Caregiver Illness Perception and Childs Early Childhood Caries Status

描述(由申请人提供)：2至11岁儿童的龋齿正在增加，全国范围内的牙齿利用率较低，特别是在贫困和少数群体中，而未经治疗的乳牙龋齿一直保持稳定。有了这些统计数据，2020年健康人的目标不太可能实现。自我调节常识模型(CSM)是为了理解个人对慢性病的感知和对疾病的有效自我管理而开发的(Leventhal等人)。1997年)。CSM的概念已被应用于医疗条件。除申请人的赞助人外，CSM框架和评估CSM概念的问卷(针对牙科修订的疾病感知问卷：IPQ-RD)尚未调查儿童或家长对其牙科问题的看法。建房 关于我的赞助商的工作，我提议的F32研究的总体目标是利用CSM和健康服务的行为模型(Andersen 1968)来确定诱因和促成因素以及需求如何影响父母对他们孩子的龋齿(龋齿)的疾病认知。这项研究培训的目的是：(1)采用配对病例对照研究设计，比较患有严重早期龋齿的幼儿(6岁)的父母/照料者(病例：S-ECC)和未患早期龋齿的儿童的父母/照料者(对照组)在IPQ-RD得分上是否存在差异；(2)路径模型将调查父母/照顾者倾向(社会人口、口腔健康行为、知识、态度、信仰、心理社会因素、牙齿恐惧)、使能(牙齿保险、准入、个人牙医、对牙齿系统的感知)、需要(常规/预防性护理与有问题的护理)相关因素对IPQ-RD的影响，进而影响进入病例组或对照组的可能性。120名样本(60名病例照顾者和60名对照照顾者)将从以医院为基础的牙科诊所环境中招募。数据收集将包括从临床图表中提取龋齿、缺失、充填乳牙以确定病例和对照状态，以及两份自填式问卷(IPQ-RD和照顾者问卷)。父母/照顾者应在儿童常规牙科护理(对照)和恢复性治疗时提供同意并填写调查问卷。 手术室全身麻醉(例)。数据分析将包括描述性统计、条件Logistic回归和结构方程[路径]建模方法。这项研究响应了NIDCR的2009-2013年战略计划I-2“增加研究所对行为和社会科学的基础和应用研究的承诺”；II-2“强调个人的培训和职业发展投资”；II-3“欢迎新的学科，准备扩大口腔、牙科和颅面研究”；IV-1“确定导致健康不平等的各种因素”。。

DESCRIPTION (provided by applicant): Tooth decay in 2 to 11 year olds is increasing and dental utilization is lower nationally especially among poor and minority populations, while untreated primary tooth decay has remained steady. With these statistics, it is unlikely that Healthy People 2020 goals will be met. The Common Sense Model of Self-Regulation (CSM) was developed to understand individual's perception of chronic illness and for effective self-management of disease (Leventhal et al. 1997). The CSM concept has been applied to medical conditions. Except for the applicant's sponsor, the CSM framework and the questionnaire assessing CSM concepts (Illness Perception Questionnaire revised for dental: IPQ-RD) have not yet been investigated for children's or parent's perceptions of their dental problems. Building on the work of my sponsor, the overall goal of my proposed F32 research is to utilize the CSM and the behavioral model of health services use (Andersen 1968) to determine how predisposing and enabling factors, and need influence parents' illness perception of their child's dental caries (tooth decay). The objectives of this research training fellowship are: (1) A matched case control study design will compare if parent/caregivers of young children (< 6 years) who have severe early childhood caries (cases: S-ECC) versus those of parent/caregivers of children without early childhood caries (controls) are different in IPQ-RD scores; (2) A path model will investigate the effect of parent/caregiver predisposing (socio- demographic, oral health behavior, knowledge, attitude, beliefs, psychosocial factors, dental fear), enabling (dental insurance, access, personal dentist, perception of dental system), need (routine/preventive vs. problematic care) related factors on IPQ-RD, which in turn affects the likelihood of being in the case or control group. The sample size of 120 (60 case caregivers and 60 control caregivers) will be recruited from a hospital based dental clinic setting. Data collectin will involve abstraction of decayed, missing, filled primary teeth from clinic charts to determine case and control status, and two self-administered questionnaires (IPQ-RD and caregiver questionnaire). The parent/caregiver will provide consent and complete questionnaires at the time of child's routine care dental visit (controls) and at the time of restorative treatment under general anesthesia in OR (case). Data analysis will include descriptive statistics, conditional logistic regression, and structural equations [PATH] modeling approach. This research responds to NIDCR's 2009-2013 Strategic Plan I-2 "Increase the Institute's commitment to basic and applied research in the behavioral and social sciences"; II-2 "Emphasize the training and career development investment of individuals"; II-3 "Welcome new disciplines poised to expand oral, dental, and craniofacial research"; IV-1 "Identify the full range of factors that contribute to ora health inequalities". .