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.

在这份 SBIR 第一阶段提交文件中，KDH 研究与传播 (KDHRC) 提议 开发和评估通过导航器接收信息的监护人 (GRIN)。 具有文化能力的在线专业发展课程，为社区健康做好准备 工作人员（CHW）为儿童和儿童的低收入黑人监护人提供口腔健康服务 GRIN 旨在提高社区卫生工作者的知识、态度和信念以及自我认知。 功效以及向黑人监护人进行口腔健康宣传的意图。 蛀牙，尤其是未经治疗的情况下，会产生持久且实质性的身体损害 对儿童和青少年的影响。 与非蛀牙和相关后果相比，蛀牙率高得不成比例。 西班牙裔白人儿童、黑人儿童接受预防性牙科检查的可能性较小，并且 此外，生活在贫困中的儿童出现未经治疗的蛀牙的可能性是其他儿童的两倍。 作为生活在贫困中的孩子，因为这样的童年而经历原发性蛀牙。 口腔健康差异，GRIN 将为社区卫生工作者提供装备——他们具有独特的优势，可以提供高 对少数族裔和低收入人群进行影响力推广——利用知识和技能 向低收入人群提供文化上适当的蛀牙预防和口腔健康宣传 0-18 岁儿童和青少年的黑人监护人。 在第一阶段，我们将根据指导委员会的反馈开发 GRIN 原型 促进与 CHW 最佳实践和黑人社区的需求保持一致，并确保 该原型包含科学上准确的信息，我们将评估 GRIN 原型。 在一项随机、两组研究中，根据经验评估知识、态度和信念， 自我效能感和意图在接触 GRIN 原型后发生变化。 第一阶段项目将为我们第二阶段的扩展和严格的随机试验做好准备 对照试验完成后，GRIN 将植根于 KDHRC 的丰富经验和经验。 与 CHW 领导层和组织建立联系，并通过 KDHRC 强大的营销渠道进行营销 销售系统使用电子邮件和人际外展来促进和支持我们的采用 一套 CHW/促销员培训计划。 GRIN 将在历史的关键时刻进行干预，以解决现有的牙齿健康差异 作为牙科在线培训，这种情况可能会因 COVID-19 大流行而加剧。 关心提高社区卫生工作者在面对面和虚拟接触黑人监护人方面的能力， GRIN 致力于在减少口腔健康差异方面发挥最大的影响。