Implementing Evidence-based Behavioral Skills in Pediatric Oral Healthcare Providers

在儿科口腔保健提供者中实施循证行为技能

• 批准号: 10707408
• 负责人: Cheryl Bodiford McNeil
• 金额: $ 29.97万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-20 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10707408
• 关键词: 6 year old; Academy; Adherence; Adoption; Adult Children; Affect; Age; Age Months; American; Anxiety; Appointment; Arkansas; Behavior; Behavior Control; Behavioral; Caregivers; Caring; Child; Child Behavior; Child Welfare; Childhood; Climate; Clinic; Clinical Protocols; Clinical Trials; Code; Communities; Complex; Conscious Sedation; Data; Dental; Dental Assistants; Dental Care; Dental Education; Dental General Practice; Dental Offices; Dental Staff; Dental caries; Dentistry; Dentists; Development; Discipline; Distress; Educational Intervention; Educational process of instructing; Educational workshop; Effectiveness; Enrollment; Evaluation; Family; Foundations; Fright; Funding; Future; General Anesthesia; Goals; Good Clinical Practice; Health Personnel; Health Professional; Healthcare; Human Resources; Injections; Institutional Review Boards; Instruction; International; Intervention; Knowledge; Label; Learning; Life; Manuals; Measures; Medical; Methods; Nitrous Oxide; North Carolina; Oral cavity; Oral health; Outcome; Outcome Measure; Pain; Parent-Child Relations; Parents; Patients; Pediatric Dentistry; Perception; Phase; Procedures; Protocols documentation; Provider; Quality Control; Quality of Care; Randomized; Randomized, Controlled Trials; Recommendation; Research; Residencies; Risk; Role; Site; Students; Support System; System; Testing; Time; Tooth structure; Training; Training Programs; Universities; Videotape; Visit; West Virginia; acceptability and feasibility; age group; curriculum development; data management; data quality; design; early childhood; evidence base; experience; follow-up; health care settings; implementation design; implementation outcomes; improved; innovation; instrument; medical specialties; pediatric patients; pharmacologic; programs; provider adoption; provider behavior; psychologic; public health relevance; recruit; satisfaction; skill acquisition; skills; skills training; symposium; treatment as usual

Project Summary/Abstract The overall goal of this 7-year UG3/UH3 collaborative project is to develop an interventional training for oral healthcare professionals based on behavioral skills determined to positively impact adult-child interactions in pediatric dental care. The goal of this line of research is to measure the mechanisms involved in the effectiveness of this training on dental provider utilization of these skills, and how skill utilization affects satisfaction, adherence, and behaviors of very young children (under the age of 6) and their parents/caregivers. Two years of funding will be required to align community partners, develop a training protocol, test procedures, and prepare staff. The following five years will be needed to recruit, deliver, and measure outcomes of this unique training. This project will align community- and university-based dental providers (dentists, hygienists, assistants) with a research team to develop and test the effects of a training workshop on outcomes related to provider implementation (acceptability, understanding, feasibility, system climate, and system support), training (provider knowledge, fidelity, skill use, acceptability, satisfaction), and caregiver-child experiences within a dental appointment (child cooperation, distress, and pain, as well as family acceptability and satisfaction). With an innovative training based on a well-established behavior management program for preschoolers, Parent-Child Interaction Therapy (PCIT), findings from this project will reveal if oral health care providers’ responsivity to children’s developmental needs can be changed and effectively impact the experience of dental care in very young children. The valuable connections with community partners in the states of West Virginia, Arkansas, and North Carolina allow this study to be both feasible and representative of a large variety of dental settings. The project is designed to train dental providers on a few key skills that could greatly impact child comfort in the dental office and create a foundation for future curriculum development for all dental staff. The long-term goal is to disseminate an effective training package for students of dentistry and current dental providers on a large scale that helps dental providers reduce child distress. Specifically, the ultimate intent is to disseminate this concise, effective skills training framework to enhance the use of positive and developmentally-sensitive strategies within the oral health treatment of the youngest patients.

项目摘要/摘要 这个为期7年的UG3/UH3协作项目的总体目标是开发介入 基于确定积极的行为技能的口腔医疗保健专业人员培训 在小儿牙科护理中影响成人儿童相互作用。这一研究的目的是 衡量该培训对牙齿的有效性涉及的机制 提供者利用这些技能，以及技能利用如何影响满意度， 坚持和年幼的孩子（6岁以下）及其行为及其行为 父母/照顾者。需要两年的资金来调整社区合作伙伴， 制定培训协议，测试程序并准备员工。接下来的五年将是 需要招募，交付和衡量这种独特培训的结果。 该项目将使社区和基于大学的牙科提供者保持一致（牙医， 卫生学家，助手）与研究团队一起开发和测试培训的效果 与提供商实施相关结果的研讨会（可接受性，理解， 可行性，系统气氛和系统支持），培训（提供者知识，忠诚，技能使用， 可接受性，满意度）和牙科约会（儿童）内的照顾者 - 儿童经历 合作，困扰和痛苦，以及家庭的可接受性和满意度）。与 基于为学龄前儿童的良好行为管理计划的创新培训， 亲子互动疗法（PCIT），该项目的发现将揭示是否口腔健康 护理提供者对儿童发育需求的反应可以改变有效 影响很小的孩子牙科护理的经验。 与阿肯色州西弗吉尼亚州的社区合作伙伴的价值联系， 北卡罗来纳州允许这项研究是可行的，代表了大量的 牙科设置。该项目旨在培训牙科提供者的一些关键技能，这些技能可能 极大地影响了牙科诊所的儿童舒适感，并为将来的课程创造基础 所有牙科人员的开发。长期目标是传播有效的培训 为牙科和现任牙科提供者的学生包装大规模帮助牙齿 提供者减少儿童困扰。具体而言，最终的意图是传播 简洁，有效的技能培训框架，以增强积极和 在口腔健康治疗中对发展敏感的策略 最小的患者。