Coordinated Oral Health Promotion (CO-OP) Chicago

协调口腔健康促进(CO-OP)芝加哥研究[UH2 DE02583/UH3DE025483]是 由国家牙科和颅面研究所(NIDCR)资助，作为一个联盟的一部分，以开发 并测试减少儿童口腔健康差距的干预措施。由此产生的Co-op芝加哥试验是一项健康 有420名幼儿及其家庭组成的差异队列。在进入试验时，儿童的平均年龄 是21.5个月大的。42%的参与者称自己是黑人，54%的人称自己是西班牙裔 种族问题。大多数儿童(89%)拥有医疗补助医疗保险。许多护理员都在努力刷牙 儿童牙齿每天两次，提供健康饮食，并带孩子进行预防性口腔保健。多层次 需要社区卫生工作者(CHW)等干预措施，以针对这些作用于 个人、家庭、社区和公共卫生水平。 新冠肺炎给家庭动态带来了新的变化，也给这些带来了意想不到的压力源 家人。为这些家庭提供服务的医疗诊所和社会服务机构也 主要受影响。当我们开始恢复健康、牙科和社会服务的进程时，我们需要考虑 需要做出哪些改变。挑战涉及几个领域。(1)牙科保健：获得牙科服务的机会 在这场危机之前，低收入家庭面临挑战；随着提供者和设施试图恢复，情况将会恶化 定期服务，同时也赶上已被取消的服务，并维持新的安全协议。 围绕着这一过程的许多问题涉及对新冠肺炎的理解、信任、安全和物流。(2)口头 健康行为：随着学校、育儿和就业的中断，口腔健康行为是如何 改变？(3)营养：随着食物不安全的挑战和更多的时间呆在家里，饮食习惯发生了什么变化？ (4)心理健康：压力、家庭混乱和社会支持系统的更迭是如何联系起来的 受这场大流行影响的家庭？我们建议在社区干预中回答这些问题 新冠肺炎研究后对城市低收入家庭的修正。结果将通知干预措施 牙科、卫生和社会服务机构将需要提供，以支持高危家庭建立 在新冠肺炎等主要社会压力源之后，健康的口腔健康行为。 具体目标：确定有关牙科护理途径、口腔健康的具体干预需求 城市低收入家庭的行为、营养与心理健康 新冠肺炎。我们将使用从芝加哥合作组织收集的定量和定性数据来实现这一目标 Cohort和我们的20个合作伙伴网站。我们的假设是，家庭的心理健康状况不佳，食物不安全， 打乱了家庭口腔保健的常规，对牙科服务的不信任，以及获得牙科护理的挑战。我们预计 有针对性的CHW外展和护理协调将是解决这些问题的最佳干预措施。 谈到从新冠肺炎走出的长期复苏，我们不要回到正常状态。

The Coordinated Oral Health Promotion (CO-OP) Chicago studies [UH2DE02583/UH3DE025483] were funded by the National Institute of Dental and Craniofacial Research (NIDCR) as part of a consortium to develop and test interventions to reduce oral health disparities in children. The resulting CO-OP Chicago Trial is a health disparities cohort of 420 very young children and their families. At entry into the trial, the mean child age was 21.5 months old. Forty-two percent of participants describe themselves as Black race, and 54% as Hispanic ethnicity. Most children (89%) had Medicaid health insurance. Many caregivers were struggling to brush children's teeth twice a day, provide a healthy diet, and take children for preventive oral healthcare. Multi-level interventions, such as community health workers (CHWs), are needed to target these factors that operate on individual, family, community, and public health levels. COVID-19 has brought new changes to household dynamics and unforeseen stressors to these families. The medical clinics and social service agencies that service these families have also been majorly affected. As we begin the process of resuming health, dental, and social services, we need to consider what changes are needed. Challenges fall into several domains. (1) Dental care: Access to dental services was challenging for low-income families before this crisis; this will worsen as providers and facilities attempt to resume regular services while also catching up on those that had been cancelled and maintaining new safety protocols. Many questions regarding understanding of COVID-19, trust, safety, and logistics surround this process. (2) Oral health behaviors: With the disruption of schools, child care, and employment, how have oral health behaviors changed? (3) Nutrition: How have dietary habits changed with food insecurity challenges and more time at home? (4) Mental health: How has the stress, household chaos, and alternation to social support systems associated with this pandemic affected families? We propose to answer these questions in the Community Intervention Modifications for Low-Income Urban Families after COVID-19 study. The results will inform the interventions dental, health, and social service agencies will need to provide in order to support high-risk families to establish healthy oral health behaviors after a major societal stressor like COVID-19. SPECIFIC AIM: To determine specific intervention needs regarding dental care access, oral health behaviors, nutrition, and mental health for low-income urban families with young children following COVID-19. We will achieve this aim using quantitative and qualitative data collected from the CO-OP Chicago cohort and our 20 partner sites. Our hypothesis is that families will have poor mental health, food insecurity, disrupted home oral health routines, distrust of dental services, and challenges accessing dental care. We expect targeted CHW outreach and care coordination will be the best interventions to address these issues. When it comes to long-term recovery from COVID-19, let us not `go back to normal.'