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）：2至11岁的年轻人的蛀牙正在增加，牙齿利用率在全国范围内较低，尤其是在贫困和少数群体中，而未经处理的原发性牙齿衰减仍保持稳定。有了这些统计数据，健康的人2020目标不可能实现。开发了自我调节的常识模型（CSM）是为了了解个人对慢性疾病的看法和有效的疾病自我管理（Leventhal等，1997）。 CSM概念已应用于医疗状况。除申请人的赞助商外，CSM框架和评估CSM概念的问卷（牙齿修订的疾病感知问卷：IPQ-RD）尚未接受有关儿童或父母对牙齿问题的看法的调查。建筑 在我的赞助商的工作中，我提出的F32研究的总体目标是利用CSM和卫生服务使用的行为模型（Andersen 1968）来确定如何倾向和促成因素，并需要影响父母对孩子对孩子的牙科龋齿的感知（牙齿衰变）。这项研究培训奖学金的目标是：（1）匹配的案例对照研究设计将比较幼儿的父母/照顾者是否患有严重的幼儿龋齿（案例：S-ECC）与没有幼儿龋齿的儿童父母/护理人员的父母（案例：S-ECC）（对照组）不同； (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.将从医院的牙科诊所环境中招募120个样本量（60个病例护理人员和60个控制护理人员）。数据收集素将涉及从诊所图表中抽取衰减，缺失，填充的原发性牙齿，以确定病例和控制状态，以及两份自我管理的问卷（IPQ-RD和护理人员问卷）。父母/照顾者将在儿童日常护理牙齿访问（控件）和恢复治疗时提供同意和完整的问卷 或（案例）中的全身麻醉。数据分析将包括描述性统计，条件逻辑回归和结构方程[路径]建模方法。这项研究对NIDCR的2009 - 2013年战略计划I-2做出了回应，“增加了该研究所对行为和社会科学中基本和应用研究的承诺”； II-2“强调个人的培训和职业发展投资”； II-3“欢迎新学科有望扩大口头，牙科和颅面研究”； IV-1“确定有助于ORA健康不平等的各种因素”。 。