COBRE: MUSC: P3: ORAL HLTH IN AFRICAN AMERICAN ADOLESCENTS W/ DIABETES, RURAL

COBRE：MUSC：P3：患有糖尿病的非洲裔美国青少年农村地区的口腔 HLTH

基本信息

批准号：
7610829
负责人：
Hon K Yuen
金额：
$ 18.62万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-08-01 至 2008-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7610829
关键词：
Adherence Adolescent African American Attitude to Health Child Clinical Trials Computer Retrieval of Information on Scientific Projects Database Control Groups Daily Dental Dental Care Dental General Practice Dental Hygiene Dental caries Diabetes Mellitus Evaluation Fluoridation reaction Frequencies Funding Goals Grant Health Knowledge, Attitudes, Practice Health Status Incidence Institution Intervention Investigation Knowledge Life Manuals Measures Mouth Diseases Oral Oral health Outcome Measure Patient Self-Report Periodontal Diseases Physiological Population Research Research Personnel Resources Risk Rural Rural Community Services Severities Source Surveys Testing Tooth Diseases Training United States National Institutes of Health Water Water fluoridation design follow-up improved instrument programs psychoeducational psychologic psychological outcomes rural area tool

项目摘要

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. DESCRIPTION (provided by applicant): African-American children from rural areas are at risk for oral disease because of poor access to dental care, limited availability of dental services and often low fluoridation levels in the water. In addition, the high incidence of diabetes mellitus in this population places these children at even greater risk for oral disease. The research goal of this investigation is to pilot-test the efficacy of an oral health psychoeducational program for African-American adolescents with diabetes. In order to accomplish this goal, a physiological and a psychological outcome measure will be developed and employed. The physiological measure is the oral health status, which includes caries and periodontal disease. For the psychological measure, a culturally appropriate and valid instrument to measure the oral health attitudes, knowledge, and practices for African-American adolescents will be developed. It is hypothesized that African-American adolescents with diabetes who have received oral health psychoeducational training will demonstrate an improvement in: (1) adherence to daily oral hygiene practices as measured by monthly self-reports frequency of brushing and flossing, (2) oral health attitudes, knowledge, and practices as measured by an oral health instrument (Best Dental Practices Survey), and (3) oral health status as measured by the severity of dental disease when compared to those participating in the control group at one-month post-intervention and six-month follow-up evaluation. Three specific aims evolve from this goal: Aim 1. To develop a culturally appropriate oral health instrument (Best Dental Practices Survey) that measures the oral health attitudes, knowledge, and practices for African-American adolescents living in the rural community that traditionally has been underserved for dental needs. Aim 2. To develop a psychoeducational training manual as an oral health intervention tool for African-American adolescents with diabetes. Aim 3. To evaluate the efficacy of a pilot clinical trial examining an oral health psychoeducational program designed to improve the oral health status, attitudes, knowledge, and practices for African- American adolescents with diabetes.

该子项目是利用该技术的众多研究子项目之一资源由 NIH/NCRR 资助的中心拨款提供。子项目及研究者 (PI) 可能已从 NIH 的另一个来源获得主要资金，因此可以在其他 CRISP 条目中表示。列出的机构是对于中心来说，它不一定是研究者的机构。描述（由申请人提供）：来自农村地区的非裔美国儿童面临口腔疾病的风险，因为他们难以获得牙科护理、牙科服务有限且往往水平较低水中的氟化水平。此外，该人群糖尿病的高发病率使这些儿童患口腔疾病的风险更大。这项调查的研究目标是对患有糖尿病的非洲裔美国青少年进行口腔健康心理教育计划的有效性进行试点测试。为了实现这一目标，将开发和采用生理和心理结果测量。生理指标是口腔健康状况，包括龋齿和牙周病。对于心理测量，一种文化上适当且有效的工具，用于测量非裔美国人的口腔健康态度、知识和实践青少年将得到发展。据推测，接受口腔健康心理教育培训的非洲裔美国糖尿病青少年将在以下方面表现出改善：(1) 通过每月自我报告的刷牙和使用牙线的频率来衡量对日常口腔卫生习惯的遵守情况，(2) 通过口腔健康状况来衡量的口腔健康态度、知识和做法工具（最佳牙科实践调查），以及（3）干预后一个月与对照组参与者相比，通过牙科疾病严重程度衡量的口腔健康状况以及六个月的跟踪评估。从这个目标衍生出三个具体目标：目标 1. 开发适合文化的口腔健康工具（最佳牙科实践调查），衡量生活在传统上牙科需求服务不足的农村社区的非裔美国青少年的口腔健康态度、知识和实践。目标 2. 制定心理教育培训手册，作为非裔美国糖尿病青少年的口腔健康干预工具。目标 3. 评估旨在改善非洲人口腔健康状况、态度、知识和实践的口腔健康心理教育计划的试点临床试验的有效性美国青少年患有糖尿病。