Using Dental Health Videos During Medical Well Child Care Visits to Change Caregi

描述(申请人提供)：幼儿龋齿(ECC)是指0-6岁儿童牙齿中的龋齿。尽管龋齿基本上是可以预防的，但它仍然是儿童时期最常见的一种慢性疾病，而且存在很大的差异。贫困儿童的龋齿患病率是非贫困儿童的两倍多。儿童患ECC的风险直接取决于他们的照顾者如何照顾他们的牙齿。这些口腔健康行为受到健康的社会决定因素的影响，包括照顾者的个人态度和规范以及他们的规范群体的态度和规范，如他们的家庭和社会网络。叙事性视频已经成功地改变了人们的行为。短视频已经成功地应用于社交营销活动。在WCC就诊时提供基本的预防性牙科服务，为原本无法获得这些服务的高危儿童提供了机会。在WCC访问中提供一段叙述性视频，旨在改善照顾者的口腔健康行为，有可能减轻这一人群中ECC疾病的负担。我们提议测试在WCC访问贫穷的拉美裔儿童时提供叙事视频的可行性，这些儿童在ECC中所占的比例不成比例。创新：试点项目的总体目标是开发和进行基于理论的叙事视频和调查的初步测试，该调查可用于未来的NIDCR U01临床试验，旨在改善幼儿照顾者的口腔健康行为，降低其儿童的ECC患病率。预先进行计划模型将提供一个框架，将计划行为理论(TPB)和规范社会行为理论(TNSB)应用到叙述性视频干预的开发中，并将涉及照顾者和研究人员在研究的各个方面的合作。研究方法：通过定性启发式访谈，收集与口腔健康相关的态度和规范。我们将使用基于理论的结构模型来开发、管理和分析一项调查，以确定影响口腔健康意图和行为的具体态度和规范。我们将与护理人员合作，利用访谈和调查结果中的真实故事，制作关于口腔健康护理的视频叙事，以特别针对与这一人群的口腔健康意图和行为最相关的易感、强化和促成因素。最后，我们将测试在WCC访问时提供这些视频叙述的可行性，并使用焦点小组对其进行评估。影响：如果这项研究成功，视频解说可以很容易地整合到NIDCR UO1临床试验中，以衡量它们在降低高危人群ECC方面的有效性。最终，我们设想这些视频解说将被纳入针对高危家庭的综合口腔健康促进计划，并在医疗之家、牙科之家、WIC计划、育儿技能发展计划中以多种机会提供，并可被纳入大型公共卫生媒体宣传活动中。 与公共卫生相关：幼儿龋病仍然是儿童时期最常见的一种慢性疾病，对贫困儿童有很大影响，但它是可以预防的。儿童患龋齿的风险取决于他们的父母/照顾者如何照顾他们的牙齿。这项提议尝试了一种新颖的、基于理论的、实用的和可持续的叙事视频干预，旨在影响父母/照顾者如何照顾他们孩子的牙齿。

DESCRIPTION (provided by applicant): Early childhood caries (ECC) is defined as dental caries in the teeth of children 0-6 years of age. Although largely preventable, dental caries remains the single most common chronic condition in childhood and large disparities exist. Poor children have more than twice the rate of dental caries as non-poor children. A child's ECC risk pivots directly on how their teeth are taken care of by their caregivers. These oral health behaviors are influenced by social determinants of health, including individual attitudes and norms of the caregiver as well as those of their normative groups such as their families and social networks. Narrative videos have had success at changing behaviors. Short videos have been successfully used in social marketing campaigns. The provision of basic preventive dental services at WCC visits provides an opportunity to access high risk children who otherwise lack access to these services. Providing a narrative video at WCC visits directed at improving caregiver oral health behaviors has the potential to reduce the burden of ECC disease in this population. We are proposing to test the feasibility of delivering narrative videos at the WCC visits of poor, Hispanic children who have a disproportionate share of ECC. Innovation: The overall goal of the pilot project is to develop and conduct preliminary testing of theory-based narrative videos and a survey that can be used in a future NIDCR U01 clinical trial aimed at improving the oral health behaviors of caregivers of young children and reducing their children's ECC prevalence. The PRECEDE-PROCEED planning model will provide a structure to apply the Theories of Planned Behavior (TPB) and Normative Social Behavior (TNSB) to the development of the narrative video intervention and will involve collaboration between caregivers and researchers in all aspects of the research. Approach: The research collects relevant attitudes and norms related to oral health through qualitative elicitation interviews. We will develop, administer and analyze a survey using theory-based structural modeling to determine the specific attitudes and norms that influence oral health intentions and behaviors. We will develop video narratives on oral health care in collaboration with caregivers using real stories from the interviews and survey results to specifically target the predisposing, reinforcing and enabling factors that are most strongly associated with oral health intentions and behaviors in this population. Lastly, we will test the feasibility of delivering these video narratives at WCC visits and evaluate them using focus groups. Impact: If this research is successful, the video narratives could be readily integrated into a NIDCR UO1 clinical trial to measure their effectiveness at reducing ECC in this high risk population. Ultimately, we envision that these video narratives will be incorporated into a comprehensive oral health promotion program aimed at high-risk families and be delivered at multiple opportunities in the medical home, dental home, WIC programs, parenting skills development programs and could be incorporated into large public health media campaigns. PUBLIC HEALTH RELEVANCE: Early childhood caries remains the single most common chronic condition in childhood, largely impacting poor children, and yet it is preventable. A child's risk for developing caries is dependent on how their teeth are cared for by their parents/caregivers. This proposal pilots a novel, theory-based, practical and sustainable narrative video intervention intended to impact how parents/caregivers care for their children's teeth.