Using Dental Health Videos During Medical Well Child Care Visits to Change Caregi

在医疗保健儿童保育访问期间使用牙齿健康视频来改变护理

基本信息

批准号：
8211332
负责人：
Judith E.N. Albino
金额：
$ 25.43万
依托单位：
UNIVERSITY OF COLORADO DENVER
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/8211332
关键词：
12 year old 6 year old Age Attitude Behavior Behavioral Birth Caregivers Caring Child Child Care Childhood Chronic Clinical Trials Collaborations Collection Communities Data Dental Dental Care Dental caries Development Disease Doctor of Medicine Doctor of Philosophy Effectiveness Enabling Factors Equation Family Fluoride Varnishes Focus Groups Future Goals Health Promotion Health Services Accessibility Health behavior Healthcare Hispanics Home environment Individual Infant Intervention Interview Master of Public Health Measures Media Campaign Medical Modeling National Institute of Dental and Craniofacial Research Oral Oral health Outcome Parenting behavior Parents Participant Pilot Projects Planning Theory Population Predisposing Factor Prevalence Preventive Primary Prevention Principal Investigator Process Program Development Public Health Randomized Reinforcing Factor Research Research Personnel Risk Smiling Social Behavior Social Marketing Social Network Structural Models Structure Surface Surveys Testing Thinking Tooth structure Toothbrushing Toothpaste Visit Water base behavior change behavior influence community based participatory research early childhood experience high risk improved infancy innovation novel prevention clinical trial programs skills social social health determinants success theories toothbrush

项目摘要

DESCRIPTION (provided by applicant): Early childhood caries (ECC) is defined as dental caries in the teeth of children 0-6 years of age. Although largely preventable, dental caries remains the single most common chronic condition in childhood and large disparities exist. Poor children have more than twice the rate of dental caries as non-poor children. A child's ECC risk pivots directly on how their teeth are taken care of by their caregivers. These oral health behaviors are influenced by social determinants of health, including individual attitudes and norms of the caregiver as well as those of their normative groups such as their families and social networks. Narrative videos have had success at changing behaviors. Short videos have been successfully used in social marketing campaigns. The provision of basic preventive dental services at WCC visits provides an opportunity to access high risk children who otherwise lack access to these services. Providing a narrative video at WCC visits directed at improving caregiver oral health behaviors has the potential to reduce the burden of ECC disease in this population. We are proposing to test the feasibility of delivering narrative videos at the WCC visits of poor, Hispanic children who have a disproportionate share of ECC. Innovation: The overall goal of the pilot project is to develop and conduct preliminary testing of theory-based narrative videos and a survey that can be used in a future NIDCR U01 clinical trial aimed at improving the oral health behaviors of caregivers of young children and reducing their children's ECC prevalence. The PRECEDE-PROCEED planning model will provide a structure to apply the Theories of Planned Behavior (TPB) and Normative Social Behavior (TNSB) to the development of the narrative video intervention and will involve collaboration between caregivers and researchers in all aspects of the research. Approach: The research collects relevant attitudes and norms related to oral health through qualitative elicitation interviews. We will develop, administer and analyze a survey using theory-based structural modeling to determine the specific attitudes and norms that influence oral health intentions and behaviors. We will develop video narratives on oral health care in collaboration with caregivers using real stories from the interviews and survey results to specifically target the predisposing, reinforcing and enabling factors that are most strongly associated with oral health intentions and behaviors in this population. Lastly, we will test the feasibility of delivering these video narratives at WCC visits and evaluate them using focus groups. Impact: If this research is successful, the video narratives could be readily integrated into a NIDCR UO1 clinical trial to measure their effectiveness at reducing ECC in this high risk population. Ultimately, we envision that these video narratives will be incorporated into a comprehensive oral health promotion program aimed at high-risk families and be delivered at multiple opportunities in the medical home, dental home, WIC programs, parenting skills development programs and could be incorporated into large public health media campaigns. PUBLIC HEALTH RELEVANCE: Early childhood caries remains the single most common chronic condition in childhood, largely impacting poor children, and yet it is preventable. A child's risk for developing caries is dependent on how their teeth are cared for by their parents/caregivers. This proposal pilots a novel, theory-based, practical and sustainable narrative video intervention intended to impact how parents/caregivers care for their children's teeth.

描述（由申请人提供）：幼儿龋齿（ECC）定义为0-6岁儿童牙齿中的龋齿。尽管在很大程度上可以预防，但龋齿仍然是童年时期最常见的慢性状况，并且存在巨大的差异。贫困儿童作为非贫穷儿童的龋齿率的两倍以上。儿童的ECC可能直接涉及护理人员如何照顾牙齿。这些口腔健康行为受到健康的社会决定因素的影响，包括个人态度和照料者的态度和规范以及其家庭和社交网络等规范群体的态度和规范。叙事视频在改变行为方面取得了成功。简短的视频已在社交营销活动中成功使用。在WCC访问中提供基本的预防性牙科服务为访问原本无法获得这些服务的高风险儿童提供了机会。在WCC访问中提供旨在改善护理人员口腔健康行为的叙事视频有可能减轻该人群中ECC疾病的负担。我们建议在WCC访问贫困的西班牙裔儿童的WCC访问中测试叙事视频的可行性，而ECC的份额不成比例。创新：试点项目的总体目标是开发和进行基于理论的叙事视频的初步测试，以及可以在未来的NIDCR U01临床试验中使用的调查，旨在改善幼儿护理人员的口腔健康行为并降低孩子的ECC普遍存在。先进的计划模型将提供一种结构，以将计划行为（TPB）和规范社会行为（TNSB）的理论应用于叙事视频干预的发展，并将涉及研究人员与研究人员之间在研究的各个方面之间的协作。方法：该研究通过定性引发访谈收集了与口腔健康有关的相关态度和规范。我们将使用基于理论的结构建模来开发，管理和分析一项调查，以确定影响口腔健康意图和行为的特定态度和规范。我们将使用访谈和调查结果中的真实故事与护理人员合作开发有关口腔医疗保健的视频叙述，以专门针对与该人群中口腔健康意图和行为最密切相关的诱人，加强和有效的因素。最后，我们将测试在WCC访问中提供这些视频叙述的可行性，并使用焦点小组对其进行评估。影响：如果这项研究成功，则可以将视频叙述很容易地整合到NIDCR UO1临床试验中，以衡量其在这种高风险人群中降低ECC方面的有效性。最终，我们设想这些视频叙述将被纳入旨在高危家庭的全面口腔健康促进计划中，并在医疗之家，牙科住宅，WIC计划，育儿技能开发计划中提供多个机会，并可以纳入大型公共卫生媒体活动中。公共卫生相关性：幼儿时期龋齿仍然是儿童时期最常见的慢性疾病，在很大程度上影响了贫困儿童，但可以预防。孩子患龋齿的风险取决于父母/照顾者如何照顾牙齿。该提议飞行员是一种新颖，基于理论，实用和可持续的叙事视频干预措施，旨在影响父母/照顾者如何照顾孩子的牙齿。