Caregiver Illness Perception and Childs Early Childhood Caries Status

描述（由申请人提供）：2至11奥尔兹的蛀牙正在增加，全国范围内的牙科利用率较低，特别是在贫困和少数民族人口中，而未经治疗的原发性蛀牙保持稳定。根据这些统计数据，不太可能实现2020年健康人的目标。自我调节的常识模型（CSM）是为了了解个人对慢性疾病的感知和有效的自我管理疾病而开发的（Leventhal et al. 1997）。CSM概念已应用于医疗条件。除了申请人的赞助商，CSM框架和问卷评估CSM的概念（疾病感知问卷修订牙科：IPQ-RD）尚未调查儿童或父母的看法，他们的牙齿问题。建筑 在我的赞助商的工作，我提出的F32研究的总体目标是利用CSM和卫生服务使用的行为模型（Andersen 1968），以确定如何诱发和使能因素，并需要影响父母的疾病感知他们的孩子的龋齿（蛀牙）。本研究培训奖学金的目的是：（1）一个匹配的病例对照研究设计将比较，如果父母/照顾者的幼儿（< 6岁）患有严重幼儿龋齿的儿童（例：S-ECC）与无幼儿龋齿儿童的父母/照顾者的对比（对照组）IPQ-RD评分有差异;（2）路径模型将调查父母/照顾者的易感性的影响（社会人口统计学、口腔健康行为、知识、态度、信念、心理社会因素、牙科恐惧），（牙科保险，访问，私人牙医，牙科系统的看法），需要（常规/预防与问题护理）相关因素对IPQ-RD的影响，这反过来又影响了病例组或对照组的可能性。将从基于医院的牙科诊所环境中招募120名样本量（60名病例护理人员和60名对照护理人员）。数据收集将包括从临床图表中提取龋齿、缺失、填充的乳牙，以确定病例和对照状态，以及两份自我管理的问卷（IPQ-RD和护理人员问卷）。父母/看护者将在儿童常规牙科护理访视（对照组）和根据本研究进行的修复治疗时提供知情同意书并填写问卷。 手术室全麻（例）。数据分析将包括描述性统计、条件logistic回归和结构方程[PATH]建模方法。这项研究响应NIDCR的2009-2013年战略计划I-2“增加研究所对行为和社会科学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“欢迎准备扩大口腔，牙科和颅面研究的新学科”; IV-1“查明造成保健不平等的各种因素”。.

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". .