Great Beginnings for Healthy Native Smiles

健康原生微笑的良好开端

基本信息

  • 批准号:
    9924504
  • 负责人:
  • 金额:
    $ 65.48万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2019
  • 资助国家:
    美国
  • 起止时间:
    2019-06-01 至 2023-05-31
  • 项目状态:
    已结题

项目摘要

PROJECT SUMMARY Early Childhood Caries (ECC) is the most common chronic disease among children. American Indian (AI) children are 4 times more likely to have untreated dental decay than white children. If left untreated, ECC can lead to chronic pain, loss of teeth, poor nutrition, and impaired growth. The proposed study aims to reduce the burden of ECC in two AI communities through an innovative, community based participatory approach. The project will: 1) partner with 2 tribes, the Hopi Tribe (Arizona) and the Crow Tribe (Montana), to conduct a formative assessment on oral health (OH); 2) adapt a “bundled” best practices OH intervention to be locally and contextually relevant for each of our tribal communities; and 3) conduct a randomized, controlled study to evaluate the impact of the “bundled” best practices OH intervention (compared to a standard prenatal/postnatal healthy lifestyle intervention) on the reduction of ECC. Community health representatives (CHRs) will be trained to deliver the interventions with pregnant women and follow them until the child’s last exam (24-36 months). The OH intervention will consist of 4 intervention components known to be effective (best practices) in the prevention of ECC: 1) dietary and OH education provided during pregnancy and the postnatal period; 2) OH care of children including the application of fluoride varnish; 3) motivational interviewing with children’s mothers; and 4) patient navigation of existing OH and other social services in each study community, facilitated by CHRs. Caries experience (dmfs) and severity will be compared across both conditions at the 1, 2, and 3- year exams. Mother knowledge, attitudes, and behaviors related to ECC will be also measured for both conditions at pre-test and post-test. Surveys will assess each level of the social ecological model. Individual level domains will include: 1) demographics of mother and baby (pre-test only); 2) dental health of the child to date; 3) mother’s and child’s OH (postnatal); 4) mother’s knowledge, beliefs, and attitudes about best practices in OH; 5) mother’s perception of self-efficacy and susceptibility; and 6) mother’s prenatal health and experiences. Interpersonal level domains will include: 1) current living situation and family support; 2) availability of emotional, informational, and instrumental support; and 3) perceptions of peers’ and family members’ attitudes toward caregiving and OH. Community level domains will include: 1) tribal identity and related experiences; 2) care coordination, transportation, and access to social and OH services; and 3) perceptions of cultural congruence of CHR interactions and intervention materials. If successful, this community-based approach may prove to be a feasible method for improving OH of AI children and reducing the burden of ECC in many Native communities with limited access to regular dental care.
项目摘要 幼儿龋病(ECC)是儿童中最常见的慢性疾病。美国印第安 (AI)儿童患未经治疗的龋齿的可能性是白色儿童的4倍。如果不治疗, ECC可导致慢性疼痛、牙齿脱落、营养不良和生长受损。拟定研究 旨在通过一个创新的,基于社区的 参与式方法。该项目将:1)与两个部落合作,霍皮部落(亚利桑那州)和乌鸦 部落(蒙大拿州),进行口腔健康(OH)的形成性评估; 2)适应“捆绑”的最佳 实践OH干预是当地和上下文相关的每个部落社区; 3)进行随机对照研究,以评估“捆绑”最佳实践的影响 干预(与标准的产前/产后健康生活方式干预相比) ECC的。社区卫生代表将接受培训,以提供干预措施, 孕妇和跟踪他们,直到孩子的最后一次检查(24-36个月)。OH干预将 由4个已知有效预防ECC的干预组成部分(最佳实践)组成:1) 在怀孕和产后期间提供饮食和健康教育; 2)儿童健康护理 包括使用氟化物保护漆; 3)与儿童母亲进行动机访谈; 4) 每个研究社区现有OH和其他社会服务的患者导航, CHRs.将在第1、2和3级的两种条件下比较龋齿经历(dmfs)和严重程度- 年考试。母亲的知识,态度和行为有关的幼儿保育也将被衡量为两个 测试前和测试后的条件。调查将评估社会生态模式的各个层面。 个体水平领域将包括:1)母亲和婴儿的人口统计学(仅预测试); 2)牙科 3)母亲和孩子的OH(产后); 4)母亲的知识,信仰, 对OH最佳实践的态度; 5)母亲对自我效能和易感性的感知;以及6) 母亲的产前健康和经验。人际层面的领域将包括:1)目前的生活 情况和家庭支持; 2)情感,信息和工具支持的可用性;以及3) 同伴和家庭成员对暴力和暴力的态度。社区一级 领域将包括:1)部落身份和相关经验; 2)护理协调,交通, 获得社会和OH服务;和3)的文化一致性的认知, 干预材料。如果成功的话,这种以社区为基础的方法可能被证明是一种可行的方法。 在许多土著社区改善AI儿童OH和减轻ECC负担的方法 无法得到常规的牙科护理。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Julie Ann Baldwin其他文献

Julie Ann Baldwin的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Julie Ann Baldwin', 18)}}的其他基金

C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
  • 批准号:
    10376796
  • 财政年份:
    2021
  • 资助金额:
    $ 65.48万
  • 项目类别:
Southwest Health Equity Research Collaborative
西南健康公平研究合作组织
  • 批准号:
    10457777
  • 财政年份:
    2021
  • 资助金额:
    $ 65.48万
  • 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
  • 批准号:
    10571814
  • 财政年份:
    2021
  • 资助金额:
    $ 65.48万
  • 项目类别:
Factors and Training Approaches that Enhance the Integration of American Indian Culture into Tele-Behavioral Substance Use/Substance Use Disorders Treatment.
促进美洲印第安人文化融入远程行为药物使用/药物使用障碍治疗的因素和培训方法。
  • 批准号:
    10441963
  • 财政年份:
    2021
  • 资助金额:
    $ 65.48万
  • 项目类别:
C-CART: Culturally Centered Addictions Research Training
C-CART:以文化为中心的成瘾研究培训
  • 批准号:
    10238380
  • 财政年份:
    2021
  • 资助金额:
    $ 65.48万
  • 项目类别:
Great Beginnings for Healthy Native Smiles
健康原生微笑的良好开端
  • 批准号:
    10192705
  • 财政年份:
    2019
  • 资助金额:
    $ 65.48万
  • 项目类别:
Great Beginnings for Healthy Native Smiles
健康原生微笑的良好开端
  • 批准号:
    10408126
  • 财政年份:
    2019
  • 资助金额:
    $ 65.48万
  • 项目类别:
Southwest Health Equity Research Collaborative
西南健康公平研究合作组织
  • 批准号:
    10216873
  • 财政年份:
    2017
  • 资助金额:
    $ 65.48万
  • 项目类别:
Administrative Core
行政核心
  • 批准号:
    10207299
  • 财政年份:
    2017
  • 资助金额:
    $ 65.48万
  • 项目类别:
Administrative Core
行政核心
  • 批准号:
    10447557
  • 财政年份:
    2017
  • 资助金额:
    $ 65.48万
  • 项目类别:

相似海外基金

Rational design of rapidly translatable, highly antigenic and novel recombinant immunogens to address deficiencies of current snakebite treatments
合理设计可快速翻译、高抗原性和新型重组免疫原,以解决当前蛇咬伤治疗的缺陷
  • 批准号:
    MR/S03398X/2
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Fellowship
Re-thinking drug nanocrystals as highly loaded vectors to address key unmet therapeutic challenges
重新思考药物纳米晶体作为高负载载体以解决关键的未满足的治疗挑战
  • 批准号:
    EP/Y001486/1
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Research Grant
CAREER: FEAST (Food Ecosystems And circularity for Sustainable Transformation) framework to address Hidden Hunger
职业:FEAST(食品生态系统和可持续转型循环)框架解决隐性饥饿
  • 批准号:
    2338423
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Continuing Grant
Metrology to address ion suppression in multimodal mass spectrometry imaging with application in oncology
计量学解决多模态质谱成像中的离子抑制问题及其在肿瘤学中的应用
  • 批准号:
    MR/X03657X/1
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Fellowship
CRII: SHF: A Novel Address Translation Architecture for Virtualized Clouds
CRII:SHF:一种用于虚拟化云的新型地址转换架构
  • 批准号:
    2348066
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Standard Grant
The Abundance Project: Enhancing Cultural & Green Inclusion in Social Prescribing in Southwest London to Address Ethnic Inequalities in Mental Health
丰富项目:增强文化
  • 批准号:
    AH/Z505481/1
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Research Grant
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
  • 批准号:
    10107647
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    EU-Funded
BIORETS: Convergence Research Experiences for Teachers in Synthetic and Systems Biology to Address Challenges in Food, Health, Energy, and Environment
BIORETS:合成和系统生物学教师的融合研究经验,以应对食品、健康、能源和环境方面的挑战
  • 批准号:
    2341402
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Standard Grant
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
  • 批准号:
    10106221
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    EU-Funded
Recite: Building Research by Communities to Address Inequities through Expression
背诵:社区开展研究,通过表达解决不平等问题
  • 批准号:
    AH/Z505341/1
  • 财政年份:
    2024
  • 资助金额:
    $ 65.48万
  • 项目类别:
    Research Grant
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了