Research Program and Administrative Center

研究计划和行政中心

• 批准号: 7570342
• 负责人: AMID I ISMAIL
• 金额: $ 55万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-22 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7570342
• 关键词: Address; Adult; Area; Behavior Therapy; Caregivers; Caring; Censuses; Child; Clinic; Clinic Visits; Clinical; Clinical and Translational Science Awards; Collaborations; Communities; Community Health; Complex; Data Collection; Dental; Dental Anxiety; Dental Care; Dental Clinics; Dental Hygiene; Diabetes Mellitus; Diagnosis; Family; Federally Qualified Health Center; Funding; Gifts; Health; Health Promotion; Home environment; Inequality; Institutes; International; Intervention; Knowledge; Life; Low income; Medicaid; Michigan; Mission; Modeling; Nutritional; Observational Study; Operative Surgical Procedures; Oral health; Outcome; Participant; Preventive; Protocols documentation; Provider; Public Health Schools; Publications; Recruitment Activity; Research; Research Personnel; Research Project Grants; Research Training; Risk; Risk Assessment; Scheduling and Staffing; Schools; Social support; Standards of Weights and Measures; Structure; Students; Thea Plant; Tobacco Use Cessation; Training; Training Programs; Trust; United States Health Resources and Services Administration; Universities; Upper arm; Visit; Work; abstracting; aged; base; design; diabetes education; experience; follow-up; health disparity; improved; interest; intervention program; literacy; medical schools; motivational enhancement therapy; motivational intervention; programs; social

ABSTRACT The proposed Community Oral Health Interventions Program (COHIP or CO-HIP) was designed in collaboration with community patners of the currently-funded Detroit Center for Research on Oral Health Disparities (a.k.a Detroit Dental Health Project (DDHP)). This document describes the administrative center, overall design, management and structure of COHIP. It also describes the research training program. COHIP proposes to develop and implememt a sustainable healthy community model which integrates community-based oral health promotion programs, provided by culturally competent community health teams, with evidence-based clinical and preventive care provided by dental clinicians working in four Federally Qualified Health Centers' (FQHCs) dental clinics (COHIP clinics) in Detroit (Eastside, Nolan, Bruce Douglas, and Thea Bowman). The primary interveners in the COHIP model will be community health workers (CHWs) who will be trained by local and national team of experts. The CHWs will be trained to advcoate for the families of children aged 0-11 years and their caregivers living in low-income areas, coordinate their dental care, provide motivational interventions to reduce dental anxiety and fatalism, develop preventive plans, manage diabetes, improve their oral hygiene practices, increase nutritional literacy, and promote tobacco cessation. The CHWs will provide formal social support and will follow-up with the families on regular basis. To develop these interventions COHIP has teams of experts in social interventions, motivational interviewing, diabetes education, clinical care, oral health and health litearcy; in addition to teams of statistical experts and managers of research projects. COHIP will collaborate and share resoucres with the University of Michigan Clinical and Translational Science Award (CTSA) and the Michigan Institute for Clinical and Health Research at the School of Medicine. COHIP will recruit 1,510 famiilies with eligible children living in 27 census tracts around the four clinics. The families reside in randomly selected segments within these tracts. The segments will be assigned into either an intervention or comparison arms. The families in the comparison areas will by visited by trained research staff (not CHWs) and be provided with information on dental care but not scheduled by the staff to visit the clinics. They will also not receive any social or behavioral interventions at their homes. They will be treated by the regular dental providers at the clinics who will follow their existing standards of care. For the families in the intervenion areas, the CHWs will provide integrated motivational interventions as described above. These families will be cared for by a COHIP-hired clinical team that will work in the 4 FQHC clinics. The team will follow new protocols for diagnosis, risk assessment, restorative/surgical care and provide evidence-based preventive care based on risk status of each participant. COHIP management is comprised of an experienced team with extensive field experience in coordinating complex community-based interventions as well as observational studies. The team has experience in recruitment, data collection, analysis, and publications in the current funded disparity center. COHIP will target 11 clinically meaningful outcomes to reduce health disparities in children and adult caregivers. COHIP research training program will target students from the middle school level until the doctoral level and will be based on the CTSA program as well as those offered by the School of Public Health. COHIP as model has received strong support from the regional office of the Health and Resources Services Administration, the National Network for Oral Health Access (NNOHA), and it has generated an interest among researchers from the Schools of Medicine and Pubic Health, the Institute for Social Research, and several other local, national, and international organizations. The COHIP model can be leveraged to address other health disparities and it can be financially sustainable based on the recruitment of Medicaid eligible families to receive dental care at Federally Qualified Health Centers. Finally, as endorsement and trust that the University of Michigan has in the proposed program, a $1 Million gift will be awared to COHIP to fund its programs and support its mission. The COHIP team brings a wealth of expertise and knowledge to develop and implement programs to significantly reduce or eliminate the burden of oral health inequalities.

抽象的 拟议的社区口腔健康干预计划（COHIP 或 CO-HIP）设计于 与目前资助的底特律口腔健康研究中心的社区合作伙伴合作 差异（又名底特律牙科健康项目 (DDHP)）。本文件描述了行政中心， COHIP的总体设计、管理和结构。它还描述了研究培训计划。 COHIP建议开发并实施可持续的健康社区模式，该模式将 由具有文化能力的社区卫生团队提供以社区为基础的口腔健康促进计划， 由在四个联邦州工作的牙科临床医生提供循证临床和预防性护理 底特律的合格健康中心 (FQHC) 牙科诊所（COHIP 诊所）（Eastside、Nolan、Bruce Douglas、 和西娅·鲍曼）。 COHIP 模式的主要干预者将是社区卫生工作者 （社区卫生工作者）将接受当地和国家专家团队的培训。社区卫生工作者将接受培训，以倡导 生活在低收入地区的0-11岁儿童的家庭及其照顾者，协调他们的牙科 护理，提供激励干预措施以减少牙科焦虑和宿命论，制定预防计划， 管理糖尿病、改善口腔卫生习惯、提高营养知识并推广烟草 停止。社区卫生工作者将提供正式的社会支持，并定期对家庭进行跟进。 为了制定这些干预措施，COHIP 拥有社会干预、动机访谈、 糖尿病教育、临床护理、口腔健康和健康知识；除了统计专家团队和 研究项目的管理者。 COHIP 将与密歇根大学合作并共享资源 临床与转化科学奖 (CTSA) 和密歇根临床与健康研究所 在医学院。 COHIP 将招募居住在 4 家诊所周围 27 个人口普查区的 1,510 个有符合条件儿童的家庭。这 家庭居住在这些区域内随机选择的区域。这些段将被分配到 干预组或比较组。受过训练的研究人员将拜访比较地区的家庭 向工作人员（而非社区卫生工作者）提供有关牙科护理的信息，但工作人员并未安排参观牙科诊所 诊所。他们也不会在家中接受任何社交或行为干预。他们将受到治疗 诊所的常规牙科服务提供者将遵循其现有的护理标准。对于身处其中的家庭来说 在干预领域，社区卫生工作者将提供如上所述的综合激励干预措施。这些 COHIP 聘请的临床团队将在 4 个 FQHC 诊所工作，为这些家庭提供护理。团队将 遵循新的诊断、风险评估、恢复/手术护理方案并提供基于证据的 根据每个参与者的风险状况进行预防性护理。 COHIP 管理层由经验丰富的团队组成，在协调方面拥有丰富的现场经验 复杂的基于社区的干预措施以及观察性研究。该团队拥有以下经验 当前资助的差异中心的招聘、数据收集、分析和出版物。 COHIP 将 目标是实现 11 项具有临床意义的结果，以减少儿童和成人护理人员的健康差异。 COHIP研究培训项目将针对从初中水平到博士水平的学生，以及 将基于 CTSA 计划以及公共卫生学院提供的计划。 COHIP 作为模型得到了卫生和资源服务区域办公室的大力支持 国家口腔健康服务网络 (NNOHA)，它引起了人们的兴趣 来自医学和公共卫生学院、社会研究所和几位研究人员的研究人员 其他地方、国家和国际组织。 COHIP 模型可用于解决其他问题 健康差异，并且通过招募符合医疗补助资格的家庭来进行医疗补助，在财务上是可持续的 在联邦合格的健康中心接受牙科护理。 最后，作为密歇根大学对拟议项目的认可和信任，我们将拨款 100 万美元 捐赠将被告知 COHIP，以资助其项目并支持其使命。 COHIP团队带来了丰富的 制定和实施计划以显着减轻或消除负担的专业知识和知识 口腔健康不平等。