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: 10254794
• 负责人: Dexter L Cooper
• 金额: $ 25.1万
• 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 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10254794
• 关键词: Address; Adolescent; Adoption; Age; American; Architecture; Area; Attitude; Belief; Benchmarking; COVID-19 pandemic; Caregivers; Child; Childhood; Chronic Disease; Client; Communication Research; Communities; Community Health Aides; Competence; Contracts; Course Content; Dental; Dental Care; Dental caries; E-learning; Economics; Effectiveness; Electronic Mail; Ensure; Evaluation; Exposure to; Feasibility Studies; Feedback; Goals; Health; Health Resources; Healthcare; Healthcare Systems; Household; Human; Individual; Infection; Intention; Intervention; Knowledge; Leadership; Learning; Left; Licensing; Longevity; Low Income Population; Low income; Measures; Minority; Minority Groups; Not Hispanic or Latino; Oral health; Outcome; Pain; Pattern; Persons; Phase; Plant Roots; Positioning Attribute; Poverty; Prevalence; Prevention; Preventive; Production; Public Health; Randomized; Randomized Controlled Trials; Recording of previous events; Reporting; Research; Resource Development; Resources; Risk; Sales; Self Efficacy; Small Business Innovation Research Grant; Solid; System; Testing; Text; Time; Tissues; Tooth structure; Training; Training Programs; Visit; Youth; behavior change; commercialization; cost; cost effective; course development; course module; cultural competence; deciduous tooth; design; education resources; evidence base; experience; hands-on learning; health disparity; improved; innovation; online community; outreach; prototype; psychosocial; satisfaction; skills; social; virtual

In this SBIR Phase I submission, KDH Research & Communication (KDHRC) proposes to develop and 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 guardians of children and adolescents. GRIN aims to increase CHWs’ knowledge, attitudes and beliefs, perceived self- efficacy, and intentions to conduct oral health outreach to Black guardians. Tooth decay, especially when untreated, creates lasting and substantial physical 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. Because of such childhood oral health disparities, GRIN will equip CHWs – who are uniquely positioned to provide high- impact outreach to minority and low-income populations – with the knowledge and skills to deliver culturally appropriate tooth decay prevention and oral health outreach to low-income Black guardians of children and adolescents from ages 0-18. In Phase I, we will develop the GRIN prototype with feedback from a steering committee to promote alignment with CHW best practices and the needs of the Black community, and ensure the prototype contains scientifically accurate information. We will evaluate the GRIN prototype in a randomized, two-group study that empirically assesses knowledge, attitudes and beliefs, self-efficacy, and intentions change after exposure to the GRIN prototype. The Phase I project will prepare us for Phase II expansion and a rigorous randomized controlled trial. When complete, GRIN will be rooted in KDHRC’s vast experience and connections with CHW leadership and organizations and be marketed through KDHRC’s robust sales system that uses email and interpersonal outreach to promote and support adoption of our suite of CHW/promotores training programs. GRIN will intervene at a critical point in history to address extant dental health disparities that are likely to be exacerbated by the COVID-19 pandemic. As an online training on dental care to increase CHW competencies in both in-person and virtual outreach to Black guardians, GRIN can strive for the highest possible impact on reducing oral health disparities.

在本次SBIR第一阶段提交中，KDH Research & Communication（KDHRC）建议： 开发和评估监护人通过导航器接收信息（GRIN）。GRIN是一个 文化能力，在线专业发展课程，以准备社区卫生 工作人员（CHW）为低收入的黑人儿童监护人提供口腔健康外展服务， 青少年。GRIN旨在增加CHW的知识，态度和信仰，感知自我， 有效性，并打算进行口腔健康外展黑人监护人。 蛀牙，尤其是未经治疗的蛀牙， 对儿童和青少年的影响。少数民族和低收入人口 不成比例的高蛀牙率和相关后果。与非- 西班牙裔白色儿童，黑人儿童不太可能接受预防性牙科检查， 经历更多未经治疗的蛀牙。此外，生活在贫困中的儿童 没有生活在贫困中的孩子经历初级蛀牙。因为这样的童年 口腔健康的差距，GRIN将装备CHW-谁是独特的定位，以提供高， 对少数群体和低收入人口的影响-利用知识和技能， 向低收入人群提供文化上适当的蛀牙预防和口腔健康服务 0-18岁儿童和青少年的黑人监护人。 在第一阶段，我们将根据指导委员会的反馈开发GRIN原型， 促进与CHW最佳做法和黑人社区的需求保持一致，并确保 原型包含科学上准确的信息。我们将评估GRIN原型 在一项随机、两组研究中，经验性地评估了知识、态度和信念， 自我效能感，和意图改变暴露后的GRIN原型。 第一阶段项目将为第二阶段的扩展和严格的随机 对照试验完成后，GRIN将植根于KDHRC的丰富经验， 与CHW领导层和组织建立联系，并通过KDHRC强大的 使用电子邮件和人际关系推广来促进和支持采用我们的 一套CHW/促销员培训计划。 GRIN将在历史的关键时刻进行干预，以解决现存的牙齿健康差异 可能因COVID-19疫情而加剧。作为牙科在线培训 关心提高CHW在亲自和虚拟外展黑人监护人方面的能力， GRIN可以争取最大可能的影响，减少口腔健康的差距。