Center for Research to Evaluate & Eliminate Dental Disparities

研究评估中心

• 批准号: 8662550
• 负责人: Raul I Garcia
• 金额: $ 222.03万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-24 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8662550
• 关键词: 3 year old; Advocate; Age; Birth; Boston; Caregivers; Caring; Child; Clinical; Commit; Communities; Community Health Centers; Counseling; Dental; Dental caries; Development; Fluoride Varnishes; Foundations; Health; Health Policy; Health Promotion; Incidence; Individual; Information Systems; Institution; Intervention; Intervention Studies; Maryland; Massachusetts; Ohio; Oral health; Physicians; Provider; Public Housing; Randomized; Research; Research Design; Research Training; Risk Reduction; System; Training; Universities; aged; base; career development; dissemination research; early childhood; health disparity; motivational enhancement therapy; multidisciplinary; patient oriented; peer; prevent

DESCRIPTION (provided by applicant): The Northeast Center for Research to Evaluate & Eliminate Dental Disparities (CREEDD) is committed to the elimination of oral health disparities through research, training and action. Our efforts will build on a strong foundation of early and continuous community engagement, community-based research interventions, integrated training and career development, broad dissemination of research findings, and targeted health policy initiatives. Based at Boston University, the CREEDD will maintain its current regional approach, with partnering institutions in Massachusetts, Maryland and Ohio. A diverse, multidisciplinary and multi-institutional team will implement community-based intervention research projects aimed at reducing early childhood caries (ECC). Our organizing theme is engaging non-dental care providers in oral health promotion, and extending the venues for oral health promotion to non-clinical care settings directly in health disparity communities. The two major community-based intervention research projects will be: Project #1 (D&IR Project) - Partnering with Community Health Centers to Prevent ECC (D&IR Project) Physician-delivered interventions, targeted at children aged 1 to 3 years old, with include fluoride varnish applications, patient-centered counseling, and systems-level changes to clinical information systems and clinical prompts used in order to include age-appropriate, oral health-specific anticipatory guidance items. Project #2 - Oral Health Advocates in Public Housing Resident Health Advocates (RHA), trained peer health advocates, will incorporate motivational interviewing and community oral health promotion activities into their ongoing health promotion efforts targeting caregivers with children from birth to 5 yrs old, aimed at caries risk reduction and lowering incidence of ECC. We will use a community-based cluster randomized study design, in Project #1 with community health centers (CHC) as the unit of randomization, with CHC located in Boston, Maryland, and southeastern Ohio; and in Project #2 with individual public housing developments in Boston as the unit of randomization.

描述（由申请人提供）：东北研究中心评估和消除牙齿差异（Creedd）致力于通过研究，培训和行动消除口腔健康差异。我们的努力将基于早期和持续的社区参与，基于社区的研究干预，综合培训和职业发展，研究结果的广泛传播以及有针对性的健康政策计划的坚实基础。 Creedd位于波士顿大学，将与马萨诸塞州，马里兰州和俄亥俄州的合作机构保持其当前的区域方法。一个多样化，多学科和多机构的团队将实施旨在减少幼儿龋齿（ECC）的社区干预研究项目。我们的组织主题是使非牙科护理提供者参与口腔健康促进，并将口腔健康促进的场所扩展到直接在健康差异社区中的非临床护理环境。 基于社区的两个主要干预研究项目将是： 项目＃1（D＆IR项目） - 与社区卫生中心合作，以防止ECC（D＆IR Project）医生提供干预措施，针对1至3岁的儿童，其中包括氟化物清漆应用，以患者为中心的咨询以及用于临床信息系统和临床提示的系统级别更改，以包括年龄段的临床信息系统和临床提示，包括年龄适中的指南，或适用于适当的健康指南。 项目＃2-公共住房中的口腔健康倡导者 培训的同伴健康倡导者居民健康倡导者（RHA）将把动机面试和社区口腔健康促进活动纳入其正在进行的健康促进工作中，以从出生到5岁的儿童对照顾者进行针对的护理人员，旨在降低龋齿风险和降低ECC的发病率。我们将在具有社区卫生中心（CHC）的项目＃1中使用基于社区的集群随机研究设计，作为随机化单位，CHC位于波士顿，马里兰州和俄亥俄州东南部；在2号项目中，波士顿的个人公共住房发展是随机化的单位。