An online professional development course to train CHWs to provide oral health outreach to low-income Black guardians

在线专业发展课程，培训社区卫生工作者为低收入黑人监护人提供口腔健康服务

• 批准号: 10254794
• 负责人: Dexter L Cooper
• 金额: $ 25.1万
• 依托单位: KDH RESEARCH AND COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-26 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10254794
• 关键词: Address; Adolescent; Adoption; Age; American; Architecture; Area; Attitude; Belief; Benchmarking; COVID-19 pandemic; Caregivers; Child; Childhood; Chronic Disease; Client; Communication Research; Communities; Community Health Aides; Competence; Contracts; Course Content; Dental; Dental Care; Dental caries; E-learning; Economics; Effectiveness; Electronic Mail; Ensure; Evaluation; Exposure to; Feasibility Studies; Feedback; Goals; Health; Health Resources; Healthcare; Healthcare Systems; Household; Human; Individual; Infection; Intention; Intervention; Knowledge; Leadership; Learning; Left; Licensing; Longevity; Low Income Population; Low income; Measures; Minority; Minority Groups; Not Hispanic or Latino; Oral health; Outcome; Pain; Pattern; Persons; Phase; Plant Roots; Positioning Attribute; Poverty; Prevalence; Prevention; Preventive; Production; Public Health; Randomized; Randomized Controlled Trials; Recording of previous events; Reporting; Research; Resource Development; Resources; Risk; Sales; Self Efficacy; Small Business Innovation Research Grant; Solid; System; Testing; Text; Time; Tissues; Tooth structure; Training; Training Programs; Visit; Youth; behavior change; commercialization; cost; cost effective; course development; course module; cultural competence; deciduous tooth; design; education resources; evidence base; experience; hands-on learning; health disparity; improved; innovation; online community; outreach; prototype; psychosocial; satisfaction; skills; social; virtual

In this SBIR Phase I submission, KDH Research & Communication (KDHRC) proposes to develop and evaluate Guardians Receiving Information through Navigators (GRIN). GRIN is a culturally competent, online professional development course to prepare community health workers (CHWs) to provide oral health outreach to low-income Black guardians of children and adolescents. GRIN aims to increase CHWs’ knowledge, attitudes and beliefs, perceived self- efficacy, and intentions to conduct oral health outreach to Black guardians. Tooth decay, especially when untreated, creates lasting and substantial physical consequences for children and adolescents. Minority and low-income populations have disproportionately high rates of tooth decay and related consequences. Compared to non- Hispanic White children, Black children are less likely to receive preventive dental visits, and experience more untreated tooth decay. Moreover, children living in poverty are twice as likely as children not living in poverty to experience primary tooth decay. Because of such childhood oral health disparities, GRIN will equip CHWs – who are uniquely positioned to provide high- impact outreach to minority and low-income populations – with the knowledge and skills to deliver culturally appropriate tooth decay prevention and oral health outreach to low-income Black guardians of children and adolescents from ages 0-18. In Phase I, we will develop the GRIN prototype with feedback from a steering committee to promote alignment with CHW best practices and the needs of the Black community, and ensure the prototype contains scientifically accurate information. We will evaluate the GRIN prototype in a randomized, two-group study that empirically assesses knowledge, attitudes and beliefs, self-efficacy, and intentions change after exposure to the GRIN prototype. The Phase I project will prepare us for Phase II expansion and a rigorous randomized controlled trial. When complete, GRIN will be rooted in KDHRC’s vast experience and connections with CHW leadership and organizations and be marketed through KDHRC’s robust sales system that uses email and interpersonal outreach to promote and support adoption of our suite of CHW/promotores training programs. GRIN will intervene at a critical point in history to address extant dental health disparities that are likely to be exacerbated by the COVID-19 pandemic. As an online training on dental care to increase CHW competencies in both in-person and virtual outreach to Black guardians, GRIN can strive for the highest possible impact on reducing oral health disparities.

在此SBIR I期提交中，KDH研究与传播（KDHRC）提出 开发和评估监护人通过导航员（Grin）接收信息。笑是一个 具有文化胜任的在线专业发展课程，以准备社区健康 工人（CHW）向低收入儿童的低收入黑人监护人提供口腔健康外展 青少年。咧着嘴笑的旨在提高CHW的知识，出席并相信，感知的自我 功效，并意图向黑人监护人进行口腔健康外展。 蛀牙，尤其是在未经治疗的情况下，会产生持久而实质性的物理 儿童和青少年的后果。少数民族和低收入人群 蛀牙和相关后果的高度高。与非 - 西班牙裔白人孩子，黑人儿童不太可能接受预防性牙齿探访， 体验更多未经处理的蛀牙。而且，生活在贫困中的孩子的可能性是 由于儿童不生活在贫困中，经历原发性蛀牙。由于这样的童年 口腔健康差异，笑容会为CHW配备 - 他们在提供高处的唯一位置 影响少数民族和低收入人群的影响 - 知识和技能 向低收入提供文化适当的蛀牙预防和口腔健康外展 来自0-18岁的儿童和青少年的黑人监护人。 在第一阶段，我们将通过指导委员会的反馈来发展笑容原型 促进与CHW最佳实践和黑人社区需求的一致性，并确保 该原型包含科学准确的信息。我们将评估笑容的原型 在一项随机的两组研究中，从经验上评估知识，吸引和相信， 自我效能和意图在暴露于笑容原型后发生了变化。 第一阶段项目将为我们准备第二阶段扩展和严格的随机扩展 对照试验。完成后，笑容将植根于KDHRC的丰富经验和 与CHW领导力和组织的联系，并通过KDHRC的强大销售 使用电子邮件和人际关系外展来促进和支持采用我们的销售系统 CHW/Promotores培训计划的套件。 咧嘴笑会在历史上的关键点进行干预，以解决额外的牙科健康分布 这很可能会因19日大流行而加剧。作为牙科的在线培训 愿意将面对面和虚拟宣传的CHW能力提高到黑人监护人， 笑容可以努力为减少口腔健康差异带来最大的影响。