Effectiveness and improvement of rural, school-based, caries prevention programs

农村学校龋齿预防计划的有效性和改进

• 批准号: 8740167
• 负责人: RICHARD NIEDERMAN
• 金额: $ 129.89万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-19 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8740167
• 关键词: Address; Aerobic; Area; Asthma; Bacterial Infections; Boston; Budgets; Caries prevention; Caring; Castes; Centenarian; Centers for Disease Control and Prevention (U.S.); Cessation of life; Child; Clinical; Clinical Research; Clinical Trials; Clinical effectiveness; County; Data; Data Coordinating Center; Databases; Dental; Dental Care; Dental Records; Dental caries; Dentists; Development; Diagnosis; Diagnostic; Diagnostic Procedure; Drug Formulations; Economics; Educational Status; Effectiveness; Electronics; Environment; Evaluation; Extinction (Psychology); Goals; Health; Health Policy; Healthcare; Healthy People 2020; Human; Infection; Institute of Medicine (U.S.); Instruction; Insurance; Intervention; Kuwait; Learning; Locales; Location; Manuals; Medicaid; Medical; Mentors; Methods; Minority Groups; Modeling; National Health and Nutrition Examination Survey; Nonprofit Organizations; Oral health; Outcome; Outcome Measure; Paper; Parenting behavior; Population; Population Research; Poverty; Prevalence; Prevention; Prevention Protocols; Prevention program; Prevention strategy; Preventive; Preventive Intervention; Procedures; Protocols documentation; Public Health; Recording of previous events; Records; Research; Research Institute; Research Personnel; Resources; Risk; Rural; Rural Population; Schools; Services; Site; Social Interaction; System; Talents; Testing; Time; Tooth structure; Toothache; Travel; Unemployment; Universities; Urban Population; Water fluoridation; base; burden of illness; cohort; comparative; comparative effectiveness; cost; cost effective; cost effectiveness; data management; demographics; design; disorder prevention; effectiveness measure; elementary school; ethnic minority population; improved; innovation; performance site; programs; racial and ethnic; social

We popose to improve oral health and reduce costs of rural school-based caries prevention programs using comparative effectiveness and quality improvement methods. We will test the hypothesis that comprehensive caries prevention is more effective than incremental prevention. Significance. Caries is a preventable bacterial infection, yet 25% of U.S. school children have untreated decay - five-times more than asthma. The prevalence doubles for rural, racial and ethnic minority populations. Effective preventive interventions, recommended by the Centers for Disease Control and Prevention, are available. However, they are often underused and rarely evaluated for clinical effectiveness. Approach. Using a cohort design, we will longitudinally evaluate and compare comprehensive and incremental caries prevention programs in rural elementary schools. Using this comparative data we will generate, implement and test oral health improvement models for clinical and cost-effectiveness. Specific Aims. 1). Develop a manual of procedures, standardize and calibrate caries diagnosis using NHANES diagnostic criteria, implement electronic readable forms for recording, submission, and analysis. 2). Comparatively evaluate clinical and cost-effectiveness, model optimal care and timing, and mentor site improvement programs. 3). Create a database to generate alternate models for caries prevention and open this database for clinical and research use. Impact and Innovation. To our knowledge, this will be the first comparative effectiveness study (including economic assessment) with the breadth and depth to identify and disseminate effective prevention protocols. An added benefit will be the creation of a rich database for modeling prevention in other locations. Environment and Investigators. Forsyth is a century old. Harvard affiliated, oral health research institute. We will marry this talent with the Boston University Data Coordinating Center and school-based caries prevention programs serving ~10,000 children in 67 school, in 10 rural counties, in 4 states.

我们建议改善农村学校的口腔健康状况，降低龋病预防项目的费用 使用比较有效和质量改进方法。我们将检验这个假设， 综合防龋比渐进式防龋更有效。 意义龋齿是一种可预防的细菌感染，但25%的美国学童未经治疗。 腐烂比哮喘多五倍农村、种族和少数民族的患病率加倍 人口。疾病控制中心建议的有效预防干预措施， 预防是可以的。然而，它们通常未得到充分利用，很少评估临床有效性。 Approach.使用队列设计，我们将纵向评估和比较全面和 在农村小学增加龋齿预防计划。利用这些数据，我们将 生成、实施和测试口腔健康改善模型，以实现临床和成本效益。 具体目标。1）。制定程序手册，使用标准化和校准龋齿诊断 NHANES诊断标准，实现电子可读形式的记录，提交和分析。 2）。比较评估临床和成本效益，建立最佳护理和时间模型，并指导研究中心 改进方案。3）。创建一个数据库，生成龋齿预防的替代模型， 这个数据库用于临床和研究。 影响和创新。据我们所知，这将是第一次比较有效性研究（包括 经济评估）的广度和深度，以确定和传播有效的预防协议。 一个额外的好处将是创建一个丰富的数据库，用于在其他位置进行建模预防。 环境与研究者福赛斯已经有一个世纪的历史了。哈佛附属口腔健康研究所。 我们将把这一人才与波士顿大学数据协调中心和校本龋齿 预防方案为4个州10个农村县67所学校的约10 000名儿童提供服务。