Enhancing Oral Health Care Use by HIV-Positives

加强艾滋病毒阳性者口腔保健的使用

• 批准号: 7195034
• 负责人: Lisa R Metsch
• 金额: $ 49.75万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-01 至 2009-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7195034
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adherence; Adult; Behavioral; Caring; Case Management; Case Manager; Centers for Disease Control and Prevention (U.S.); Client; Clinic; Clinical Research; Condition; County; Craniofacial Pain; Data; Dental; Dental Care; Discrimination; Disease; Economic Factors; Effectiveness; Enrollment; Florida; Fright; Funding; General Population; Goals; HIV; HIV Seropositivity; HIV diagnosis; Health; Health Services; Healthcare; Healthy People 2010; Individual; Infection; Institutes; Intervention; Interview; Life; Link; Low income; Medical; Minority; Modeling; Opportunistic Infections; Oral Manifestations; Oral cavity; Oral health; Outcome; Participant; Patients; Persons; Pharmaceutical Preparations; Play; Population; Prevention intervention; Provider; Randomized; Randomized Controlled Clinical Trials; Research; Research Design; Role; Sampling Studies; Scientist; Services; Site; Standards of Weights and Measures; Target Populations; Testing; Time; Transportation; Treatment Protocols; United States; Upper arm; Vulnerable Populations; Work; base; care systems; cost; design; experience; health care service utilization; nutrition; prevent; service utilization; social; theories

DESCRIPTION (provided by applicant): Recent national studies demonstrate that oral health care is one of the highest unmet health care needs for HIV-positive (HIV+) individuals, although it is recognized as playing a critical role in the medical management of HIV/AIDS. Social and economic factors have contributed to less than optimal use of oral health services for HIV+s in the United States. According to recent data, from Miami-Dade County, Florida, only 24% of HIV+s served by Ryan White-funded medical clinics had obtained oral health services in the past 12 months. To address the underutilization of oral health care services, we propose to develop, implement, and evaluate an intervention to assist low-income HIV+s in obtaining access to oral health services as well as increase appropriate utilization of these services. The intervention is a brief, client-centered case management intervention. The case management intervention is adapted from an intervention that has been previously tested in a CDC-funded, multi-site study designed to link recently diagnosed HIV+s to primary medical care. A two-arm randomized trial among HIV+ individuals who are currently enrolled in HIV primary medical care, but not receiving oral health care, will be conducted to test the intervention. The two arms will consist of a case management intervention and standard-of-care. Participants will be assessed at baseline, and at 9 and 18 months after baseline, to document their utilization of oral health services. An interdisciplinary team of behavioral and clinical research scientists with experience in developing and evaluating health care and prevention interventions targeting low income, HIV+s will conduct this research.

描述（由申请人提供）：最近的国家研究表明，口腔保健是 HIV 阳性 (HIV+) 个体最未满足的保健需求之一，尽管它被认为在 HIV/艾滋病的医疗管理中发挥着关键作用。社会和经济因素导致美国艾滋病病毒感染者口腔保健服务未能得到最佳利用。根据最近的数据，佛罗里达州迈阿密戴德县在过去 12 个月内，由 Ryan White 资助的医疗诊所提供服务的 HIV+ 患者中，只有 24% 获得了口腔保健服务。 为了解决口腔保健服务利用不足的问题，我们建议制定、实施和评估一项干预措施，以帮助低收入艾滋病毒+患者获得口腔保健服务，并提高对这些服务的适当利用。该干预是一种简短的、以客户为中心的案例管理干预。病例管理干预措施改编自先前在疾病预防控制中心资助的一项多中心研究中测试过的干预措施，该研究旨在将最近诊断出的艾滋病毒+患者与初级医疗保健联系起来。 将在目前参加艾滋病毒初级医疗但未接受口腔保健的艾滋病毒+个体中进行一项双组随机试验，以测试干预措施。这两个部门将包括病例管理干预和护理标准。参与者将在基线以及基线后 9 个月和 18 个月接受评估，以记录他们对口腔健康服务的利用情况。一个由行为和临床研究科学家组成的跨学科团队将开展这项研究，该团队在开发和评估针对低收入艾滋病毒+的医疗保健和预防干预措施方面拥有丰富的经验。