An online professional development course to train CHWs to provide oral health outreach to low-income Black guardians

KDH Research & Communication（KDHRC）提交了第二阶段小企业创新 研究（SBIR）应用程序，以扩大和充分评估监护人接收信息 导航仪（GRIN）GRIN是一个文化能力，在线专业发展 课程，以准备社区卫生工作者（CHW）提供口腔健康外展，以低- 儿童和青少年的黑人父母/监护人（以下简称监护人）。grin 旨在增加CHW的知识，态度和信念，自我效能感和意图 对黑人监护人进行口腔健康宣传 对GRIN的需求是巨大的。蛀牙，尤其是未经治疗的蛀牙， 对儿童和青少年造成严重的生理和心理后果。少数群体和 低收入人群蛀牙及相关疾病的发病率高得不成比例 后果与非西班牙裔白色儿童相比， 接受预防性牙科检查，并经历更多未经治疗的蛀牙。此外，儿童 生活在贫困中的儿童患乳牙的可能性是非贫困儿童的两倍。 腐烂为了满足这些需求，并满足循证方案的行动呼吁， CHW向儿童和青少年的黑人监护人进行口腔健康外展，KDHRC 开发GRIN我们的第一阶段工作产生了一个具有支持性可行性结果的原型， 我们的第二阶段方法所依据的坚实伙伴关系。事实上，CHW专业人士 组织，包括国家妇幼口腔健康资源中心， 国家AHEC组织（NAO）和莫尔豪斯医学院致力于 科学的执行和商业分布的这一项目，并证实GRIN的 商业价值和商业潜力。 在第二阶段，我们将开发更多的互动内容，拍摄视频短片，并最终确定 咧嘴笑。然后，我们将进行一个良好的权力和方法上强的两个条件， 随机对照试验，以测试GRIN的有效性。我们的市场调查显示， 巨大的需求和热切的市场，以及致力于GRIN的众多利益相关者的支持， 科学的严谨性和快速的传播进一步证实了GRIN的重要性和商业价值， 解决可能因COVID-19而加剧的现有口腔健康差异的潜力 流行病

KDH Research & Communication (KDHRC) submits this Phase II Small Business Innovation Research (SBIR) application to expand and fully evaluate Guardians Receiving Information through Navigators (GRIN). GRIN is a culturally competent, online professional development course to prepare community health workers (CHWs) to provide oral health outreach to low- income Black parents/guardians (henceforth guardians) of children and adolescents. GRIN seeks to increase CHWs’ knowledge, attitudes and beliefs, perceived self-efficacy, and intentions to conduct oral health outreach to Black guardians. The need for GRIN is great. Tooth decay, especially when untreated, creates lasting and substantial physical and psychosocial consequences for children and adolescents. Minority and low-income populations have disproportionately high rates of tooth decay and related consequences. Compared to non-Hispanic White children, Black children are less likely to receive preventive dental visits, and experience more untreated tooth decay. Moreover, children living in poverty are twice as likely as children not living in poverty to experience primary tooth decay. To address these needs and meet calls to action for evidence-based programs to support CHWs to conduct oral health outreach to Black guardians of children and adolescents, KDHRC developed GRIN. Our Phase I efforts yielded a prototype with supportive feasibility results and solid partnerships on which we base our Phase II approach. Indeed, CHW professional organizations, including the National Maternal and Child Oral Health Resource Center, the National AHEC Organization (NAO), and Morehouse School of Medicine, commit to the scientific execution and commercial distribution of this project and substantiate GRIN’s programmatic importance and commercial potential. In Phase II, we will develop additional interactive content, film video vignettes, and finalize GRIN. Then, we will conduct a well-powered and methodologically strong two-condition randomized controlled trial to test GRIN’s effectiveness. Our market research suggests a significant need and eager market, and support from myriad stakeholders committed to GRIN’s scientific rigor and rapid dissemination further substantiate GRIN’s importance and commercial potential to address extant oral health disparities that are likely exacerbated by the COVID-19 pandemic.