the MOP and prepare a U01 application for implementation across the Hawai'ian Islands. 4. Investigators: Four experts in unique content areas will collaborate in this team science program, coordinating expertise in social network analysis, behavioral intent and change, caries prevention, and statistical and economic analysis. 5. Environment: Hawai'i is a small state with substantial health care needs and no school-based caries prevention program. The proposed program therefore coalesces an environment with high need, and investigators from institutions with extraordinary depth. PUBLIC HEALTH RELEVANCE: To improve the oral health and reduce disparities of children in Hawaii, we will implement an effective school-based caries prevention program that leverages social networks to effect social change.

描述（由申请人提供）：我们的长期目标是改善口腔健康，减少夏威夷儿童的差异。我们假设，有效的以学校为基础的龋齿预防计划的覆盖面和影响力可以通过利用社交网络来针对行为改变而定量地增加。 1.重要性：1000万美国小学学龄儿童（>20%）患有未经治疗的龋齿。健康方面的差距是值得注意的，美洲印第安人/美洲原住民的比例上升到72%。 有效的基于学校的预防措施是可用的，但利用不足或没有。在夏威夷有：牙医丰富，但很少接受医疗补助;龋齿率超过全国平均水平;没有以学校为基础的龋齿预防计划。 2.创新：整合社会网络分析，行为改变和龋齿预防以前没有尝试过。如果成功，全州范围的龋齿预防可以促进在2020年之前超过2020年健康人群的目标。 3.方法：生成MOP和初步数据。具体目标是：根据NIDCR模型，为试点项目创建程序手册（MOP），并根据PI目前成功但独立的项目进行修改，重点是社会网络分析、行为改变和龋齿预防。 与两个课外组织合作，开展试点项目，生成和分析初步数据。我们将确定所有现场协调员（约100人）以及4所试点学校的家长和孩子（约400名家长和孩子）的社交网络和行为意图。两组学校的董事、家长和孩子将接受有针对性的行为改变（实验）;另外两组将不接受行为改变（控制）。所有四所学校的儿童都将接受全面的龋齿预防。主要结局将是RE-AIM定义的项目影响。 准备U 01申请表。我们将使用结果、RE-Aim、马尔可夫链/蒙特卡罗建模、经济评估和功效计算来生成预测模型。这将使我们能够修改MOP并准备在夏威夷群岛实施的U 01申请。 4.研究者：四位独特内容领域的专家将在这个团队科学计划中合作，协调社会网络分析，行为意图和变化，龋齿预防以及统计和经济分析方面的专业知识。 5.环境：夏威夷是一个小州，有大量的医疗保健需求，没有以学校为基础的龋齿预防计划。因此，拟议的计划结合了一个高度需求的环境，以及来自具有非凡深度的机构的调查人员。 公共卫生相关性：为了改善夏威夷儿童的口腔健康和减少差异，我们将实施一项有效的以学校为基础的龋齿预防计划，利用社交网络来实现社会变革。