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

在线专业发展课程，培训社区卫生工作者为低收入黑人监护人提供口腔健康服务

• 批准号: 10698589
• 负责人: Dexter L Cooper
• 金额: $ 93.35万
• 依托单位: KDH RESEARCH AND COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-26 至 2025-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10698589
• 关键词: 2 arm randomized control trial; Address; Adolescence; Adolescent; Affect; Age; Applications Grants; Attitude; Belief; Black race; COVID-19 pandemic; Child; Communication; Communities; Community Health Aides; Dental; Dental Health Education; Dental caries; Development; E-learning; Economics; Effectiveness; Emergency department visit; Equity; Evaluation; Evaluation Reports; Evidence based program; Exposure to; Film; Foundations; Funding; Goals; Happiness; Health; Health Resources; Healthcare; Healthcare Systems; Hospitalization; Household; Income; Infection; Infrastructure; Intervention; Journals; Knowledge; Learning; Left; Link; Longevity; Low Income Population; Low income; Market Research; Marketing; Methodology; Minority; Morehouse School of Medicine; Not Hispanic or Latino; Oral health; Outcome; Pain; Parents; Patients; Peer Review; Persons; Phase; Poverty; Preventive; Professional Organizations; Provider; Publications; Publishing; Randomized, Controlled Trials; Reduce health disparities; Research; Resources; Risk; Self Efficacy; Services; Small Business Innovation Research Grant; Solid; Source; System; Testing; Tissues; Tooth structure; Training; Trust; Visit; Writing; base; built environment; commercialization; cost effective; course development; cultural competence; deciduous tooth; design; education resources; effective intervention; evidence base; experience; hands-on learning; health disparity; high risk; improved; infancy; online community; optimism; outreach; pandemic potential; permanent tooth; prevent; prototype; psychosocial; satisfaction; skills; social; social health determinants; symposium; virtual education

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.

KDH 研究与传播 (KDHRC) 提交了第二阶段小型企业创新 研究 (SBIR) 应用程序，以扩展和全面评估监护人接收信息 通过导航器（GRIN）。 GRIN 是一个具有文化能力的在线专业发展 课程旨在帮助社区卫生工作者 (CHW) 为低收入群体提供口腔健康服务 收入 儿童和青少年的黑人父母/监护人（以下简称监护人）。 GRIN 致力于提高社区卫生工作者的知识、态度和信念、自我效能感和意图 向黑人监护人进行口腔健康宣传。 对 GRIN 的需求是巨大的。蛀牙，尤其是未经治疗的情况下，会产生持久和 对儿童和青少年造成严重的身心后果。少数民族和 低收入人群的蛀牙及相关疾病发生率异常高 结果。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，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出现乳牙的可能性是非贫困儿童的两倍 衰变。为了满足这些需求并满足基于证据的计划的行动呼吁，以支持 社区卫生工作者向儿童和青少年的黑人监护人开展口腔健康宣传活动，KDHRC 开发了GRIN。我们第一阶段的努力产生了一个具有支持性可行性结果的原型， 牢固的合作伙伴关系是我们第二阶段方法的基础。确实，CHW专业 国家妇幼口腔卫生资源中心、 国家 AHEC 组织 (NAO) 和莫尔豪斯医学院致力于 该项目的科学执行和商业分销并证实 GRIN 计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，并最终确定 咧嘴笑。然后，我们将进行一个强有力的、方法论上强有力的两个条件 测试 GRIN 有效性的随机对照试验。我们的市场研究表明 巨大的需求和迫切的市场，以及无数致力于 GRIN 的利益相关者的支持 科学严谨性和快速传播进一步证实了 GRIN 的重要性和商业价值 解决现有口腔健康差异的潜力，这些差异可能因 COVID-19 而加剧 大流行。