REDUCING VIOLENCE-RELATED ORAL HEALTH DISPARITIES

描述（由申请人提供）：拟议的24个月规划拨款将为一个全面的多学科研究善后项目奠定基础，旨在减少与暴力有关的口腔健康差异。与暴力有关的口面部损伤是口腔健康差异的一个重要来源，但往往被忽视。尽管人们逐渐认识到，对与暴力有关的创伤————包括口面部损伤————的常规医疗护理实际上仅限于治疗身体伤害，但对处理口面部损伤的社会心理后遗症的关注却很少。拟议的规划赠款的总体目标是为一项跨学科研究方案奠定基础，该方案旨在通过向有需要的人提供善后心理社会服务，减少与暴力有关的口腔健康差异。拟议的规划拨款的主要目标是：(a)建立和巩固必要的基础设施和协作联系，以支持一个全面的研究项目，将社会心理善后护理纳入口面部损伤护理的结构；(b)收集有关医疗中心利益相关者对善后服务意见的必要预备知识；(c)确定各种提供善后服务模式的后勤可行性；(e)从潜在的善后病人那里获得关于接受善后治疗的个人、结构或其他障碍的信息。拟议规划补助金的具体目的是：(a)进行二次数据分析，以重复两项前体研究的潜在关键发现；(b)与各个医疗中心服务提供者和利益相关者进行半结构化的个人访谈，以确定现有的患者资源、对患者需求的看法以及实施筛查协议的潜在后勤、人员配备或其他障碍，并确定可能影响开展协作性善后干预的可行性的其他问题；(c)对故意口面部伤害的受害者分层抽样进行半结构化的面对面访谈，以评估根据筛查标准确定的服务需求，确定自我评估的治疗需求、治疗偏好以及感知到的护理障碍；(d)根据初步调查结果开展为期一天的研讨会，以巩固合作关系，传播调查结果，并接受有关善后模式的意见。

DESCRIPTION (provided by applicant): The proposed 24-month planning grant would lay the foundation for a full-scale multidisciplinary research aftercare program aimed at reducing violence-related oral health disparities. Violence-related orofacial injury constitutes an important, yet much neglected, source of oral health disparity. Despite emerging awareness that routine medical care for violence-related trauma--including orofacial injury--is virtually exclusively limited to treating physical injury, scant attention has been directed at addressing the psychosocial sequelae of orofacial injury. The overarching goal of the proposed planning grant is to lay the foundation for an interdisciplinary research program aimed at reducing violence-related oral health disparities by providing aftercare psychosocial services for persons in need. Broad objectives of the proposed planning grant are: (a) to build and solidify the infrastructure and collaborative linkages necessary to support a full-scale research program that would weave psychosocial aftercare into the fabric of orofacial injury care; (b) to gather requisite preparatory knowledge concerning medical center stakeholder views regarding aftercare services; (c) to ascertain the logistic feasibility of various models of aftercare provision; and (e) to gain information from potential aftercare patients concerning personal, structural or other barriers to receiving aftercare. The specific aims of the proposed planning grant are: (a) to conduct secondary data analyses to replicate potentially key findings across two precursor studies; (b) to conduct semi-structured individual interviews with various medical center service providers and stakeholders to identify existing patient resources, perceptions of patient needs as well as potential logistic, staffing or other barriers to implementation of screening protocols, and to identify other issues that might affect the feasibility of mounting a collaborative aftercare intervention; (c) to conduct semi-structured face-to-face interviews with a stratified sample of victims of intentional orofacial injury to assess need for services as determined by screening criteria, to determine self-assessed need for treatment as well as treatment preferences, and perceived barriers to care; and (d) to develop a one-day workshop based on preliminary findings to solidify collaborative relationships, disseminate findings, and receive input regarding aftercare models.