Coordinated Oral Health Promotion (CO-OP) Chicago

协调口腔健康促进 (CO-OP) 芝加哥

• 批准号: 9751833
• 负责人: MOLLY A MARTIN
• 金额: $ 106.2万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9751833
• 关键词: 11 year old; Adoption; Area; Birth; Caregivers; Caries prevention; Chicago; Child; Childhood; Chronic Disease; Clinic; Clinical; Communities; Community Health Aides; Community Services; Contracts; Cosmetics; Dental caries; Dentists; Education; Effectiveness; Environmental Risk Factor; Family; Health; Health Promotion; Health Services; Health Services Accessibility; Health education; Healthcare; Home environment; Illinois; Incidence; Individual; Infection; Intervention; Lead; Low income; Maintenance; Malnutrition; Manuals; Measures; Morbidity - disease rate; Oral; Oral health; Outcome; Pain; Participant; Performance; Phase; Policies; Population; Prevalence; Preventive; Primary Prevention; Procedures; Process; Program Effectiveness; Protocols documentation; Psychologist; Public Health; Quality of life; Randomized; Research; Research Design; Research Personnel; Resources; Schools; Services; Severities; Site; Social Work; Speech; System; Testing; Training; Ursidae Family; Workforce Development; base; behavior change; clinical care; community clinic; cultural competence; design; early childhood; formative assessment; high risk; improved; indexing; individual patient; intervention participants; minority children; operation; pediatrician; primary outcome; programs; public health relevance; racial and ethnic disparities; recruit; service delivery; social; social engagement

 DESCRIPTION (provided by applicant): Almost half of children 11 years old and younger suffer from dental caries, making caries one of the most common chronic diseases of childhood. Low income and minority children bear a disproportionate portion of this burden. In Chicago, these disparities are obvious with 63% of Chicago-area 3rd-graders having dental caries and over half of these caries are untreated. Pediatric dental caries are associated with pain, more severe infections, malnutrition, speech difficulties, poor school performance, cosmetic problems, and an overall lower quality of life. While many oral health interventions have been developed to reduce the incidence of caries, even the most successful programs have limited effectiveness in high risk children. The delivery and receipt of proper preventive oral healthcare involves social and environmental factors that operate on individual, family, and community levels. Multi-level interventions recognize the need to target these levels simultaneously but multi-level oral health interventions for the primary prevention of dental caries are lacking. COordinated Oral health Promotion (CO-OP) Chicago brings together a team of clinical pediatricians and dentists, researchers, health psychologists, and policy experts to rigorously test the ability of an oral health promotion intervention to improve child and family oral health. The primary intervention is family-focused education and support from community health workers (CHWs); this intervention will be applied in a range of settings to determine which settings, or combination of settings, result in the best outcomes. The Aim of the UH2 Phase is to formalize partnerships and finalize study design and protocol. This includes: 1) A formative assessment to determine partner operations, resources, and needs; 2) CHW training; 3) Pilot testing of recruitment and intervention protocols; 4) Creation of a final Manual of Procedures; and 5) Obtain clearances/contracts from all institutional and community partners. The UH3 Phase then implements and evaluates the intervention in 15 clinics, 15 WIC sites, and 1520 individual families. Aim 1 is to evaluate the ability of a clinic-based family-focused CHW intervention to improve child oral health; Aim 2 evaluates the ability of a WIC-based family-focused CHW intervention to improve child oral health; Aim 3 evaluates the ability of a home-based family-focused CHW intervention to improve child oral health; and Aim 4 determines the added value of combining interventions. The hypothesis is that participants receiving home-based CHWs and clinic-based or WIC-based CHW interventions will have the best oral health outcomes at 12-months. The primary outcome is incidence of early childhood caries, determined by the Caries Severity Index. The study will also employ the RE-AIM framework (Reach, Efficacy, Adoption, Implementation, Maintenance) to evaluate program effectiveness. The results of this study have the potential to influence oral health programming, workforce development, and reimbursement on the local, state, and national level.

 描述（由申请人提供）：几乎一半 11 岁及以下儿童患有龋齿，这使得龋齿成为儿童最常见的慢性疾病之一。在芝加哥，低收入儿童和少数族裔儿童承担着不成比例的比例。芝加哥地区 63% 的三年级学生患有龋齿，其中一半以上的儿童龋齿与疼痛、更严重的感染、营养不良、言语有关。尽管已经制定了许多口腔健康干预措施来降低龋齿的发生率，但即使是最成功的计划对高危儿童的效果也有限。适当的预防性口腔保健涉及个人、家庭和社区层面的社会和环境因素，多层次干预措施认识到需要同时针对这些层面，但缺乏协调一致的龋齿一级预防的多层次口腔健康干预措施。芝加哥口腔健康促进会 (CO-OP) 汇集了由临床儿科医生和牙医、研究人员、健康心理学家和政策专家组成的团队，严格测试口腔健康促进干预措施改善儿童和家庭口腔健康的能力。主要干预措施是社区卫生工作者 (CHW) 的以家庭为中心的教育和支持。 ) )；该干预措施将应用于一系列环境，以确定哪些环境或环境组合可产生最佳结果。 UH2 阶段的目标是正式建立合作伙伴关系并最终确定研究设计和方案。 ) 正式评估以确定合作伙伴运营、资源和需求； 2) CHW 培训； 3) 招募和干预方案的试点测试； 4) 制定最终程序手册；以及 5) 获得所有机构和社区合作伙伴的许可/合同。然后在 15 个诊所、15 个 WIC 站点和 1520 个家庭中实施并评估干预措施。目标 1 是评估基于诊所、以家庭为中心的 CHW 干预措施改善儿童口腔的能力。目标 2 评估基于 WIC 的以家庭为中心的 CHW 干预措施改善儿童口腔健康的能力；目标 3 评估以家庭为中心的 CHW 干预措施改善儿童口腔健康的能力；假设接受基于家庭的 CHW 和基于诊所或基于 WIC 的 CHW 干预的参与者将在 12 个月时获得最佳的口腔健康结果。主要结果是儿童早期龋齿的发生率。该研究还将采用 RE-AIM 框架（覆盖范围、有效性、采用、实施、维护）来评估计划的有效性。这项研究的结果有可能影响口腔健康规划、劳动力发展和。地方、州和国家层面的报销。