Geofencing: mobile technology to increase the utilization of oral health services among adolescents in rural North Carolina

地理围栏：移动技术提高北卡罗来纳州农村青少年口腔健康服务的利用率

• 批准号: 10620112
• 负责人: Wanda Gale Wright
• 金额: $ 18.88万
• 依托单位: EAST CAROLINA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10620112
• 关键词: Accident and Emergency department; Adolescent; Adopted; Adult; Advertisements; Affect; Awareness; Black race; Businesses; Cellular Phone; Characteristics; Child; Chronic; Chronic Disease; Communication; Communities; Community Health; Cosmetics; County; Data; Dental; Dental Care; Dental caries; Development; Economics; Effectiveness; Enrollment; Evidence based program; Family; Focus Groups; Geographic Locations; Geography; Gingivitis; Goals; Health; Health Promotion; Health Services; Health Technology; Health behavior change; Healthcare; Hispanic; Hospitals; Household; Income; Inequality; Injury; Intervention; Life Cycle Stages; Location; Low Income Population; Low income; Malocclusion; Medicaid; Methods; Mission; Modeling; North Carolina; Oral; Oral health; Parents; Participant; Personal Satisfaction; Pit and Fissure Sealants; Population; Population Intervention; Poverty; Prevention; Preventive; Preventive dental care; Provider; Quality of life; Research; Research Methodology; Research Project Grants; Role; Rural; Rural Community; Rural Population; Schools; Services; Surveys; Technology; Teenagers; Testing; Tooth Diseases; Travel; Underserved Population; United States; Visit; Vulnerable Populations; Water fluoridation; Work; adolescent health; age group; aged; community based participatory research; community partnership; cost; design; disparity reduction; efficacy study; efficacy testing; ethnic minority population; experience; health care availability; health communication; health disparity; health service use; improved; innovation; interest; lower income families; mobile computing; novel; novel strategies; prevent; prevention service; primary care setting; programs; psychologic; racial minority population; rural area; rural counties; safety net; scale up; school district; sealant; service engagement; service utilization; statistics; tool; underserved community; uptake; vulnerable adolescent

Project Dental disproportionately are relative oral adolescents. smartphones. messages. including populations used pre-defined effectiveness as successfully adolescents r underserved prevention Summary caries is the most common chronic disease affecting children and adolescents in the United States, affecting individuals from rural and underserved populations. School-based sealant programs an evidence-based strategy to prevent dental disease. Yet, these programs are underutilized by adolescents to their oral health needs, mainly due o a lack of interest to participate. Therefore, improving adolescent health, particularly among vulnerable populations, requires an understanding of how to best reach I mportantly, even in low-income populations, most adolescents have access to and regularly use This offers a promising opportunity to test smartphone-based delivery of oral health promotional Smartphone-based health interventions are increasingly implemented in settings worldwide, among underserved or low-income adolescent populations. Yet, how to best target messages to such remains to be determined. Geofencing is an innovative smartphone communications technology mainly by businesses to engage their audience by sending messages to smartphone users who enter a location or geographic area (a `geofence'). Evidence from the business sector demonstrates the of this approach to reach target audiences; however, this approach has not been widely adopted a health promotion tool. Recent work by the proposed research team indicates that geofencing can reach adults in a rural region with limited access to dental care; how to use this technology to reach emains unknown. The overall goal of the proposed project is to i mprove the oral health of adolescents by using geofencing t echnology to promote the use of a school-based oral health program. The specific aims are to: 1) t Develop participatory-designed oral health services utilization message campaign for geofence-triggered delivery by smartphone to rural adolescents.; and 2) Implement geofence distribution and test efficacy of a geofence message campaign on the utilization of oral health services in the community. Using a mixed-methods approach and guided by the Elaboration Likelihood Model for message development and Anderson Model for Health Services Use, this project will develop, implement, and evaluate oral health promotional messages targeting adolescents and parents in a rural, underserved community using geofence technology. The research based Successful completion of the proposed aims will advance innovative, technology-based oral health promotional strategies for effective reach to adolescents, who represent an understudied population. The results will provide foundational data to inform scale-up of geofencing technology for health communication to promote health behavior change. proposal leverages a unique academic-community partnership between the team and a local school district. It builds on the considerable experience gained in several community- participatory research projects conducted by the research team.

项目

项目成果

The most common types of nontraumatic dental conditions among emergency department visits in North Carolina before and during the COVID-19 pandemic.

在 COVID-19 大流行之前和期间，北卡罗来纳州急诊科就诊时最常见的非创伤性牙科疾病类型。

• DOI: 10.1016/j.adaj.2023.10.006
• 发表时间: 2024
• 期刊: Journal of the American Dental Association (1939)
• 作者: Luo,Huabin;Moss,MarkE;Webb,MichaelD;Winterbauer,NancyL;Tucker-McLaughlin,Mary;Yockey,RAndrew;Smith,AimeeW;Wright,WandaG
• 通讯作者: Wright,WandaG