SAPNA Oral Health Project

SAPNA 口腔健康项目

基本信息

批准号：
8211247
负责人：
ALISON KARASZ
金额：
$ 23.26万
依托单位：
ALBERT EINSTEIN COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-15 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8211247
关键词：
Address Adult Affect Age Asia Attention Bangladesh Behavior Therapy Benefits and Risks Bottle feeding Caries prevention Cereals Child Child Care Child Rearing Childhood Clinic Communities Community Health Counseling Data Data Collection Dental Dental Hygiene Dental caries Development Economics Education Effectiveness Enrollment Epidemic Evaluation Family Family member Focus Groups Funding Health Health Professional Health Promotion Health Services Health education Health system Healthcare Immigrant India Individual Infant Intervention Intervention Studies Interview Knowledge Learning Life Linguistics Low income Methods Modeling Mothers Oral health Pakistan Parents Participant Partnership Practice Patients Physicians Population Prevention Primary Care Physician Primary Health Care Process Provider Recruitment Activity Reporting Research Research Personnel Risk Site Social Functioning Sorting - Cell Movement South Asian Staging Telephone Testing Training United States Visit aged base behavior change deprivation empowered empowerment ethnic minority population experience feeding follow-up health disparity high risk improved member pediatrician prevent primary care setting public health priorities randomized trial social sugar theories therapy design treatment as usual trial comparing

项目摘要

DESCRIPTION (provided by applicant): This application describes the SAPNA Oral Health Project, a primary care based intervention designed to improve oral health and prevent dental caries in young children from the Bangladeshi immigrant community, a fast-growing immigrant group from South Asia that has received little attention from researchers. The project will be implemented in a new primary care research network, SAPPHIRE (South Asian Practice Partnership for Health Improvement and Research). Dental caries is a problem affecting the majority of poor and ethnic minority children in the United States. South Asian immigrant children are at particularly high risk for dental caries with rates nearly double that of native populations. A variety of structural factors, including social and economic deprivation, linguistic isolation, and difficulty accessing oral health care, and common South Asian infant feeding practices contribute to this problem. Specific aims involve the development, implementation and evaluation of a comprehensive oral health pilot intervention, based on Empowerment Theory, directed at Bangladeshi mothers of children aged 6-18 months. All participants (n=75) will receive enhanced usual care in the form of brief educational messages and oral health referrals by the primary care physician. For intervention participants, South Asian Community Health Navigators (CHNs) will provide two sessions of maternal and familial counseling support using an empowerment model that emphasizes the family's strengths, knowledge, and priorities, followed by patient navigation support in making and keeping an oral health visit, and three follow up phone calls to provide support during the twelve month study period. Development and evaluation of this intervention will involve participatory data collection among primary care providers, clinic staff, project team members, field staff, and patients in order to insure the acceptability and feasibility of the intervention. If the project is successful, investigators will apply for funds to conduct a formal test of SAPNA. PUBLIC HEALTH RELEVANCE: South Asians are a rapidly growing group in the United States, but remain understudied. South Asian children experience extremely high rates of childhood caries, due to child feeding practices and oral hygiene, as well as lack of access to oral health care. Culturally appropriate behavioral interventions for South Asians that address childhood caries risk are a vital public health priority. The project described in this application has potential to serve as a model for primary care-community collaborative interventions that can be used in similar culturally and linguistically isolated groups.

描述（由申请人提供）：本申请描述了SAPNA口腔健康项目，这是一种基于初级保健的干预措施，旨在改善口腔健康和防止孟加拉国移民社区的幼儿龋齿，孟加拉国移民社区是来自南亚的快速成长的移民群体，该组织很少受到研究人员的关注。该项目将在新的初级保健研究网络Sapphire（南亚的健康改善和研究实践伙伴关系）中实施。龋齿是影响美国大多数贫困和少数民族儿童的一个问题。南亚移民儿童的龋齿的风险尤其高，其比率几乎是本地人口的两倍。各种结构性因素，包括社会和经济剥夺，语言隔离以及难以获得口腔保健的困难以及南亚共同的婴儿喂养实践，这有助于这一问题。具体目的涉及基于授权理论的全面口腔健康试点干预的发展，实施和评估，该试验理论针对了6-18个月的孟加拉国母亲。所有参与者（n = 75）将以初级保健医师的简短教育信息和口腔健康转诊的形式获得增强的常规护理。对于干预参与者，南亚社区卫生导航员（CHN）将使用强调家庭的优势，知识和优先级的授权模型来提供两次母体和家庭咨询支持，然后在十二个月学习期间进行三次访问和进行口腔健康访问，并进行三个跟进电话，以进行口腔健康访问和进行三次随访。该干预措施的开发和评估将涉及初级保健提供者，诊所员工，项目团队成员，现场人员和患者之间的参与性数据收集，以确保干预的可接受性和可行性。如果该项目成功，调查人员将申请资金以对SAPNA进行正式测试。公共卫生相关性：南亚人是美国一个快速增长的群体，但仍在研究。由于儿童喂养做法和口腔卫生，南亚儿童的儿童龋齿率极高，并且无法获得口腔医疗保健。南亚人在文化上适当的行为干预措施解决儿童龋齿风险是至关重要的公共卫生优先事项。本应用程序中描述的项目有潜力作为基本护理社区协作干预措施的模型，这些干预措施可用于类似的文化和语言隔离群体。