Community-Based Intergenerational Oral Health Promotion in Rural America

美国农村地区基于社区的代际口腔健康促进

• 批准号: 8266895
• 负责人: CHRISTINE A Riedy Murphy
• 金额: $ 53.38万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8266895
• 关键词: Alaska; Americas; Caring; Child; Clinical Trials Design; Collaborations; Communities; Community Health; Counseling; County; Data; Dental; Dental Care; Dental caries; Documentation; Hawaii; Health; Health Personnel; Health Professional; Health Promotion; Infant; Intervention; Low income; Managed Care; Medicaid; Mothers; Oral health; Oregon; Outcome; Outcome Measure; Postpartum Period; Postpartum Women; Pregnant Women; Preventive; Protocols documentation; Public Health; Qualitative Methods; Randomized; Research; Rural; Rural Community; Rural Population; Self Care; Services; Site; Training; Universities; Washington; Woman; abstracting; base; brief motivational intervention; follow-up; health disparity; improved; innovation; intergenerational; motivational enhancement therapy; prevent; primary outcome; programs; randomized trial

Community-Based Intergenerational Oral Health Promotion in Rural America Abstract The overall specific aim is to conduct a community randomized trial using brief motivational interventions to increase utilization of preventive dental care and improve the oral health of rural, low-income pregnant and postpartum women and their children and to increase the number of oral health practices taken by these women to prevent caries in their young children. The primary outcome measure for the trial will be mothers' untreated dental decay. There are two additional components in this study: (1) formative research, refinement of intervention protocols, and training of interventionists, and (2) dissemination with corresponding sub-specific aims: 1a. To use qualitative methods within three groups of community stakeholders (low-income pregnant and postpartum women, public health personnel, and health professionals) to facilitate planning and refinement of the interventions to enhance dental utilization and self-care. 1b. To establish a training site in the community to enhance implementation of intervention protocols in the intervention counties. 2. To disseminate information about the outcomes of the intervention and to provide technical assistance, training, and approaches for sustainability to health care providers and public health personnel to extend the benefits of this study. The study will utilize a two-group, community randomized trial design in 8 intervention counties. Non-participating counties (N=4, 400 women) will provide comparison oral health and utilization data and serve as controls. Randomization to the interventions will occur at the county level; intervention implementation will be done in two waves (counties 1-4 then counties 5-8). The two interventions are: (1) Self-Instructional Motivational Materials (SIMM) (N= 4 counties, 400 women) will involve the use of materials that motivate and provide choice among community-recommended strategies to utilize preventive dental services and engage activities to prevent tooth decay; (2) Brief Motivational Interviewing (Brief Ml) (N= 4 counties, 400 women) will include these motivational materials as well as brief counseling and follow-up provided by local trained women. This research concerns oral health of mothers and children in rural communities. Our approach, based on scientific excellence and community collaboration, is innovative as it focuses on the need for an intergenerational approach (mother and child as opposed to child alone) to using care and preventing tooth decay in a low-income, rural population.

美国农村社区代际口腔健康促进 摘要 总体具体目标是进行一项社区随机试验，使用简短的动机干预措施， 提高预防性牙科保健的利用率，改善农村、低收入孕妇和 产后妇女及其子女，并增加这些人采取的口腔保健做法的数量， 妇女预防幼儿龋齿。试验的主要结果指标将是母亲的 未经治疗的蛀牙。本研究有两个额外的组成部分：（1）形成性研究，提炼 干预方案，培训干预人员，以及（2）传播相应的次级方案， 目的：1a.在三个社区利益攸关方群体（低收入孕妇和 产后妇女，公共卫生人员和卫生专业人员），以促进规划和完善 干预措施，以提高牙科利用和自我保健。1b.在社区建立培训点， 在干预县加强干预协议的执行。2.传播信息 提供技术援助、培训和方法， 卫生保健提供者和公共卫生人员的可持续性，以扩大本研究的受益。的 研究将在8个干预县采用两组、社区随机试验设计。非参与 县（N= 4400名妇女）将提供比较口腔健康和使用数据，并作为对照。 干预措施的随机化将在县一级进行;干预措施的实施将在 两波（县1-4，然后县5-8）。这两种干预措施是：（1）自我指导动机 材料（SIMM）（N= 4个州，400名妇女）将涉及使用激励和提供 选择社区推荐的策略，以利用预防性牙科服务和从事活动 （2）简短动机访谈（Brief Ml）（N= 4个县，400名妇女）将包括 这些激励材料以及由当地受过培训的妇女提供的简短咨询和后续行动。这 研究关注农村社区母亲和儿童的口腔健康。我们的方法基于科学的 卓越和社区合作，是创新的，因为它侧重于需要一个代际 方法（母亲和儿童，而不是单独的儿童），以使用护理和预防蛀牙，在低收入， 农村人口