Overcoming Barriers to Implementing Policies to Reduce Sugar Consumption for Dental Caries Prevention

项目摘要/摘要 K08奖的目标是让加州大学旧金山分校的牙科科学家卡恩斯博士 获得支持和培训，成为专注于翻译研究的独立调查者 鼓励使用循证公共卫生干预措施来促进口腔和整体健康。过剩 摄入添加糖会增加患心血管疾病、肥胖症、2型糖尿病的风险 龋齿。虽然已经制定了各种基于证据的政策和计划来减少糖分 在多元消费背景下，到目前为止，这些策略还没有被广泛采用。牙科 由众多利益相关者(例如，牙科组织、牙科领导、牙医)组成的职业具有 有可能帮助弥合这一政策差距的证据。类似于支持社区水加氟的努力， 牙科专业可以通过实施降糖政策来鼓励创新的龋齿解决方案。 传播(SRPD)行为(例如，编写问题简报、发布共识声明、进行 政策研究和监督，与州联盟接触，进行媒体宣传，并提供办公室- 基于通信的通信等。)然而，牙医利益相关者参与减糖政策和 节目传播率很低。这项K08提案的总体目标是促进实施 循证干预旨在提高牙医利益相关者对SRPD的参与度。这个K08项目 旨在确定牙医利益相关者参与SRPD的障碍和促进者，并制定和试点 测试一种将增加牙医SRPD行为的干预措施。精心设计的培训计划将使 获得传播和实施(D&I)科学、深入面试和重点关注的专业知识的候选人 小组、量化方法和调查统计、政策性实验方法以培育提供者 行为的改变，以及在授权写作中。培训目标将通过严格的指导来实现 专家、研究生水平的课程工作和高级专业发展活动。拟议的研究 项目与培训目标一致。目标1包括对糖业公关活动的分析 确定用于影响牙医利益相关者SRPD行为的技术。目标2--研究A包括-- 与牙医领导进行深度访谈，以确定促进者和阻碍SRPD行为的因素，并帮助确定 AIM 2的问卷项目-研究B，一项具有全国代表性的大型调查-对美国注册牙医的调查 确定SRPD行为的驱动因素与实际SRPD行为之间的关系。目标3涉及 开发和试行一种干预策略，以改变牙医利益相关者的SRPD行为。这个 这项研究的长期目标是加快美国添加糖的饮食指南的翻译 将建议转化为政策和实践。这一奖项将通过以下方式补充候选人的现有优势 提供新领域的培训，并将为她在D&I科学领域的独立研究生涯做好准备 改善口腔健康。

PROJECT SUMMARY/ABSTRACT The goal of this K08 award is for Dr. Kearns, a dentist scientist at the University of California, San Francisco, to gain support and training to become an independent investigator focused on translational research that encourages the use of evidence-based public health interventions to promote oral and overall health. Excess added sugars consumption leads to increased risk for cardiovascular disease, obesity, type 2 diabetes, and dental caries. While various evidence-based policies and programs have been developed to reduce sugar consumption in multiple-settings, to date, these strategies have not been widely adopted. The dental profession, comprised of numerous stakeholders (e.g., dental organizations, dental leaders, dentists), has the potential to help close this evidence to policy gap. Similar to efforts to support community water fluoridation, the dental profession can encourage innovative solutions to dental caries by engaging in sugar reduction policy dissemination (SRPD) behaviors (e.g., preparing issue briefs, publishing consensus statements, conducting policy research and surveillance, engaging with state coalitions, doing media outreach, and delivering office- based communication, among others.) However, dentist stakeholder involvement in sugar reduction policy and program dissemination is low. The overarching objective of this K08 proposal is to facilitate implementing an evidence-based intervention designed to increase dentist stakeholder engagement in SRPD. This K08 project aims to identify barriers and facilitators to dentist stakeholders' involvement in SRPD and to develop and pilot test an intervention that will increase dentists' SRPD behaviors. A carefully devised training plan will allow the candidate to gain expertise in dissemination and implementation (D&I) science, in-depth interviews and focus groups, quantitative methods and survey statistics, policy-relevant experimental methods to foster provider behavior change, and in grantwriting. Training goals will be achieved through rigorous mentorship from experts, graduate-level coursework, and advanced professional development activities. The proposed research project is congruent with training goals. Aim 1 includes an analysis of sugar industry public relations campaigns to identify the techniques used to influence dentist stakeholders' SRPD behaviors. Aim 2-Study A includes in- depth interviews with dentist leaders to identify facilitators and barriers to SRPD behaviors and to help identify questionnaire items for Aim 2-Study B, a large, nationally representative-survey of US licensed dentists to determine the relationship between drivers of SRPD behaviors and actual SRPD behaviors. Aim 3 involves developing and pilot testing an intervention strategy to change dentist stakeholders SRPD behaviors. The long-term objective of this research is to speed the translation of the US Dietary Guidelines added sugar recommendation into policy and practice. This award will complement the candidate's existing strengths by providing training in new domains and will prepare her for an independent research career in D&I science to improve oral health.