Coordinated Oral Health Promotion (CO-OP) Chicago Cohort Study

协调口腔健康促进 (CO-OP) 芝加哥队列研究

基本信息

批准号：
10645026
负责人：
MOLLY A MARTIN
金额：
$ 108.23万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-08 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10645026
关键词：
3 year old Absenteeism Address Adverse effects Affect Affordable Care Act Age Behavior Black Populations Black race COVID-19 Caregivers Chicago Child Child Behavior Child Rearing Childhood Clinical Cohort Studies Communities Data Data Collection Data Sources Dental Dental Care Dental Hygiene Dental Plaque Dental caries Diet Direct Costs Disease Disparity Disparity population Enrollment Ethnic Origin Family Fluorides Frequencies Funding Future General Anesthesia Genetic Grant Health Health Food Health Insurance Health Promotion Health Services Accessibility Health behavior Healthcare Hispanic Hispanic Populations Home Individual Intervention Longitudinal cohort Low income Mediating Medicaid Minority Groups Modeling Morbidity - disease rate National Institute of Dental and Craniofacial Research Nutritional Oral health Pain Participant Patient Self-Report Positioning Attribute Prevalence Preventive Provider Psychosocial Factor Randomized, Controlled Trials Recommendation Reporting Research Risk Risk Factors Schools Sedation procedure Surveys Techniques Testing Time Toothbrushing Toothpaste United States Violence Water fluoridation Work aged arm cognitive development cohort community intervention community-level factor cost cost effective demographics effectiveness testing experience food security health belief health data health disparity health literacy health related quality of life high risk improved lens lower income families primary outcome recruit research and development risk prediction social theories therapy development

项目摘要

SUMMARY Caries prevalence, morbidity, and associated disparities in children have been well documented nationally and locally. Research now is trying to understand why these disparities persist. Caries risk for an individual is considered a combination of genetics and behaviors (diet, oral hygiene, and fluoride exposure). The Coordinated Oral Health Promotion (CO-OP) Chicago Cohort Study will use the social ecological theory lens to examine caries risk factors on multiple levels. CO-OP Chicago was previously funded by NIDCR to reduce oral health disparities in children. The original CO-OP Chicago study [UH2DE02583] established baseline estimates of tooth brushing behaviors and determined the feasibility of objective assessment of tooth brushing behaviors in the homes of high-risk children under the age of three years old. CO-OP Chicago [UH3DE025483] then recruited 420 child/caregiver dyads to participate in a two-arm, cluster-randomized controlled trial testing the effectiveness of a family-focused CHW oral health intervention to improve tooth brushing behaviors for young children. The primary outcome was caregiver-reported brushing frequency and observed plaque score at 12-months. At entry into the study, the mean child age was 21.5 months. Forty-two percent of participants described themselves as Black race, and 54% as Hispanic ethnicity. Most children (89%) had Medicaid health insurance. CO-OP Chicago collected a range of self-reported and observed oral health data as well as family psychosocial factors from these low-income families over one year. However, the study did NOT include a caries assessment. The proposed CO-OP Chicago Cohort Study will transition trial participants into a longitudinal cohort (minimum N=315) to determine multi-level predictors of oral health behaviors and caries risk in low-income, urban young children over time. The CO-OP Chicago Cohort Study uses the social ecologic model to organize oral health risk factors into individual (child), interpersonal (family), organizational (healthcare), and community domains. We will collect four additional years of data with data collection every six months that includes caregiver-reported and observed child oral health behaviors, dental plaque scores, diet, parenting styles, dental provider access, and social risk factors. We will also conduct two caries examinations on children at ages five and seven. Community-level data will be extracted from public data sources. Specific Aim 1 is to examine associations between child, family, healthcare, and community factors on young child home oral health behaviors (child brushing frequency and plaque score) over time. Specific Aim 2 is to examine associations between child, family, healthcare, and community factors on young child caries prevalence over time. Specific Aim 3 is to examine the mediating effects of child brushing frequency and plaque score on the prior identified risk factors associated with caries prevalence. An Exploratory Aim will determine the ability of plaque scores to predict risk of caries. These data will advance our understanding of caries risk factors and inform future research and intervention development.

概括儿童的龋齿患病率，发病率和相关差异已在全国范围内得到充分证明本地。现在的研究试图理解为什么这些差异持续存在。性对个人的危险是被认为是遗传学和行为（饮食，口腔卫生和氟化物暴露）的结合。这协调的口腔健康促进（CO-OP）芝加哥队列研究将使用社会生态理论镜头以多个级别检查龋齿危险因素。芝加哥合作社以前由NIDCR资助减少儿童口腔健康差异。最初的合作社芝加哥研究[UH2DE02583]建立了牙刷行为的基线估计值，并确定牙齿客观评估的可行性三岁以下的高风险儿童家中的刷牙行为。芝加哥合作社 [UH3DE025483]然后招募了420名儿童/护理人员二元组参加两臂群集随机对照试验测试以家庭为中心的CHW口服健康干预措施的有效性以改善牙齿为幼儿刷牙行为。主要结果是照顾者报告的刷牙频率和观察到的牙菌斑得分为12个月。进入研究时，平均儿童年龄为21.5个月。四十二参与者中的百分比描述为黑人种族，而54％的参与者为西班牙裔种族。大多数孩子（89％）拥有医疗补助健康保险。芝加哥合作社收集了一系列自我报告和观察的口头这些低收入家庭的健康数据以及来自这些低收入家庭的家庭社会心理因素。但是，研究不包括龋齿评估。拟议的合作社芝加哥队列研究将过渡试验参与者进入纵向队列（最低n = 315），以确定口服的多层次预测指标随着时间的流逝，低收入城市幼儿的健康行为和性风险。芝加哥合作社队列研究使用社会生态模型将口腔健康危险因素组织到个人（儿童）中，人际关系（家庭），组织（医疗保健）和社区领域。我们将额外收集四个每六个月收集数据的数据，包括护理人员报告和观察到的儿童口头健康行为，牙齿斑块得分，饮食，育儿风格，牙科提供者的访问和社会风险因素。我们还将对五岁和七岁的儿童进行两次龋齿检查。社区级数据将是从公共数据来源提取。具体目标1是检查儿童，家庭，医疗保健以及幼儿家庭口腔健康行为的社区因素（儿童刷牙频率和随着时间的流逝，斑块得分）。具体目标2是检查儿童，家庭，医疗保健和随着时间的流逝，幼儿龋齿患病率的社区因素。特定目标3是检查中介儿童刷牙频率和斑块评分对与龋齿相关的先前确定的风险因素的影响流行率。探索目的将决定牙菌斑得分预测龋齿风险的能力。这些数据将促进我们对龋齿风险因素的理解，并为未来的研究和干预发展提供信息。