Geofencing: mobile technology to increase the utilization of oral health services among adolescents in rural North Carolina

地理围栏：移动技术提高北卡罗来纳州农村青少年口腔健康服务的利用率

• 批准号: 10352539
• 负责人: Wanda Gale Wright
• 金额: $ 22.65万
• 依托单位: EAST CAROLINA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10352539
• 关键词: Accident and Emergency department; Adolescent; Adopted; Adult; Advertisements; Affect; Awareness; Black race; Businesses; Car Phone; Cellular Phone; Characteristics; Child; Chronic; Chronic Disease; Code; Communication; Communities; Community Health; Cosmetics; County; Data; Dental; Dental Care; Dental caries; Development; Economics; Effectiveness; Enrollment; Evidence based program; Family; Focus Groups; Foundations; Geographic Locations; Geography; Gingivitis; Goals; Health; Health Promotion; Health Services; Health Technology; Health behavior change; Healthcare; Hispanic; Hospitals; Household; Income; Individual; Inequality; Injury; Intervention; Life Cycle Stages; Location; Low Income Population; Low income; Malocclusion; Medicaid; Methods; Mission; Modeling; North Carolina; Oral; Oral health; Parents; Participant; Personal Satisfaction; Pit and Fissure Sealants; Population; Poverty; Prevention; Preventive; Preventive dental care; Provider; Quality of life; Research; Research Methodology; Research Project Grants; Role; Rural; Rural Community; Rural Population; Schools; Services; Surveys; Technology; Teenagers; Testing; Tooth Diseases; Travel; Underserved Population; United States; Visit; Vulnerable Populations; Water fluoridation; Work; adolescent health; age group; aged; base; community based participatory research; community partnership; cost; design; disparity reduction; efficacy study; efficacy testing; ethnic minority population; experience; health care availability; health communication; health disparity; health service use; improved; innovation; innovative technologies; interest; lower income families; mobile computing; novel; novel strategies; population based; prevent; prevention service; primary care setting; programs; psychologic; racial minority; rural area; rural counties; rural underserved; safety net; scale up; school district; sealant; service engagement; service utilization; statistics; tool; underserved community; uptake; vulnerable adolescent

Project Dental disproportionately are relative oral adolescents. smartphones. messages. including populations used pre-defined effectiveness as successfully adolescents r underserved prevention Summary caries is the most common chronic disease affecting children and adolescents in the United States, affecting individuals from rural and underserved populations. School-based sealant programs an evidence-based strategy to prevent dental disease. Yet, these programs are underutilized by adolescents to their oral health needs, mainly due o a lack of interest to participate. Therefore, improving adolescent health, particularly among vulnerable populations, requires an understanding of how to best reach I mportantly, even in low-income populations, most adolescents have access to and regularly use This offers a promising opportunity to test smartphone-based delivery of oral health promotional Smartphone-based health interventions are increasingly implemented in settings worldwide, among underserved or low-income adolescent populations. Yet, how to best target messages to such remains to be determined. Geofencing is an innovative smartphone communications technology mainly by businesses to engage their audience by sending messages to smartphone users who enter a location or geographic area (a `geofence'). Evidence from the business sector demonstrates the of this approach to reach target audiences; however, this approach has not been widely adopted a health promotion tool. Recent work by the proposed research team indicates that geofencing can reach adults in a rural region with limited access to dental care; how to use this technology to reach emains unknown. The overall goal of the proposed project is to i mprove the oral health of adolescents by using geofencing t echnology to promote the use of a school-based oral health program. The specific aims are to: 1) t Develop participatory-designed oral health services utilization message campaign for geofence-triggered delivery by smartphone to rural adolescents.; and 2) Implement geofence distribution and test efficacy of a geofence message campaign on the utilization of oral health services in the community. Using a mixed-methods approach and guided by the Elaboration Likelihood Model for message development and Anderson Model for Health Services Use, this project will develop, implement, and evaluate oral health promotional messages targeting adolescents and parents in a rural, underserved community using geofence technology. The research based Successful completion of the proposed aims will advance innovative, technology-based oral health promotional strategies for effective reach to adolescents, who represent an understudied population. The results will provide foundational data to inform scale-up of geofencing technology for health communication to promote health behavior change. proposal leverages a unique academic-community partnership between the team and a local school district. It builds on the considerable experience gained in several community- participatory research projects conducted by the research team.

项目 牙科 不成比例地 是 相对的 口服 青少年。 智能手机。 消息。 包括 人口 用过的 预定义的 效力 作为 成功地 青少年r 服务不足的 预防 概括 龋齿是影响美国儿童和青少年的最常见慢性疾病， 影响来自农村和服务不足的人群的个人。校本密封剂计划 预防牙科疾病的循证策略。然而，青少年并未充分利用这些计划 其口腔健康需求，主要是由于缺乏参与兴趣。因此，提高青少年 健康，特别是弱势群体的健康，需要了解如何最好地实现 重要的是，即使在低收入人群中，大多数青少年也能获得并定期使用 这为测试基于智能手机的口腔健康宣传提供了一个有前途的机会 基于智能手机的健康干预措施越来越多地在世界各地实施， 服务不足或低收入青少年群体。然而，如何最好地向这样的人发送信息 仍有待确定。地理围栏是一种创新的智能手机通信技术 主要是企业通过向进入的智能手机用户发送消息来吸引受众 位置或地理区域（“地理围栏”）。来自商业部门的证据表明 通过这种方法来接触目标受众；然而，这种方法并未被广泛采用 健康促进工具。拟议的研究小组最近的工作表明地理围栏可以 覆盖获得牙科护理机会有限的农村地区的成年人；如何利用这项技术来达到 仍然未知。拟议项目的总体目标是改善口腔健康 青少年通过使用地理围栏技术来促进学校口腔健康的使用 程序。具体目标是：1） t 开发参与式设计的口腔健康服务利用 通过智能手机向农村青少年发送由地理围栏触发的信息活动。 2) 实施 地理围栏分布和测试地理围栏消息活动对口腔保健服务利用的效果 在社区中。使用混合方法并以细化似然模型为指导 消息开发和安德森健康服务模型，该项目将开发、实施和 评估针对服务水平低下的农村社区青少年和家长的口腔健康宣传信息 使用地理围栏技术。这 研究 基于成功完成拟议的 目标将推进创新的、基于技术的口腔健康促进战略，以有效覆盖 青少年，他们是未被充分研究的人群。结果将提供基础数据以供参考 扩大用于健康传播的地理围栏技术，以促进健康行为的改变。 该提案利用了独特的学术界与学术界之间的伙伴关系 团队和当地学区。它建立在多个社区获得的大量经验的基础上—— 研究团队进行的参与性研究项目。