Exploring Determinants to HPV-Related Oral Health Literacy among Dental Providers

探索牙科服务提供者中 HPV 相关口腔健康素养的决定因素

• 批准号: 8681618
• 负责人: ELLEN M. DALEY
• 金额: $ 19.58万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8681618
• 关键词: Accounting; Address; Adult; American Dental Association; Anus; Applications Grants; Awareness; Behavioral; Biological Models; Cervical; Communication; Complex; Continuing Education; Data; Death Rate; Dental; Dental Hygienists; Dentists; Development; Economics; Family; Focus Groups; Future; Genital system; Goals; Grant; Guidelines; Head and Neck Cancer; Head and neck structure; Health; Health Personnel; Health Professional; Healthy People 2020; Human Papillomavirus; Incidence; Individual; Intervention; Interview; Journals; Knowledge; Link; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Malignant neoplasm of pharynx; Mouth Diseases; National Institute of Dental and Craniofacial Research; Oral cavity; Oral health; Oropharyngeal; Patients; Play; Population; Prevalence; Prevention; Preventive Intervention; Primary Health Care; Primary Prevention; Process; Provider; Reading; Recommendation; Reporting; Research; Role; Source; System; Testing; Thinking; Vaccinated; base; cancer prevention; health literacy; improved; innovation; literate; malignant mouth neoplasm; malignant oropharynx neoplasm; multilevel analysis; pediatrician; public health relevance; response; social; symposium; tool

DESCRIPTION (provided by applicant): This exploratory grant proposal responds to NCI/NIDCR PAR-13-132: Understanding and Promoting Health Literacy (R21), and aims to understand current oral health literacy of dental providers (dentists and dental hygienists) regarding human papillomavirus (HPV)-related oral disease. "Health literacy is not just about individual patients, but also includes health care providers and other decision makers".1 Broadening traditional applications of health literacy that focus exclusively on patients' ability o obtain, process, and understand health information,2 this exploratory grant examines dental providers' health literacy and their ability to promote HPV-related health literacy among patients. Current primary care providers involved in the prevention of HPV-related ano-genital cancers (e.g. cervical and anal) include pediatricians, family practitioners and OB/GYNs.3 The emerging evidence linking HPV and oropharyngeal cancers (head and neck) necessitates that dental providers become the next group of primary care providers who will become involved in HPV-related cancer prevention. Despite an overall reduction in the incidence of oral cavity and pharynx cancers in the US,4 the incidence of HPV-related oropharyngeal cancers has increased.5,6 In response, the American Dental Association (ADA) recommends dentists "educate themselves and their patients about the relationship between HPV and oropharyngeal cancer..."7 It is therefore critical that dental providers are aware of HPV and oropharyngeal cancer connections and be prepared to communicate information about HPV to patients.8 Despite recognizing the role dental providers play in informing patients about HPV and oropharyngeal cancers, professional associations have not yet provided guidelines or educational tools for how dental providers should discuss these connections with patients. Our study is therefore guided by the following specific aims: 1) Understand the current state of HPV-related oral health literacy among dental providers by conducting focus groups with dental providers at national conferences. 2) Determine multilevel system factors for promoting HPV-related oral health literacy through in-depth interviews with dental professional association officers and opinion leaders. 3) Create a systems model (based on Aims 1 and 2) for future development and testing for increasing HPV-related health literacy among dental providers at intrapersonal, social, economic, and professional levels via a systems-thinking approach with the research team and expert panel. These aims contribute to the study's overall objective to identify and model multilevel determinants for oral health literacy among dental providers. This study is innovative as it engages dental providers in primary prevention efforts, and is timely in that it responds to three Healthy People 2020 objectives, as well as a growing need for reducing the rate of oropharyngeal cancers.

描述（由申请人提供）：该探索性赠款提案对NCI/NIDCR PAR-13-132做出反应：理解和促进健康素养（R21），旨在了解有关牙科提供者（牙医和牙科卫生学家）有关人乳头瘤病毒（HPV） - 疾病的当前口腔健康素养。 “健康素养不仅与个别患者有关，而且还包括医疗保健提供者和其他决策者”。1扩大了健康素养的传统应用，专门关注患者的能力，处理和理解健康信息，2此探索性赠款研究牙科提供者的健康素养及其在患者中促进与HPV相关的健康素养的能力。 当前参与预防HPV相关的厌氧癌（例如宫颈和肛门）的初级保健提供者包括儿科医生，家庭从业人员和OB/GYNS.3将HPV和口咽癌和颈部的新兴证据与牙科医师（牙科医师）成为下一个癌症的癌症中的前进性，该癌症成为下一个癌症的癌症。 Despite an overall reduction in the incidence of oral cavity and pharynx cancers in the US,4 the incidence of HPV-related oropharyngeal cancers has increased.5,6 In response, the American Dental Association (ADA) recommends dentists "educate themselves and their patients about the relationship between HPV and oropharyngeal cancer..."7 It is therefore critical that dental providers are aware of HPV and oropharyngeal cancer 8认识到牙科提供者在告知患者HPV和口咽癌方面所扮演的角色，但专业协会尚未为牙科提供者如何与患者讨论这些联系。因此，我们的研究以以下具体目的为指导：1）通过与国家会议的牙科提供者进行焦点小组，了解牙科提供者中与HPV相关的口腔健康素养的现状。 2）通过对牙科专业协会官员和意见领导者的深入访谈来确定促进与HPV相关的口腔健康素养的多层次系统因素。 3）创建一个系统模型（基于目标1和2），以通过与研究团队和专家小组的系统思考方法通过系统思考的方法在人际关系，社会，经济和专业水平的牙科提供者中提高与HPV相关的健康素养。这些目标有助于该研究的总体目标，以识别和模拟牙科提供者口腔健康素养的多层次决定因素。这项研究具有创新性，因为它吸引了牙科提供者参与初级预防工作，并且及时响应于三个健康的人2020年目标，以及降低口咽癌的速度的需求日益增长的需求。