Center for Research to Evaluate & Eliminate Dental Disparities

描述（由申请人提供）：东北评估和消除牙齿差异研究中心 (CREEDD) 致力于通过研究、培训和行动消除口腔健康差异。我们的努力将建立在早期和持续的社区参与、基于社区的研究干预、综合培训和职业发展、广泛传播研究成果以及有针对性的卫生政策举措的坚实基础上。 CREEDD 总部设在波士顿大学，将与马萨诸塞州、马里兰州和俄亥俄州的合作机构保持其当前的区域方法。多元化、多学科和多机构团队将实施旨在减少儿童早期龋齿 (ECC) 的社区干预研究项目。我们的组织主题是让非牙科护理提供者参与口腔健康促进，并将口腔健康促进场所直接扩展到健康差距社区的非临床护理环境。 两个主要的社区干预研究项目将是： 项目 #1（D&IR 项目）- 与社区卫生中心合作预防 ECC（D&IR 项目）由医生提供的干预措施，针对 1 至 3 岁的儿童，包括氟化物清漆应用、以患者为中心的咨询以及对临床信息系统和临床提示的系统级更改，以便包括适合年龄的、针对口腔健康的预期指导项目。 项目 #2 - 公共住房中的口腔健康倡导者 居民健康倡导者 (RHA) 是经过培训的同伴健康倡导者，他们将把动机性访谈和社区口腔健康促进活动纳入其针对 0-5 岁儿童护理人员的持续健康促进工作中，旨在减少龋齿风险和 ECC 发生率。我们将在项目#1中采用基于社区的整群随机研究设计，以社区健康中心（CHC）为随机化单位，CHC位于波士顿、马里兰州和俄亥俄州东南部；在项目#2 中，以波士顿的个别公共住房开发项目作为随机化单位。

DESCRIPTION (provided by applicant): The Northeast Center for Research to Evaluate & Eliminate Dental Disparities (CREEDD) is committed to the elimination of oral health disparities through research, training and action. Our efforts will build on a strong foundation of early and continuous community engagement, community-based research interventions, integrated training and career development, broad dissemination of research findings, and targeted health policy initiatives. Based at Boston University, the CREEDD will maintain its current regional approach, with partnering institutions in Massachusetts, Maryland and Ohio. A diverse, multidisciplinary and multi-institutional team will implement community-based intervention research projects aimed at reducing early childhood caries (ECC). Our organizing theme is engaging non-dental care providers in oral health promotion, and extending the venues for oral health promotion to non-clinical care settings directly in health disparity communities. The two major community-based intervention research projects will be: Project #1 (D&IR Project) - Partnering with Community Health Centers to Prevent ECC (D&IR Project) Physician-delivered interventions, targeted at children aged 1 to 3 years old, with include fluoride varnish applications, patient-centered counseling, and systems-level changes to clinical information systems and clinical prompts used in order to include age-appropriate, oral health-specific anticipatory guidance items. Project #2 - Oral Health Advocates in Public Housing Resident Health Advocates (RHA), trained peer health advocates, will incorporate motivational interviewing and community oral health promotion activities into their ongoing health promotion efforts targeting caregivers with children from birth to 5 yrs old, aimed at caries risk reduction and lowering incidence of ECC. We will use a community-based cluster randomized study design, in Project #1 with community health centers (CHC) as the unit of randomization, with CHC located in Boston, Maryland, and southeastern Ohio; and in Project #2 with individual public housing developments in Boston as the unit of randomization.