Research Program and Administrative Center

我们建议继续和延长我们正在进行的工作，其目标是消除口腔炎 通过研究、培训和行动消除健康差距。我们的目标是在我们的目标中实现这一目标 通过领导基于以下方面的多学科和多机构合作 早期和持续的社区参与，有重点的社区研究干预，综合 培训和职业发展活动，广泛传播和实施研究成果，以及 有针对性的卫生政策倡议。我们对我们提议的工作的热情，以及我们的信心 在实现我们中心目标的能力方面，是基于我们迄今的广泛经验和我们所拥有的 在过去六年中，在领导具有广泛地理覆盖面的类似努力方面学到并取得了成就。 中心的组织结构和组成部分，我们经验丰富的多学科团队 调查人员，以及我们继续从波士顿获得的机构支持的力量 大学和我们的其他合作机构，应该服务于确保我们有能力进行两个专业 旨在减少儿童早期龋齿的社区干预研究项目。组织工作 拟议工作的主题建立在我们目前的努力基础上，以确定参与非牙科工作的有效手段 让护理人员参与口腔健康推广活动，并进一步扩展口腔健康推广活动的场地至 直接在服务不足的社区提供非临床护理和住宿环境。 因此，我们提出了两个主要的社区干预研究项目，这两个项目将是 在以下位置实施： (1)社区卫生中心，由医疗保健提供者在儿科健康儿童探视的背景下提供，联系 促进口腔健康的努力，以发展适当的前瞻性指导和预定的预防 访问(例如，与免疫时间表挂钩)； (2)公共房屋发展项目，由受过同伴健康训练的公共房屋居民提供 促进者(居民健康倡导者)，目标是有年幼子女居住在波士顿公共住房的家庭。

We propose a continuation and extension of our ongoing work, whose goal is the elimination of oral health disparities through research, training and action. We aim to accomplish this goal in our targeted populations, and beyond, by leading a multidisciplinary and multi-institutional collaboration that is based on early and continuous community engagement, focused community-based research interventions, integrated training and career development activities, broad dissemination and implementation of research findings, and targeted health policy initiatives. Our enthusiasm for the work that we are proposing, as well as our confidence in the ability to meet our Center's aims, are based on our extensive experience to date and on what we have learned and accomplished over the past six years in leading a similar effort with as broad a geographic reach. The organizational structure and components of the Center, our experienced and multidisciplinary team of investigators, along with the strength of the institutional support we continue to receive from Boston University and our other partnering institutions, should serve to ensure our ability to conduct two major community-based intervention research projects aimed at reducing early childhood caries. The organizing theme of the work proposed builds on our current efforts to identify effective means by which to engage nondental care providers in oral health promotion, and to further extend the venues for oral health promotion to non-clinical care and residential settings directly in underserved communities. We are thus proposing two major community-based intervention research projects that will be implemented in: (1) community health centers, by medical care providers in the context of the pediatric well-child visit, linking oral health promotion efforts to developmentally appropriate anticipatory guidance and scheduled preventive visits (e.g., linked to immunization schedules); (2) public housing developments, by public housing residents who have been trained to be peer health promoters (Resident Health Advocates), aimed at families with young children living in Boston public housing.