Community-Based Intergenerational Oral Health Promotion in Rural America

美国农村以社区为基础的代际口腔健康促进 摘要 总体的具体目标是进行一项社区随机试验，使用简短的激励干预措施 提高预防性口腔保健的利用率，改善农村、低收入孕妇和老年人的口腔健康 产后妇女及其子女，并增加这些人采取的口腔保健做法的数量 妇女在其年幼子女中预防龋齿。试验的主要结果衡量标准将是母亲的 未经治疗的龋齿。这项研究还包括两个部分：(1)形成性研究、提炼 干预方案和干预者的培训，以及(2)通过相应的分项目进行传播 目标：1.在三组社区利益相关者(低收入孕妇和 产后妇女、公共卫生人员和卫生专业人员)，以促进规划和完善 加强牙齿利用和自我保健的干预措施。1B.在社区中建立一个培训站点，以 加强干预县干预方案的落实。2.传播信息 关于干预的结果，并提供技术援助、培训和方法，以 为卫生保健提供者和公共卫生人员提供可持续性，以扩大这项研究的好处。这个 研究将在8个干预县采用两组社区随机试验设计。不参与 各县(N=4400名妇女)将提供比较口腔健康和利用数据，并作为对照。 干预措施的随机化将在县一级进行；干预措施的实施将在#年进行 两波(县1-4，然后县5-8)。这两种干预措施是：(1)自我教育动机 材料(SIMM)(N=4个县，400名妇女)将涉及使用激励和提供 在社区建议的战略中进行选择，以利用预防性牙科服务和参与活动 (2)简短的励志访谈(Brief ML)(N=4个县，400名妇女)将包括 这些激励材料以及由当地受过培训的妇女提供的简短咨询和后续行动。这 研究涉及农村社区母亲和儿童的口腔健康。我们的方法，基于科学的 卓越和社区协作是创新的，因为它侧重于跨代人的需求 (母亲和儿童而不是单独的儿童)在低收入者中使用护理和预防龋齿的方法， 农村人口。

Community-Based Intergenerational Oral Health Promotion in Rural America Abstract The overall specific aim is to conduct a community randomized trial using brief motivational interventions to increase utilization of preventive dental care and improve the oral health of rural, low-income pregnant and postpartum women and their children and to increase the number of oral health practices taken by these women to prevent caries in their young children. The primary outcome measure for the trial will be mothers' untreated dental decay. There are two additional components in this study: (1) formative research, refinement of intervention protocols, and training of interventionists, and (2) dissemination with corresponding sub-specific aims: 1a. To use qualitative methods within three groups of community stakeholders (low-income pregnant and postpartum women, public health personnel, and health professionals) to facilitate planning and refinement of the interventions to enhance dental utilization and self-care. 1b. To establish a training site in the community to enhance implementation of intervention protocols in the intervention counties. 2. To disseminate information about the outcomes of the intervention and to provide technical assistance, training, and approaches for sustainability to health care providers and public health personnel to extend the benefits of this study. The study will utilize a two-group, community randomized trial design in 8 intervention counties. Non-participating counties (N=4, 400 women) will provide comparison oral health and utilization data and serve as controls. Randomization to the interventions will occur at the county level; intervention implementation will be done in two waves (counties 1-4 then counties 5-8). The two interventions are: (1) Self-Instructional Motivational Materials (SIMM) (N= 4 counties, 400 women) will involve the use of materials that motivate and provide choice among community-recommended strategies to utilize preventive dental services and engage activities to prevent tooth decay; (2) Brief Motivational Interviewing (Brief Ml) (N= 4 counties, 400 women) will include these motivational materials as well as brief counseling and follow-up provided by local trained women. This research concerns oral health of mothers and children in rural communities. Our approach, based on scientific excellence and community collaboration, is innovative as it focuses on the need for an intergenerational approach (mother and child as opposed to child alone) to using care and preventing tooth decay in a low-income, rural population.