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

KDH研究与传播(KDHRC)提交此第二阶段小型企业创新 研究(SBIR)应用程序扩展和全面评估监护人接收信息 通过导航员(咧嘴笑)。GRIN是一种具有文化能力的在线职业发展 为社区卫生工作者(CHW)准备课程，为低收入人群提供口腔健康推广服务 收入儿童和青少年的黑人父母/监护人(以下简称监护人)。咧嘴笑 寻求增加社区卫生工作者的知识、态度和信念、自我效能感和意图 对黑人卫士进行口腔健康外展。 对咧嘴笑的需求是巨大的。龋齿，特别是在不治疗的情况下，会造成持久的和 对儿童和青少年造成重大的身体和心理社会后果。少数族裔和 低收入人群的龋齿和相关疾病的发病率高得不成比例 后果。与非西班牙裔白人儿童相比，黑人儿童不太可能 接受预防性牙科检查，体验更多未经治疗的龋齿。此外，儿童 生活贫困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对循证方案的行动呼吁，以支持 卫生福利会为儿童及青少年黑人监护人进行口腔健康外展 会心一笑。我们的第一阶段工作产生了一个原型，具有支持性的可行性结果，并 坚实的伙伴关系是我们第二阶段方法的基础。的确，CHW专业人士 包括全国妇幼口腔健康资源中心在内的组织， 国家AHEC组织(NAO)和莫尔豪斯医学院致力于 科学实施和商业化布局该项目，充实GRIN 规划重要性和商业潜力。 在第二阶段，我们将开发更多的互动内容、电影视频片段，并最终完成 咧嘴笑。然后，我们将进行一个强大的和方法论上强有力的两个条件 随机对照试验，以检验GRIN的有效性。我们的市场研究表明 巨大的需求和急切的市场，以及无数致力于GRIN的利益相关者的支持 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 有可能解决现有的口腔健康差距，这些差距可能会因新冠肺炎而加剧 大流行。

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.