Birth to Three – Cavity Free: Effectiveness of a Psychoeducational Intervention for ECC Prevention

出生至三岁 — 无蛀牙：心理教育干预对预防 ECC 的有效性

• 批准号: 10601116
• 负责人: Karin Weber-Gasparoni
• 金额: $ 74.82万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-03 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10601116
• 关键词: Address; African American; Age; Age Months; Behavior; Behavior Therapy; Behavioral; Birth; Caries prevention; Child; Child Rearing; Clinic; Clinical Trials; Clinical Trials Design; Competence; Control Groups; Data; Dental; Dental Facilities; Dental Hygiene; Dental Offices; Dental Plaque; Dental caries; Diet Habits; Disease; Disparity; Education; Effectiveness; Enrollment; Exposure to; Facebook; Failure to Thrive; Food Supplements; Funding; Future; Goals; Grant; Habits; Health Promotion; Health behavior; Health education; Healthcare; Hispanic Americans; Hospitals; Incidence; Infant; Infection; Institutional Review Boards; Intention; Intervention; Iowa; Knowledge; Language; Lead; Leadership; Learning; Life; Literature; Longitudinal Studies; Manuals; Medical; Methods; Minority; Minority Groups; Modeling; Monitor; Mothers; Motivation; Narration; Oral health; Outcome; Pain; Parents; Patient Self-Report; Phase; Pregnancy; Pregnant Women; Prevention; Preventive; Procedures; Process; Psychological Theory; Public Health; Randomized; Recommendation; Research; Research Personnel; Research Project Grants; Risk; Rural Minority; Rural Population; Salivary; Self Determination; Series; Site; Streptococcus mutans; Structure; United States National Institutes of Health; Videotape; Vulnerable Populations; Woman; Work; behavior change; burden of illness; comparative efficacy; cost; early childhood; effectiveness evaluation; evidence base; experience; experimental group; falls; health care service; high risk; improved; instrument; interest; lower income families; minority children; nutrition; operation; pilot test; prevent; preventive intervention; primary outcome; programs; psychoeducational intervention; psychologic; randomized, clinical trials; recruit; secondary outcome; social media; theories; tool; web site

PROJECT SUMMARY/ABSTRACT Project Title: “Birth to Three – Cavity Free: Effectiveness of a Psychoeducational Intervention for ECC Prevention” Early childhood caries (ECC) is a potentially painful and debilitating disease, which represents a significant public health problem among young children. There are profound disparities in ECC experiences such that children from minority and low-income families suffer a disproportionate share of the disease burden. The likelihood of parents of high-ECC risk young children seeking prevention in dental facilities is low; therefore, there is a need to increase preventive dental opportunities where these children already seek health care services. In particular, there is an urgent need to develop and evaluate ECC behavioral interventions for use in public health settings attended by high-risk children. Many authors recommend early implementation of oral health education as one means of preventing ECC. However, major issues discussed in the oral health promotion literature involve a lack of effectiveness among programs based on education alone, as well as a lack of high quality preventive interventions using evidence-based psychological and behavioral strategies. Our research team has been the first to introduce to the ECC prevention arena the self-determination theory (SDT) of motivation, internalization, and healthy functioning, proven effective in promoting positive behavioral changes in several other fields, including oral health care. We have demonstrated that SDT has great promise as a motivational approach by providing evidence, based on results from our R21 (R21-DE016483) study, of the effectiveness of SDT in changing several desirable oral health behaviors for ECC prevention. Building upon the rigor of our previous experience and formative research work in the past several years, we propose a Stage II NIH Model research project that will compare the efficacy of autonomy-supportive videotaped oral health messages framed by SDT to more traditional neutral videotaped messages. We intent to recruit 634 pregnant mothers enrolled in Iowa Women, Infants and Children (WIC) Supplemental Nutrition Programs and follow them until their future child is 36 months old. The primary outcome of interest will be children's caries status. Secondary outcomes will be changes in children's oral health behaviors conducive to better oral hygiene and dietary habits, as well as lower levels of dental plaque and mutans streptococci.

项目概要/摘要 项目名称：“从出生到三岁——无蛀牙：心理教育干预的有效性 预防 ECC” 儿童早期龋齿 (ECC) 是一种潜在的痛苦且使人衰弱的疾病，它代表了一种 幼儿中的重大公共卫生问题。 ECC 经验存在巨大差异 少数族裔和低收入家庭的儿童患这种疾病的比例不成比例 负担。高 ECC 风险幼儿的父母在牙科机构寻求预防的可能性很低； 因此，有必要在这些儿童已经寻求健康的地方增加预防性牙科机会 护理服务。特别是，迫切需要开发和评估 ECC 行为干预措施 在高危儿童参加的公共卫生机构中使用。许多作者建议尽早实施 口腔健康教育作为预防 ECC 的一种手段。然而，口腔健康中讨论的主要问题 宣传文献表明，单纯基于教育的计划缺乏有效性，而且缺乏 使用基于证据的心理和行为策略进行高质量的预防干预。 我们的研究团队率先将自我决定引入 ECC 预防领域 动机、内化和健康功能的理论（SDT），被证明可以有效促进积极的 其他几个领域的行为变化，包括口腔保健。我们已经证明 SDT 具有很大的优势 根据我们的 R21 (R21-DE016483) 的结果，通过提供证据来承诺作为一种激励方法 一项关于 SDT 在改变几种理想的口腔健康行为以预防 ECC 方面的有效性的研究。 基于我们过去几年的严谨经验和形成性研究工作，我们 提出第二阶段 NIH 模型研究项目，该项目将比较自主支持的功效 将 SDT 框架内的录像口腔健康信息转变为更传统的中立录像信息。我们的目的是 招募 634 名怀孕母亲参加爱荷华州妇女、婴儿和儿童 (WIC) 补充营养项目 制定计划并跟踪他们，直到他们未来的孩子 36 个月大。感兴趣的主要结果将是 儿童龋齿状况。次要结果是儿童口腔健康行为的改变，有利于 更好的口腔卫生和饮食习惯，以及更低的牙菌斑和变形链球菌水平。