Coordinated Oral Health Promotion (CO-OP) Chicago Cohort Study

协调口腔健康促进 (CO-OP) 芝加哥队列研究

基本信息

批准号：
10447658
负责人：
MOLLY A MARTIN
金额：
$ 107.39万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-08 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10447658
关键词：
3 year old Absenteeism Address Adverse effects Affect Affordable Care Act Age Behavior Black Populations Black race COVID-19 Caregivers Chicago Child Child Behavior Child Rearing Childhood Clinical Cohort Studies Communities Data Data Collection Data Sources Dental Dental Care Dental Hygiene Dental Plaque Dental caries Diet Direct Costs Disadvantaged Disease Enrollment Ethnic Origin Family Fluorides Frequencies Funding Future General Anesthesia Genetic Grant Health Health Food Health Insurance Health Promotion Health Services Accessibility Health behavior Healthcare Hispanic Hispanic Populations Home Individual Intervention Longitudinal cohort Low income Mediating Medicaid Minority Groups Modeling Morbidity - disease rate National Institute of Dental and Craniofacial Research Nutritional Oral health Pain Participant Patient Self-Report Positioning Attribute Prevalence Preventive Provider Psychosocial Factor Randomized Controlled Trials Reporting Research Risk Risk Factors Schools Sedation procedure Subgroup Surveys Techniques Testing Time Toothbrushing Toothpaste United States Violence Water fluoridation Work aged arm cognitive development cohort community intervention community-level factor cost cost effective demographics effectiveness testing experience food security health belief health data health disparity health literacy health related quality of life healthcare community high risk improved lens lower income families primary outcome recruit research and development social theories therapy development

项目摘要

SUMMARY Caries prevalence, morbidity, and associated disparities in children have been well documented nationally and locally. Research now is trying to understand why these disparities persist. Caries risk for an individual is considered a combination of genetics and behaviors (diet, oral hygiene, and fluoride exposure). The Coordinated Oral Health Promotion (CO-OP) Chicago Cohort Study will use the social ecological theory lens to examine caries risk factors on multiple levels. CO-OP Chicago was previously funded by NIDCR to reduce oral health disparities in children. The original CO-OP Chicago study [UH2DE02583] established baseline estimates of tooth brushing behaviors and determined the feasibility of objective assessment of tooth brushing behaviors in the homes of high-risk children under the age of three years old. CO-OP Chicago [UH3DE025483] then recruited 420 child/caregiver dyads to participate in a two-arm, cluster-randomized controlled trial testing the effectiveness of a family-focused CHW oral health intervention to improve tooth brushing behaviors for young children. The primary outcome was caregiver-reported brushing frequency and observed plaque score at 12-months. At entry into the study, the mean child age was 21.5 months. Forty-two percent of participants described themselves as Black race, and 54% as Hispanic ethnicity. Most children (89%) had Medicaid health insurance. CO-OP Chicago collected a range of self-reported and observed oral health data as well as family psychosocial factors from these low-income families over one year. However, the study did NOT include a caries assessment. The proposed CO-OP Chicago Cohort Study will transition trial participants into a longitudinal cohort (minimum N=315) to determine multi-level predictors of oral health behaviors and caries risk in low-income, urban young children over time. The CO-OP Chicago Cohort Study uses the social ecologic model to organize oral health risk factors into individual (child), interpersonal (family), organizational (healthcare), and community domains. We will collect four additional years of data with data collection every six months that includes caregiver-reported and observed child oral health behaviors, dental plaque scores, diet, parenting styles, dental provider access, and social risk factors. We will also conduct two caries examinations on children at ages five and seven. Community-level data will be extracted from public data sources. Specific Aim 1 is to examine associations between child, family, healthcare, and community factors on young child home oral health behaviors (child brushing frequency and plaque score) over time. Specific Aim 2 is to examine associations between child, family, healthcare, and community factors on young child caries prevalence over time. Specific Aim 3 is to examine the mediating effects of child brushing frequency and plaque score on the prior identified risk factors associated with caries prevalence. An Exploratory Aim will determine the ability of plaque scores to predict risk of caries. These data will advance our understanding of caries risk factors and inform future research and intervention development.

概括儿童龋齿患病率、发病率和相关差异已在全国范围内得到充分记录。本地。现在的研究正试图了解为什么这些差异持续存在。个人的龋齿风险是被认为是遗传和行为（饮食、口腔卫生和氟化物暴露）的结合。这协调口腔健康促进 (CO-OP) 芝加哥队列研究将使用社会生态理论镜头从多个层面检查龋齿风险因素。芝加哥合作社之前由 NIDCR 资助减少儿童口腔健康差异。最初的 CO-OP 芝加哥研究 [UH2DE02583] 成立刷牙行为的基线估计并确定客观评估牙齿的可行性三岁以下高危儿童家中的刷牙行为。芝加哥合作社 [UH3DE025483] 然后招募了 420 名儿童/看护者二人参加一项双臂、整群随机的研究对照试验测试以家庭为中心的社区卫生工作者口腔健康干预措施改善牙齿的有效性幼儿的刷牙行为。主要结果是护理人员报告的刷牙频率和 12个月时观察斑块评分。进入研究时，平均儿童年龄为 21.5 个月。四十二 % 的参与者称自己是黑人，54% 的参与者称自己是西班牙裔。大多数孩子 (89%) 有医疗补助健康保险。芝加哥合作社收集了一系列自我报告和观察的口语这些低收入家庭一年来的健康数据以及家庭心理社会因素。然而，研究不包括龋齿评估。拟议的 CO-OP 芝加哥队列研究将过渡将试验参与者纳入纵向队列（至少 N = 315），以确定口腔疾病的多水平预测因子随着时间的推移，低收入城市幼儿的健康行为和龋齿风险。芝加哥合作社队列研究利用社会生态模型将口腔健康危险因素组织成个体（儿童）、人际（家庭）、组织（医疗保健）和社区领域。我们将额外收集四个每六个月收集一次数据，包括护理人员报告和观察到的儿童口腔情况多年的数据健康行为、牙菌斑评分、饮食、养育方式、牙科服务提供者的机会和社会风险因素。我们还将对五岁和七岁的儿童进行两次龋齿检查。社区级数据将从公共数据源提取。具体目标 1 是检查儿童、家庭、医疗保健和社区因素对幼儿家庭口腔健康行为的影响（儿童刷牙频率和随着时间的推移，斑块得分）。具体目标 2 是检查儿童、家庭、医疗保健和随着时间的推移，社区因素对幼儿龋齿患病率的影响。具体目标 3 是检查中介儿童刷牙频率和牙菌斑评分对先前确定的与龋齿相关的危险因素的影响流行率。探索性目标将确定斑块评分预测龋齿风险的能力。这些数据将增进我们对龋齿风险因素的理解，并为未来的研究和干预发展提供信息。