Web-Based Training in Eating Disorder Prevention for Dental Professionals

描述（由申请人提供）：口腔健康被视为潜在的系统和心理健康问题的早期预警系统，例如饮食失调的口腔表现。神经性厌食症、神经性贪食症和部分综合征饮食失调是影响青春期女孩和年轻女性的最普遍的心理健康问题。20%患有饮食失调症的人会因并发症过早死亡。早期诊断、转诊和治疗可显著提高康复的可能性。然而，只有十分之一的人接受治疗。牙科专业人员在饮食失调的二级预防（早期发现、患者特异性口腔治疗和转诊）中起着重要作用，因为他们通常是第一个观察到明显健康影响的卫生专业人员。尽管牙科专业人员认为他们有参与饮食失调二级预防的道德义务，但缺乏对饮食失调的口腔和身体表现的知识，缺乏对患者方法和与患有这些疾病的患者沟通的技能培训，以及制定实践方案，已被确定为实践的障碍。该项目的总体目标是制定一个基于网络的互动式培训方案，以提高在口腔保健提供者中提供饮食失调二级预防的能力。在第一阶段，我们将开发一个基于互动理论的网络培训项目原型，向牙医和牙科保健师传授针对这一敏感问题的患者方法和行为改变策略，并对原型进行发展和形成性评估。形成性评估将采用非实验性的双面板前/后设计，由20名口腔健康专业人员参与。在第二阶段，我们将根据第一阶段的输入修改基于网络的培训计划，并将其扩展到涵盖所有概念和程序目标，对牙科专业人员进行随机临床试验，将基于网络的培训计划与目前的“常规护理”课程进行比较，开发基于网络的培训计划的最终版本，并附带DVD-ROM，供口腔保健培训计划的讲师使用，并为该计划创建一个网站。提供在线注册CE学分，访问当前的研究，并与其他用户沟通有关该计划的准备营销计划。

DESCRIPTION (provided by applicant): Oral health is viewed as an early warning system of potential systemic and mental health issues, such as oral manifestations of eating disorders. Anorexia nervosa, bulimia nervosa, and partial syndrome eating disorders are among the most prevalent mental health issues affecting adolescent girls and young women. Twenty percent of people suffering from eating disorders will die prematurely from complications. Early diagnosis, referral, and treatment significantly increase the likelihood of recovery. However, only one in ten individuals receives treatment. Dental professionals play a fundamental role in the secondary prevention (early detection, patient-specific oral treatment, and referral) of eating disorders as they are often the first health professionals to observe overt health effects. Although dental professionals believe they have an ethical obligation to participate in eating disorder secondary prevention, lack of knowledge of oral and physical manifestations of eating disorders, and skill training in patient approach and communication with patient's suffering from these disorders as well as the development of practice protocol, have been identified as barriers to practice. The overall goal of this project is to develop an interactive web-based training program which will increase the capacity for the delivery of eating disorder secondary prevention among oral health providers. In Phase I, we will develop an interactive theory-based prototype of the web-delivered training program to teach dentists and dental hygienists patient approach and behavior change strategies for this sensitive issue, and conduct developmental and formative evaluations of the prototype. The formative evaluation will utilize a non- experimental two-panel pre/post design with 20 oral health professionals. In Phase II, we will revise the web- based training program based upon input from Phase I and expand it to cover the full range of conceptual and procedural objectives, conduct a randomized clinical trial with dental professionals comparing the web-based training program to current "usual care" curricula, develop final versions of the web-based training program with an accompanying DVD-ROM to be used by instructors in oral health care training programs , and create a website for the program, offering online registration for CE credit, , access to current research, and communication with other users about the program in preparation for marketing the program.