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A Promotora Program to Prevent Primary Tooth Decay in Low-income Latino Children

预防低收入拉丁裔儿童乳牙蛀牙的 Promotora 计划

基本信息

批准号：
8592738
负责人：
Eric Charles Twombly
金额：
$ 18.09万
依托单位：
KDH RESEARCH AND COMMUNICATION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-21 至 2014-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8592738
关键词：
Accident and Emergency department Address Adopted Age Attitude Benchmarking California Caries prevention Caring Child Childhood Clinic Communication Research Communities Community Health Centers Data Dental Dental Care Dental caries Economics Effectiveness Epidemic Evaluation Evaluation Reports Exposure to Health Health Services Healthcare Healthcare Systems Hour Human Individual Insurance Intervention Knowledge Language Latino Learning Letters Life Low income Mainstreaming Market Research Marketing Medical Methods Modeling Not Hispanic or Latino Oral Oral health Outcome Pain Parents Phase Poverty Prevention Provider Public Health Publications Research Proposals Risk Sampling Schools Self Efficacy Services Site Small Business Innovation Research Grant Source Staging Stream Structure Surveys Testing Tooth structure Training Trust United States Vulnerable Populations base commercialization control trial cost cost effective deciduous tooth design early childhood evidence base experience feeding health disparity health literacy improved meetings member outreach prevent programs prototype psychosocial public health relevance skills stem web site

项目摘要

DESCRIPTION (provided by applicant): KDH Research & Communication (KDHRC) proposes to develop and evaluate Dientes Fuertes, Vida Sana (DFVS), a culturally-competent program to prevent primary tooth decay in low-income Latino children ages zero to six. To effectively reach low-income Latino children, DFVS will train promotores de salud (PS) at Latino-serving community-based organizations (CBOs) to conduct outreach to Latino parents and guardians to build their knowledge and skills in 1) oral health literacy, including proper brushing, flossing, ad feeding practices to prevent primary tooth decay; and 2) oral healthcare system navigation, which includes when, where, and how to seek dental care and treatment and methods to overcome barriers to dental care. DFVS addresses a pressing public health need. Public health officials have called tooth decay a silent epidemic and the greatest unmet childhood health need. On an individual level, childhood tooth decay predicts lasting and substantive physical, psychosocial, and economic consequences. On a societal level, childhood tooth decay costs taxpayers hundreds of millions of dollars yearly, due mostly to emergency room care for preventable tooth pain. DFVS matches this pressing public health need with the PS intervention model, which has demonstrated effectiveness, culturally-competency, and cost-efficiency. DFVS is unique in the field. At the completion of this project, we will have the complete DFVS program, which will consist of four bilingual English/Spanish components: 1) a Training Guide (TG) for a CBO-based facilitator to conduct eight, two-hour sessions to prepare PS to conduct outreach to Latino guardians; 2) a multi-part training telenovela, or streaming video that dramatically illustrates Latino oral health challenges for PS learning and discussion; 3) an Implementation Guide (IG) to build CBOs' capacity to effectively use DFVS; and 4) a distribution website to host DFVS. What is more, we will have substantive data on DFVS's effectiveness as a culturally-competent program to prevent primary tooth decay in low-income Latino children ages zero to six. These data will stem from two sources. First, the feasibility evaluation will explore the extent to which DFVS is a useful, culturally- appropriate program that CBOs will adopt. It will also test how exposure to the DFVS prototype changes PS' knowledge, improve attitudes, and increase self-efficacy to conduct outreach to Latino guardians. Second, the outcome evaluation will test DFVS in a two group, multi-stage, controlled trial of DFVS's effectiveness when implemented by a group of CBOs. Taken together, DFVS and its evaluation results aim to reduce oral health disparities among low-income Latino children ages zero to six by creating an evidence-based, culturally- competent program to prevent primary tooth decay.

描述（由申请人提供）：KDH 研究与传播 (KDHRC) 提议开发和评估 Dientes Fuertes, Vida Sana (DFVS)，这是一项具有文化能力的计划，旨在预防 0 至 6 岁低收入拉丁裔儿童的乳牙蛀牙。为了有效地惠及低收入拉丁裔儿童，DFVS 将在为拉丁裔服务的社区组织 (CBO) 培训健康促进者 (PS)，向拉丁裔家长和监护人进行外展活动，以培养他们以下方面的知识和技能：1) 口腔健康素养，包括正确刷牙、使用牙线、广告喂养方法，以预防乳牙蛀牙； 2）口腔保健系统导航，包括何时、何地以及如何寻求牙科护理和治疗以及克服牙科护理障碍的方法。 DFVS 解决了紧迫的公共卫生需求。公共卫生官员称蛀牙是一种无声的流行病，也是最大的未满足的儿童健康需求。在个人层面上，儿童期蛀牙预示着持久和实质性的身体、心理和经济后果。在社会层面上，儿童蛀牙每年给纳税人造成数亿美元的损失，这主要是由于急诊室对可预防的牙痛的护理。 DFVS 将这一紧迫的公共卫生需求与 PS 干预模式相匹配，该模式已证明了有效性、文化能力和成本效益。 DFVS 在该领域是独一无二的。该项目完成后，我们将拥有完整的 DFVS 计划，其中包括四个英语/西班牙语双语部分：1) 为 CBO 辅导员提供培训指南 (TG)，以开展 8 次、每次两小时的课程，以准备 PS 向拉丁裔监护人进行外展； 2) 多部分培训电视连续剧或流媒体视频，生动地说明拉丁裔口腔健康挑战，以促进 PS 学习和讨论； 3) 实施指南（IG），以培养 CBO 有效使用 DFVS 的能力； 4) 托管 DFVS 的分发网站。更重要的是，我们将获得关于 DFVS 作为一项具有文化能力的计划的有效性的实质性数据，以预防 0 至 6 岁的低收入拉丁裔儿童的乳牙蛀牙。这些数据将来自两个来源。首先，可行性评估将探讨 DFVS 在多大程度上是 CBO 将采用的有用且适合文化的计划。它还将测试接触 DFVS 原型如何改变 PS 的知识、改善态度并提高自我效能，以向拉丁裔监护人进行推广。其次，结果评估将在两组、多阶段、对照试验中测试 DFVS，以检验 DFVS 由一组 CBO 实施时的有效性。总而言之，DFVS 及其评估结果旨在通过制定基于证据的、文化上可行的计划来预防原发性蛀牙，从而减少 0 至 6 岁低收入拉丁裔儿童的口腔健康差异。