Caregiver Illness Perception and Childs Early Childhood Caries Status

照顾者疾病认知和儿童早期龋齿状况

• 批准号: 8593692
• 负责人: Mary Beth Slusar
• 金额: $ 5.74万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8593692
• 关键词: 11 year old; 4 year old; Address; Adult; Affect; Age; Applied Research; Area; Asthma; Attitude; Autistic Disorder; Basic Science; Behavioral Model; Belief; Caregivers; Caring; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Chronic Disease; Clinic; Collectins; Consent; Control Groups; Data; Data Analyses; Dental; Dental Anxiety; Dental Care; Dental Clinics; Dental Insurance; Dental caries; Dentists; Diabetes Mellitus; Discipline; Disease; Education; Elderly; Enabling Factors; Equation; Ethnic Origin; Ethnic group; Family; Fellowship; General Anesthesia; Goals; Health Personnel; Health Services; Health Services Accessibility; Health behavior; Healthy People 2020; Hospitals; Income; Individual; Informal Social Control; Institutes; Insurance Coverage; Intervention; Investments; Knowledge; Life; Literature; Logistic Regressions; Low income; Matched Case-Control Study; Medicaid; Medical; Minority; Modeling; National Institute of Dental and Craniofacial Research; Oral; Oral health; Parents; Perception; Population; Poverty; Predisposing Factor; Preventive; Provider; Psychosocial Factor; Questionnaires; Race; Recruitment Activity; Relative (related person); Reporting; Research; Research Design; Research Training; Sample Size; Self Management; Self-Administered; Source; Strategic Planning; System; Testing; Time; Tooth structure; Training; Transportation; United States; Validity and Reliability; Visit; Work; aged; base; behavioral/social science; burden of illness; career development; case control; craniofacial; deciduous tooth; disorder prevention; early childhood; federal poverty level; follow-up; health belief; health disparity; health inequalities; health knowledge; illness perceptions; meetings; parental influence; public health relevance; racial and ethnic; research study; restoration; restorative treatment; routine care; statistics

DESCRIPTION (provided by applicant): Tooth decay in 2 to 11 year olds is increasing and dental utilization is lower nationally especially among poor and minority populations, while untreated primary tooth decay has remained steady. With these statistics, it is unlikely that Healthy People 2020 goals will be met. The Common Sense Model of Self-Regulation (CSM) was developed to understand individual's perception of chronic illness and for effective self-management of disease (Leventhal et al. 1997). The CSM concept has been applied to medical conditions. Except for the applicant's sponsor, the CSM framework and the questionnaire assessing CSM concepts (Illness Perception Questionnaire revised for dental: IPQ-RD) have not yet been investigated for children's or parent's perceptions of their dental problems. Building on the work of my sponsor, the overall goal of my proposed F32 research is to utilize the CSM and the behavioral model of health services use (Andersen 1968) to determine how predisposing and enabling factors, and need influence parents' illness perception of their child's dental caries (tooth decay). The objectives of this research training fellowship are: (1) A matched case control study design will compare if parent/caregivers of young children (< 6 years) who have severe early childhood caries (cases: S-ECC) versus those of parent/caregivers of children without early childhood caries (controls) are different in IPQ-RD scores; (2) A path model will investigate the effect of parent/caregiver predisposing (socio- demographic, oral health behavior, knowledge, attitude, beliefs, psychosocial factors, dental fear), enabling (dental insurance, access, personal dentist, perception of dental system), need (routine/preventive vs. problematic care) related factors on IPQ-RD, which in turn affects the likelihood of being in the case or control group. The sample size of 120 (60 case caregivers and 60 control caregivers) will be recruited from a hospital based dental clinic setting. Data collectin will involve abstraction of decayed, missing, filled primary teeth from clinic charts to determine case and control status, and two self-administered questionnaires (IPQ-RD and caregiver questionnaire). The parent/caregiver will provide consent and complete questionnaires at the time of child's routine care dental visit (controls) and at the time of restorative treatment under general anesthesia in OR (case). Data analysis will include descriptive statistics, conditional logistic regression, and structural equations [PATH] modeling approach. This research responds to NIDCR's 2009-2013 Strategic Plan I-2 "Increase the Institute's commitment to basic and applied research in the behavioral and social sciences"; II-2 "Emphasize the training and career development investment of individuals"; II-3 "Welcome new disciplines poised to expand oral, dental, and craniofacial research"; IV-1 "Identify the full range of factors that contribute to ora health inequalities". .

描述（由申请人提供）：全国范围内，2 至 11 岁儿童的蛀牙数量正在增加，牙科利用率较低，特别是在贫困人口和少数民族人口中，而未经治疗的原发性蛀牙则保持稳定。根据这些统计数据，“健康人类 2020”目标不太可能实现。自我调节常识模型 (CSM) 的开发是为了了解个人对慢性疾病的看法以及对疾病进行有效的自我管理（Leventhal 等，1997）。 CSM 概念已应用于医疗条件。除申请人的担保人外，CSM 框架和评估 CSM 概念的问卷（针对牙科修订的疾病感知问卷：IPQ-RD）尚未针对儿童或家长对其牙科问题的看法进行调查。建筑 根据我资助者的工作，我提出的 F32 研究的总体目标是利用 CSM 和卫生服务使用行为模型（Andersen 1968）来确定诱发因素和促成因素以及需求如何影响父母对孩子龋齿（蛀牙）的疾病认知。这项研究培训奖学金的目标是： (1) 匹配的病例对照研究设计将比较患有严重儿童早期龋齿（病例：S-ECC）的幼儿（< 6 岁）的父母/照顾者与没有儿童早期龋齿的儿童（对照）的父母/照顾者的 IPQ-RD 分数是否不同； (2) 路径模型将调查父母/照顾者的倾向（社会人口、口腔健康行为、知识、态度、信仰、社会心理因素、牙科恐惧）、启用（牙科保险、就诊、私人牙医、对牙科系统的看法）、需求（常规/预防性护理与问题护理）相关因素对 IPQ-RD 的影响，这反过来又影响属于病例组或对照组的可能性。将从医院牙科诊所招募 120 名样本（60 名病例护理人员和 60 名对照护理人员）。数据收集将涉及从临床图表中提取腐烂、缺失、填充的乳牙以确定病例和对照状态，以及两份自填问卷（IPQ-RD 和护理人员问卷）。家长/看护人将在孩子进行常规牙科护理就诊（对照）时以及在根据以下规定进行恢复性治疗时提供同意书并填写调查问卷 手术室全身麻醉（案例）。数据分析将包括描述性统计、条件逻辑回归和结构方程 [PATH] 建模方法。这项研究响应了 NIDCR 2009-2013 年战略计划 I-2“增加研究所对行为和社会科学基础和应用研究的承诺”； II-2“强调个人的培训和职业发展投资”； II-3“欢迎准备扩大口腔、牙科和颅面研究的新学科”； IV-1“确定导致健康不平等的所有因素”。 。