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

描述（由申请人提供）：幼儿龋齿（ECC）定义为0-6岁儿童牙齿中的龋齿。虽然龋齿在很大程度上是可以预防的，但它仍然是儿童时期最常见的慢性疾病，而且存在很大的差异。贫困儿童的龋齿发病率是非贫困儿童的两倍多。孩子的ECC风险直接取决于他们的牙齿是如何照顾他们的照顾者。这些口腔健康行为受到健康的社会决定因素的影响，包括个人的态度和规范的照顾者，以及他们的规范性群体，如他们的家庭和社交网络。叙事视频在改变行为方面取得了成功。短视频已成功用于社交营销活动。在基督教协进会的访问中提供基本的预防性牙科服务，为接触那些无法获得这些服务的高危儿童提供了机会。在WCC访视时提供叙事视频，旨在改善护理人员的口腔健康行为，有可能减少该人群的ECC疾病负担。我们建议测试在世界儿童理事会访问贫穷的西班牙裔儿童时提供叙事视频的可行性，这些儿童在ECC中所占比例不成比例。创新：该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，这些视频和调查可用于未来的NIDCR U 01临床试验，旨在改善幼儿护理人员的口腔健康行为并降低其子女的ECC患病率。PRECEDE-PROCEED计划模型将提供一个结构，将计划行为理论（TPB）和规范社会行为（TNSB）应用于叙事视频干预的开发，并将涉及护理人员和研究人员在研究的各个方面的合作。研究方法：本研究采用质性启发式访谈法收集有关口腔健康的态度和规范。我们将开发，管理和分析使用基于理论的结构建模的调查，以确定影响口腔健康的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的故事，专门针对与该人群的口腔健康意图和行为最密切相关的诱发、强化和促成因素，开发关于口腔健康护理的视频叙述。最后，我们将测试在WCC访问中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，视频叙述可以很容易地整合到NIDCR UO 1临床试验中，以衡量其在降低高风险人群ECC方面的有效性。最终，我们设想这些视频叙述将被纳入一个全面的口腔健康促进计划，旨在高风险家庭，并在医疗之家，牙科之家，WIC计划，育儿技能发展计划的多种机会交付，并可以被纳入大型公共卫生媒体活动。

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.