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 是 相对的 口服 青少年。 智能手机。 消息。 包括 人群 用过的 预定义 效力 作为 成功地 青少年r 服务不足 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， 影响农村和服务不足人群的个人。基于学校的密封剂程序 预防牙齿疾病的循证策略。然而，这些计划被青少年不足 满足他们的口腔健康需求，主要是由于缺乏兴趣参加。因此，改善青少年 健康，尤其是在弱势群体中，需要了解如何最好地达到 我轻率地，即使在低收入人群中，大多数青少年都可以访问并定期使用 这为测试基于智能手机的口腔健康促销提供了有前途的机会 基于智能手机的健康干预措施越来越多地在全球设置中实施 在服务不足或低收入青少年种群中。但是，如何将最佳针对此类消息定位为 仍有待确定。 Geipencing是一种创新的智能手机通信技术 主要是企业通过向输入智能手机用户发送消息来吸引受众的 位置或地理区域（“地理”）。商业部门的证据证明了 达到目标受众的方法；但是，这种方法尚未被广泛采用 健康促进工具。拟议的研究团队的最新工作表明，地理申请可以 到达农村地区的成年人，获得牙科保健的机会有限；如何使用这项技术到达 Emain未知。拟议项目的总体目标是使我的口腔健康 青少年通过使用地理学技术来促进基于学校的口腔健康的使用 程序。具体目的是：1） t 开发专门设计的口腔卫生服务利用 智能手机向农村青少年进行地理触发的消息运动。 2）实施 Geofence Geofence消息运动在使用口腔健康服务方面的地理上分配和测试功效 在社区。使用混合方法方法，并以精心策划模型为指导 消息开发和卫生服务使用的Anderson模型，该项目将开发，实施，并且 评估针对青少年和父母在农村，服务不足的社区中的口腔健康促进信息 使用Geofence技术。这 研究 基于拟议的成功完成 AIMS将促进创新的，基于技术的口腔健康促进策略，以有效触及到 青少年，代表一个研究的人口。结果将提供基本数据以告知 扩大地理申请技术以促进健康行为改变。 提案利用了独特的学术社区合作伙伴关系 团队和当地学区。它建立在几个社区中获得的可观经验的基础上 - 研究团队进行的参与性研究项目。