DECREASING RATES OF EARLY CHILDHOOD CARIES

降低幼儿龋齿率

• 批准号: 6927327
• 负责人: Nancy R. Kressin
• 金额: $ 15.05万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6927327
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; clinical trials; community dental health; cooperative study; counseling; dental caries; early diagnosis; health behavior; health care personnel education; health care personnel performance; health care service utilization; health services research tag; human subject; human therapy evaluation; interview; oral health; parent offspring interaction; patient oriented research; pediatrics; preschool child (1-5); preventive dentistry; questionnaires; racial /ethnic difference; statistics /biometry

Early childhood caries (ECC) is a serious form of dental caries that affects the primary dentition of young children, which disproportionately affects poor children from racial/ethnic minority group. In order to prevent ECC, ti is vital that at-risk children and their caregivers be advised and counseled about ways to prevent this disease, and that those children who do develop it can be identified as early as possible, so they can receive necessary restorative treatment and counseling to year, so pediatricians could be natural allies in the battle against ECC by examining their patients for ECC and advising and counseling parents and caregivers about decreasing the child's exposure to risk factors for the disease. We propose an innovative community based intervention trial that will utilize a proven education methodology for enhancing pediatricians' ability to advise and counsel their patients' parents or caregivers regarding decreasing risks for early childhood caries. Such educational programs change physician behaviors and through them, effect changes in parent or caregiver behavior This chain of events is anticipated to decrease the risks and rates of ECC among children. We will provide training and educational programs to specified pediatricians in a practice serving primarily low income African American and Latino children. These programs are designed to increase advising and counseling parents/caregivers about decreasing ECC risk factors, and the use of a brief clinical oral examination and application of fluoride varnish for ECC, while others will provide usual care. In addition, for the intervention group, we will implement an office-based reminder system to facilitate the practice of the previously-taught intervention. To assess the efficacy of the intervention, we will first measure the baseline prevalence of ECC and ECC related risk factors among a cohort of children with initial ages of 12, 24 and 36 months, who present for well- child visits at their pediatricians's office, then we will assess ECC incidence and prevalence one and two years later. We will also assess the pediatrician's use of counseling, examining, or applying fluoride varnish to members of the cohort and control groups of children at baseline, and one and two years later.

幼儿龋齿（ECC）是一种严肃的龋齿形式，影响了幼儿的主要牙列，这对种族/族裔少数民族群体的贫困儿童不成比例。为了防止ECC，TI至关重要的是，在危险中的儿童及其护理人员得到有关预防这种疾病的方法的建议和咨询，并且可以尽早确定那些开发这种疾病的孩子，因此他们可以在年份中获得必要的恢复性治疗和咨询，因此，儿科医生可以通过对患者进行审查和咨询父母的努力来抗衡，并在corment依父母的斗争中进行抗衡，并为他们提供咨询，并为父母提供咨询，并为他们提供咨询服务，并为他们提供努力，并为他们提供良好的抚养。 疾病。我们提出了一项创新的基于社区的干预试验，该试验将利用一种经过验证的教育方法来增强儿科医生为患者的父母提供建议和咨询的能力，以减少幼儿龋齿的风险。这些教育计划改变了医师的行为，并通过这种行为，效应父母或照顾者行为的效果预计这种事件将降低儿童中ECC的风险和率。我们将在为主要低收入非裔美国人和拉丁裔儿童提供的实践中为特定的儿科医生提供培训和教育计划。这些计划旨在增加有关降低ECC风险因素的建议和咨询，并使用简短的临床口腔检查以及将氟化物清漆用于ECC，而其他人则将提供常规护理。此外，对于干预小组，我们将实施一个基于办公室的提醒系统，以促进先前教授的干预措施的实践。为了评估干预措施的疗效，我们将首先衡量ECC和ECC相关危险因素的基线患病率在12、24和36个月的初始儿童队列中，他们在儿科医生的办公室出席了良好的儿童访问，然后我们将在一年后评估ECC的发生率和患病率一年。我们还将评估儿科医生对咨询，检查或将氟化物清漆应用于基线时的儿童和对照组的成员以及一年后的儿童对照组。