Center to Address Disparities in Children's Oral Health

解决儿童口腔健康差异中心

基本信息

批准号：
7893940
负责人：
Jane A Weintraub
金额：
$ 31.56万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-24 至 2015-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7893940
关键词：
3 year old 6 year old Address Adolescent Adopted Adult American American Dental Association Area Attention Behavioral Bicuspid Blinded Budgets California Caregivers Caries prevention Child Childhood Chronic Chronology Clinic Code Collaborations Communication Communities Complement Counseling Country Critiques Data Coordinating Center Dental Dental caries Dentists Development Diagnosis Disease Early treatment Economically Deprived Population Education Effectiveness Electronics Ensure Environment Evaluation Evolution Extramural Activities Federally Qualified Health Center Fluoride Varnishes Fluorides Fostering Funding Future Goals Grant Healthy People 2010 Hispanics Incidence Individual Infant Institution International Intervention Studies Language Latino Leadership Low income Marketing Measurement Medical Mentors Methodology Methods Mexico Minor Minority Mission Molar tooth Monitor National Institute of Dental and Craniofacial Research Office of Administrative Management Operative Surgical Procedures Oral health Outcome Participant Pit and Fissure Sealants Policies Policy Research Population Population Research Prevention Preventive Primary Health Care Process Protocols documentation Provider Public Health Public Health Dentistry Publications Published Comment Qualitative Research Questionnaires Randomized Randomized Clinical Trials Relative (related person)Reporting Research Research Design Research Ethics Committees Research Personnel Research Project Grants Resources Role Sales San Francisco Science Scientist Site Social Work Speech Strategic Planning Structure Summary Reports Surgeon Telephone Text Training Translations Universities Update Validity and Reliability Vision Woman Work base career development clinical efficacy clinical practice community organizations cost cost effective dissemination research early childhood evidence base expectation experience flexibility glass ionomer health disparity health practice high risk improved innovation investigator training meetings method development multidisciplinary nutrition outreach permanent tooth prevent programs quality assurance research data dissemination seal statistics teledentistry theories time use working group

项目摘要

DESCRIPTION (provided by applicant): Early childhood caries (ECC) is the most prevalent chronic childhood disease in the U.S., particularly among economically disadvantaged, underserved children. We propose to continue our existing Center to Address Disparities in Children's Oral Health (U54DE014251) and its efforts to understand, prevent, and reduce oral health disparities, with a focus on preventing ECC. The themes of our collaborative, community-based program are (1) to provide the high-quality evidence base for new methods to prevent ECC in populations experiencing oral-health disparities and (2) to identify the most effective dissemination methods for delivering fluoride varnish (FV), an efficacious preventive method. We will actively engage California communities and providers in two large-scale intervention studies utilizing randomized clinical trial (RCT) methodology, stratified by settings, to assess the effectiveness or clinical efficacy of different preventive methods on caries incidence and increment among low-income children. Using the RE-AIM framework, Project 1 will identify the most effective setting (medical, social service agency or dental) to disseminate FV to the greatest number of 1-3-year-old children. Stratifying on setting, a parallel groups practical RCT will be conducted in 24 community-based primary care clinics (CPCCs) from the UCSF primary care collaborative research network, and 24 California Special Supplemental Nutrition Programs for Women, Infants and Children (WICs). Each non-dental site (CPCC or WIC) will be randomized to a program of parental counseling and onsite FV application or to parental counseling and referral to a dentist for child's FV application. We will also compare two automated telephone counseling methods and utilize teledentistry approaches for blinded caries assessments. Project 2 is an intervention study to be conducted in dental and non-dental settings, both affiliated with Federally Qualified Health Centers near the US-Mexico border, to compare the relative caries prevention efficacy of four protocols in 3-6 year-old children: 1) parental oral-health counseling (C) alone; 2) C+ FV; 3) C+ fluoride-releasing, glass ionomer (Gl) sealants applied to primary molars, and 4) C+FV+ Gl. Our Administrative Core, Statistics and Data Coordinating Center, and Community Liaison Program will support our two RCTs and developmental projects. These endeavors, with other education and career development activities, will foster new investigators to increase oral-health-disparity research capacity.

描述（由申请人提供）：幼儿龋齿（ECC）是美国最普遍的慢性儿童疾病，尤其是在经济上处于不利地位，服务不足的儿童中。我们建议继续我们现有的中心，以解决儿童口腔健康的差异（U54DE014251）及其理解，预防和减少口腔健康差异的努力，重点是防止ECC。我们基于社区的协作计划的主题是（1）提供新方法的高质量证据基础，以防止经历口腔健康差异的人群中的ECC，以及（2）确定提供氟化物清漆（FV）的最有效传播方法，一种有效的预防方法。我们将在两项大规模干预研究中积极吸引加利福尼亚社区和提供者，利用通过环境分层的随机临床试验（RCT）方法来评估低收入儿童对龋齿发病率和增加的有效性或临床功效。使用RE-AIM框架，项目1将确定最有效的环境（医疗，社会服务机构或牙科），以将FV传播到最大的1-3岁儿童。在设置上进行分层，将在UCSF初级保健协作研究网络和24个加州妇女，婴儿和儿童（WICS）的24个加利福尼亚州特殊补充营养计划（WICS）中，将在24个基于社区的初级保健诊所（CPCC）中进行平行组实用的RCT。每个非牙科现场（CPCC或WIC）将被随机分配到父母咨询和现场FV申请或父母咨询和转诊给牙医以供儿童FV应用程序的计划。我们还将比较两种自动电话咨询方法，并利用诊断方法进行盲目的龋齿评估。项目2是一项干预研究，旨在在牙科和非牙科环境中进行，均与美国 - 墨西哥边境附近的联邦合格卫生中心有联系，以比较3-6岁儿童中四种方案的相对龋齿预防疗效：1）单独的父母口服咨询（C）； 2）C+ FV; 3）C+氟化物释放，施加在原代磨牙上的玻璃离子（GL）密封剂和4）C+ FV+ GL。我们的行政核心，统计和数据协调中心以及社区联络计划将支持我们的两个RCT和发展项目。这些努力，随着其他教育和职业发展活动，将培养新的研究人员，以提高口服健康研究能力。