OHEAL: Oral Health Equity in Alaska

OHEAL:阿拉斯加的口腔健康公平

基本信息

  • 批准号:
    9789062
  • 负责人:
  • 金额:
    $ 18.98万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2018
  • 资助国家:
    美国
  • 起止时间:
    2018-09-19 至 2021-06-30
  • 项目状态:
    已结题

项目摘要

ABSTRACT: This R21 applicant did formative work on barriers to dental care and achieving good oral health for Alaska Native children (Grant No. UH2DE025488, PI J. Cunha-Cruz) in which it identified the absence of critical dental office-systems that providers need to implement evidence-based practices (EBP) proven to control dental caries (tooth decay). American Indian and Alaska Native (AIAN) children suffer from the poorest oral health of all population groups in the United States with 3 times higher rates of untreated caries than non- Hispanic white children. Despite great resilience, tribal nations face geographical isolation, dentist shortages and distrust in health care systems exacerbating disparities. The Oral Health Equity for Alaska (OHEAL) program initiated by the applicant in collaboration with a tribal healthcare organization (SouthEast Alaska Regional Health Consortium - SEARHC) and local tribal communities offers a unique opportunity to implement an evidence-based, culturally-appropriate and theory-informed program to disseminate EBPs to Alaska Native settings. The purpose of this R21 is to adapt and test feasibility of an implementation strategy prior to larger-scale implementation and evaluation. The rationale is that tribal dental services want to increase dental caries control efforts for children in remote villages, but lack evidence-based tools adapted to the AIAN culture and environment that can be implemented and maintained effectively and efficiently. Our SPECIFIC AIMS are: 1) to collaboratively develop and culturally adapt the caries control tools and strategies; 2) to test the feasibility of the caries control tools and strategies; and 3) to investigate the acceptability and appropriateness of the caries control tools and strategies among provider, community and patient stakeholders. METHODS: Workshops with tribal organization, patient and community stakeholders will be used to culturally adapt EBP guidelines and office-systems tools and strategies. Data from interviews and surveys with community, patient and organizational stakeholders, dental claims and administrative records will be used to assess acceptability, appropriateness and feasibility. A feasibility test of the program will be conducted. Guided by organizational and behavioral theory, triangulation of qualitative and quantitative findings will identify office-systems strategies likely to be used by AIAN and non-AIAN dental providers. We will learn which implementation strategies, provider behaviors, and contextual factors are likely to impact implementation and identify mechanisms essential for program success as well as aspects difficult to implement. SIGNIFICANCE: The proposed R21 will lead to a R01 proposal for a larger-scale study. This preliminary research is significant and innovative because of its focus on 1) improving public health by increasing caries control for AIAN children and for its implications for greater adoption and replication by others serving minority, low income, rural communities, and 2) advancing knowledge of how and why adaption of implementation strategies for dissemination of EBPs is necessary.
摘要:这位R21申请者在口腔保健的障碍和实现良好的口腔健康方面做了有益的工作。 阿拉斯加原住民儿童(补助金编号:UH2 DE025488,Pi J.Cunha-Cruz),其中确定没有 关键牙科办公室-提供商实施循证实践(EBP)所需的系统 控制龋齿(龋齿)。美国印第安人和阿拉斯加原住民(AIAN)的儿童遭受最贫穷的痛苦 美国所有人群的口腔健康状况,未经治疗的龋患率是未经治疗的人群的3倍 西班牙裔白人儿童。尽管有很强的韧性,部落国家面临着地理上的孤立,牙医短缺 以及对医疗保健系统的不信任加剧了不平等。阿拉斯加口腔健康公平(OHEAL) 申请者与部落医疗组织(阿拉斯加东南部)合作发起的计划 区域卫生联盟(SEARHC)和当地部落社区提供了一个独特的机会 实施以证据为基础、符合文化和理论知识的计划,向 阿拉斯加原住民设置。本R21的目的是调整和测试实施的可行性 在更大规模的实施和评估之前的战略。理由是部落牙科服务 想要加大偏远村庄儿童的龋齿控制力度,但缺乏循证工具 适应AIAN的文化和环境,能够有效地实施和维护 效率很高。我们的具体目标是:1)合作开发并在文化上适应龋齿控制工具 和策略;2)测试龋病控制工具和策略的可行性;以及3)调查 龋病控制工具和策略在提供者、社区和社区中的接受度和适当性 患者利益相关者。方法:与部落组织、患者和社区利益相关者共同举办研讨会 将被用来在文化上适应EBP指南以及办公系统工具和战略。访谈数据 以及与社区、患者和组织利益相关者、牙科索赔和行政部门进行的调查 记录将用于评估可接受性、适当性和可行性。该计划的可行性测试 将会进行。在组织和行为理论的指导下,定性和定量的三角 调查结果将确定AIAN和非AIAN牙科提供者可能使用的办公系统策略。我们 将了解哪些实施策略、提供商行为和环境因素可能会影响 实施和确定对计划成功至关重要的机制以及难以 实施。意义:拟议的R21将导致R01提议进行更大规模的研究。这 初步研究具有重大意义和创新性,因为它的重点是1)通过以下方式改善公共卫生 加强对AIAN儿童的龋齿控制及其对#年更多收养和复制的影响 其他服务于少数族裔、低收入、农村社区,以及2)提高对如何以及为什么这样做的了解 有必要调整传播循证政策的执行战略。

项目成果

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Joana Cunha-Cruz其他文献

Joana Cunha-Cruz的其他文献

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{{ truncateString('Joana Cunha-Cruz', 18)}}的其他基金

Seniors Oral Health in Southeast Alaska
阿拉斯加东南部的老年人口腔健康
  • 批准号:
    10735574
  • 财政年份:
    2023
  • 资助金额:
    $ 18.98万
  • 项目类别:
Oral Health Equity in Alaska (OHEAL): Implementation and Evaluation of Delivery System Changes to Reduce Oral Health Disparities for Native American Children
阿拉斯加口腔健康公平 (OHEAL):实施和评估交付系统变革以减少美洲原住民儿童的口腔健康差异
  • 批准号:
    8984140
  • 财政年份:
    2015
  • 资助金额:
    $ 18.98万
  • 项目类别:
Oral Health Equity in Alaska (OHEAL): Implementation and Evaluation of Delivery System Changes to Reduce Oral Health Disparities for Native American Children
阿拉斯加口腔健康公平 (OHEAL):实施和评估交付系统变革以减少美洲原住民儿童的口腔健康差异
  • 批准号:
    9146312
  • 财政年份:
    2015
  • 资助金额:
    $ 18.98万
  • 项目类别:
Sugar Sweetened Beverages and Recurrent Severe Early Childhood Caries
含糖饮料与复发性严重儿童早期龋齿
  • 批准号:
    8821316
  • 财政年份:
    2015
  • 资助金额:
    $ 18.98万
  • 项目类别:

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