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SAPNA Oral Health Project

SAPNA 口腔健康项目

基本信息

批准号：
8333296
负责人：
ALISON KARASZ
金额：
$ 23.38万
依托单位：
ALBERT EINSTEIN COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-15 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8333296
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

项目摘要

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.

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来自南亚的快速增长的移民群体，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（南亚改善健康和研究实践伙伴关系）中实施。龋齿是影响美国大多数贫困和少数民族儿童的问题。南亚移民儿童患龋齿的风险特别高，几乎是本地人口的两倍。各种结构性因素，包括社会和经济贫困、语言孤立、难以获得口腔保健以及南亚常见的婴儿喂养习惯，都导致了这一问题。具体目标包括制定、执行和评价一项综合口腔健康试点干预措施，该措施以增强权能理论为基础，针对6-18个月儿童的孟加拉国母亲。所有参与者（n=75）将接受初级保健医生以简短教育信息和口腔健康转介形式提供的强化常规护理。对于干预参与者，南亚社区健康导航员（CHN）将使用强调家庭优势，知识和优先事项的授权模式提供两次产妇和家庭咨询支持，然后是患者导航支持进行和保持口腔健康访问，并在12个月的研究期间进行三次电话随访以提供支持。这种干预措施的开发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。