Statewide implementation and evaluation of a rural, school-based, caries prevention program
Statewide implementation and evaluation of a rural, school-based, caries prevention program
批准号:
9468971
负责人:
RICHARD NIEDERMAN
金额:
$75.14万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2017
资助国家:
美国
项目状态:
已结题
起止时间:
2017-09-20 至 2022-04-30
关键词:
AddressCaries preventionCaringChildChild health careClinicalClinical effectivenessCommunitiesComplexCountyDataData SourcesDentalDental HygienistsDental RecordsDental SocietiesDental cariesDentistsDiagnosticDiaminesDiseaseEconomicsEffectivenessEnvironmentEquilibriumEvaluationFinancial compensationFluoride VarnishesFluoridesGoalsGrantHealthHealth ExpendituresHealth PlanningHealth PolicyHealthy People 2020High PrevalenceIndividualInequalityInformed ConsentInstitutesInterventionMedicaidMethodsModelingMonitorNational Health and Nutrition Examination SurveyNew HampshireNursesOral healthOutcomeOutcome MeasureParentsParticipantPatientsPoliciesPrevalencePreventionPrevention programPrevention strategyPrevention trialPreventivePreventive InterventionPreventive carePreventive measurePrimary PreventionProtocols documentationPublic HealthRandomizedRandomized Controlled TrialsReportingResearch PersonnelRuralSchoolsSecondary PreventionSilverStandardizationSystemTestingTherapeuticTherapeutic UsesTimeTrainingWorkbasecostcost effectivenessdisparity reductioneffectiveness trialelementary schoolevidence baseexperiencehealth disparityhealth equityimplementation researchimprovedinnovationmathematical modelprevention efficacy trialprimary outcomeprogramsrestorationrural countiestrial design
中文摘要
摘要/文摘
英文摘要
SUMMARY/ABSTRACT
Our long term goal is to reduce oral health disparities in rural school children.
Our immediate goal is to test two new evidence-based, school-based, cavity prevention programs.
We will compare two preventions: (1) A newer, simpler, less expensive, efficient treatment using
fluoride varnish + silver diamine fluoride; and (2) A more traditional, complex, expensive, time-intensive
treatment that includes simple + sealants + interim therapeutic restorations. The simpler method takes 6
minutes to deliver, compared to the more complex method that takes 20 minutes. Therefore, if the simpler,
less expensive is as effective as the more complex, more expensive method, the data could support clinical
and policy change.
To compare the two methods we will use a cluster randomized control trial design. We will implement
this program in rural New Hampshire schools. All children in a school with informed consent will receive the
same treatment (either simple or complex). We will provide preventive care twice per year for the 5 year grant
period.
We will follow all children longitudinally for five years to determine the effectiveness of each preventive
method. The primary outcome to make this determination will be the percentage of children with untreated
decay. This is one of the U.S. Healthy People oral health goals. We will also examine the cost and cost-
effectiveness. This will allow us to determine the balance between effectiveness and cost.
Assessing effectiveness and costs is particularly important for reducing disparities. If an intervention is
quick, inexpensive, and 100% effective, that is a relatively simple choice. Most interventions are not 100%
effective. Therefore, information on time, expense, and effectiveness will allow us to make better informed
clinical and policy decisions. Specifically, this will help us answer the question: How much of which preventive
intervention will increase access, improve health, and reduce costs?
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
Effectiveness and improvement of rural, school-based, caries prevention programs
-
批准号:8740167
-
项目类别:
-
资助金额:$129.89万
-
财政年份:2011
-
负责人:RICHARD NIEDERMAN
-
依托单位:
Effectiveness and improvement of rural, school-based, caries prevention programs
-
批准号:8278852
-
项目类别:
-
资助金额:$139.36万
-
财政年份:2011
-
负责人:RICHARD NIEDERMAN
-
依托单位:
Effectiveness and improvement of rural, school-based, caries prevention programs
-
批准号:8334501
-
项目类别:
-
资助金额:$129.03万
-
财政年份:2011
-
负责人:RICHARD NIEDERMAN
-
依托单位:
Effectiveness and improvement of rural, school-based, caries prevention programs
-
批准号:8489149
-
项目类别:
-
资助金额:$40.99万
-
财政年份:2011
-
负责人:RICHARD NIEDERMAN
-
依托单位:
Models of Periodontal Care
-
批准号:7043426
-
项目类别:
-
资助金额:$3.08万
-
财政年份:2003
-
负责人:RICHARD NIEDERMAN
-
依托单位:
TRADITIONAL & MEDICAL MODELS OF PERIODONTAL CARE
-
批准号:6380011
-
项目类别:
-
资助金额:$39.85万
-
财政年份:2000
-
负责人:RICHARD NIEDERMAN
-
依托单位:
TRADITIONAL & MEDICAL MODELS OF PERIODONTAL CARE
-
批准号:6788023
-
项目类别:
-
资助金额:$42.92万
-
财政年份:2000
-
负责人:RICHARD NIEDERMAN
-
依托单位:
TRADITIONAL & MEDICAL MODELS OF PERIODONTAL CARE
-
批准号:6905657
-
项目类别:
-
资助金额:$42.92万
-
财政年份:2000
-
负责人:RICHARD NIEDERMAN
-
依托单位:
TRADITIONAL & MEDICAL MODELS OF PERIODONTAL CARE
-
批准号:6663833
-
项目类别:
-
资助金额:$42.92万
-
财政年份:2000
-
负责人:RICHARD NIEDERMAN
-
依托单位:
TRADITIONAL & MEDICAL MODELS OF PERIODONTAL CARE
-
批准号:6189942
-
项目类别:
-
资助金额:$39.85万
-
财政年份:2000
-
负责人:RICHARD NIEDERMAN
-
依托单位:
MURINE MODEL OF LAD II/EARLY ONSET PERIODONTITIS
-
批准号:2875479
-
项目类别:
-
资助金额:$6.25万
-
财政年份:1998
-
负责人:RICHARD NIEDERMAN
-
依托单位:
HARVARD TRAINING FOR ORAL HEALTH CLINICAL TRIALS
-
批准号:2896985
-
项目类别:
-
资助金额:$2.99万
-
财政年份:1998
-
负责人:RICHARD NIEDERMAN
-
依托单位:
HARVARD TRAINING FOR ORAL HEALTH CLINICAL TRIALS
-
批准号:2433003
-
项目类别:
-
资助金额:$2.54万
-
财政年份:1998
-
负责人:RICHARD NIEDERMAN
-
依托单位:
HARVARD TRAINING FOR ORAL HEALTH CLINICAL TRIALS
-
批准号:6402552
-
项目类别:
-
资助金额:$0.0万
-
财政年份:1998
-
负责人:RICHARD NIEDERMAN
-
依托单位:
HARVARD TRAINING FOR ORAL HEALTH CLINICAL TRIALS
-
批准号:6175858
-
项目类别:
-
资助金额:$2.04万
-
财政年份:1998
-
负责人:RICHARD NIEDERMAN
-
依托单位:
MECHANISMS OF PERIODONTAL FATTY ACID PMN TOXICITY
-
批准号:2130037
-
项目类别:
-
资助金额:$22.34万
-
财政年份:1988
-
负责人:RICHARD NIEDERMAN
-
依托单位:
MECHANISM(S) OF PERIODONTAL FATTY ACID PMN TOXICITY
-
批准号:3222119
-
项目类别:
-
资助金额:$25.85万
-
财政年份:1988
-
负责人:RICHARD NIEDERMAN
-
依托单位:
MECHANISM(S) OF PERIODONTAL FATTY ACID PMN TOXICITY
-
批准号:3222116
-
项目类别:
-
资助金额:$19.47万
-
财政年份:1988
-
负责人:RICHARD NIEDERMAN
-
依托单位:
PERIODONTAL SHORT CHAIN FATTY ACIDS TOXIC TO PMNS
-
批准号:3222118
-
项目类别:
-
资助金额:$16.89万
-
财政年份:1988
-
负责人:RICHARD NIEDERMAN
-
依托单位:
PERIODONTAL SHORT CHAIN FATTY ACIDS TOXIC TO PMNS
-
批准号:3222113
-
项目类别:
-
资助金额:$16.54万
-
财政年份:1988
-
负责人:RICHARD NIEDERMAN
-
依托单位:
海外基金