A Promotora Program to Prevent Primary Tooth Decay in Low-income Latino Children


Principal Investigator: Louise Palmer
Abstract: DESCRIPTION (provided by applicant): KDH Research &Communication (KDHRC) proposes to develop and evaluate Dientes Fuertes, Vida Sana (DFVS), a culturally-competent program to prevent primary tooth decay in low-income Latino children ages zero to six. To effectively reach low-income Latino children, DFVS will train promotores de salud (PS) at Latino-serving community-based organizations (CBOs) to conduct outreach to Latino parents and guardians to build their knowledge and skills in 1) oral health literacy, including proper brushing, flossing, ad feeding practices to prevent primary tooth decay;and 2) oral healthcare system navigation, which includes when, where, and how to seek dental care and treatment and methods to overcome barriers to dental care. DFVS addresses a pressing public health need. Public health officials have called tooth decay a silent epidemic and the greatest unmet childhood health need. On an individual level, childhood tooth decay predicts lasting and substantive physical, psychosocial, and economic consequences. On a societal level, childhood tooth decay costs taxpayers hundreds of millions of dollars yearly, due mostly to emergency room care for preventable tooth pain. DFVS matches this pressing public health need with the PS intervention model, which has demonstrated effectiveness, culturally-competency, and cost-efficiency. DFVS is unique in the field. At the completion of this project, we will have the complete DFVS program, which will consist of four bilingual English/Spanish components: 1) a Training Guide (TG) for a CBO-based facilitator to conduct eight, two-hour sessions to prepare PS to conduct outreach to Latino guardians;2) a multi-part training telenovela, or streaming video that dramatically illustrates Latino oral health challenges for PS learning and discussion;3) an Implementation Guide (IG) to build CBOs'capacity to effectively use DFVS;and 4) a distribution website to host DFVS. What is more, we will have substantive data on DFVS's effectiveness as a culturally-competent program to prevent primary tooth decay in low-income Latino children ages zero to six. These data will stem from two sources. First, the feasibility evaluation will explore the extent to which DFVS is a useful, culturally- appropriate program that CBOs will adopt. It will also test how exposure to the DFVS prototype changes PS'knowledge, improve attitudes, and increase self-efficacy to conduct outreach to Latino guardians. Second, the outcome evaluation will test DFVS in a two group, multi-stage, controlled trial of DFVS's effectiveness when implemented by a group of CBOs. Taken together, DFVS and its evaluation results aim to reduce oral health disparities among low-income Latino children ages zero to six by creating an evidence-based, culturally- competent program to prevent primary tooth decay.
Funding Period: 2013-09-21 - 2014-08-31
more information: NIH RePORT

Detail Information

Research Grants30

  1. Toda Promotora Clearinghouse: Supporting nonprofits'use of promotores
    ERIC CHARLES TWOMBLY; Fiscal Year: 2013
    ..Together, the two evaluations will provide information for the commercialization of TPC and a wealth of data for publishing. ..
  2. Notch-Mediated Expansion of Cord Blood Progenitors for Stem Cell Transplant
    Colleen Delaney; Fiscal Year: 2013
    ..Our goal is to now determine the clinical efficacy of this approach in a phase II clinical trial. ..
  3. Rush Center for Urban Health Equity
    Lynda H Powell; Fiscal Year: 2013
    ..Funding is now sought to bring these resources together to establish a unique center of excellence in health disparities interventions. ..
  4. Healthy Teeth Toolkit: An Innovative Software Tool to Help Public Health Programs
    BRUCE BOYER; Fiscal Year: 2013
    ..The resulting software system will be deployed and thoroughly tested in several representative COHPs to insure it efficiently meets the needs of COHPs and researchers and is of suitable, robust commercial quality. ..
  5. Carolina Community Network Center to Reduce Cancer Health Disparities (CCN II)
    Paul A Godley; Fiscal Year: 2013
  6. Parental preventive behaviors and oral health in Latino children
    Kristin S Hoeft; Fiscal Year: 2013
  7. Reducing Health Disparities in Vulnerable African American Families and Communiti
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  8. TCC for Health Disparties: Informing &Influencing Health Policy and Practice
    David Satcher; Fiscal Year: 2013
    ..SHLI TCC and its partners across HHS Region IV, will significantly impact the health outcomes of participating communities through policy development and implementation. ..
  9. Mid-South Trandisciplinary Collaborative Center for Health Disparities Research
    Mona N Fouad; Fiscal Year: 2013
    ..Aim 4. Implement a pilot project program, including a career development component;Aim 5. Evaluate the research, implementation, and dissemination activities of the TCC. ..
  10. Broad-Based Research Collaboratives on Minority Health and Health Disparties
    Errol D Crook; Fiscal Year: 2013
    ..We believe this approach will be effective and will improve the health of our constituents ..
  11. Center to Address Disparities in Children's Oral Health
    Stuart A Gansky; Fiscal Year: 2013
    ..These endeavors, with other education and career development activities, will foster new investigators to increase oral-health-disparity research capacity. ..
  12. Boston Puerto Rican Health Study - CVD Risk Factors
    Katherine L Tucker; Fiscal Year: 2013
    ..abstract_text> ..
  13. Michigan Center for Diabetes Translational Research
    William H Herman; Fiscal Year: 2013
    ..abstract_text> ..
  14. Bridging Research, Innovation, Training &Education Solutions for Minority Health
    Vickie M Mays; Fiscal Year: 2013
    ..abstract_text> ..
  15. Regional Native American Community Networks Program (RNACNP)
    Jeffrey A Henderson; Fiscal Year: 2013
    ..abstract_text> ..
  16. Redes En Accion::The National Hispanic/Latino Cancer Network Research Network
    Amelie G Ramirez; Fiscal Year: 2013
    ..abstract_text> ..
  17. Mexican Children of Immigrants Program
    Nancy S Landale; Fiscal Year: 2013
    ..The proposed research will produce essential knowledge for the development of sound public policies and interventions to reduce health disparities. ..
  18. Healthy Children for a Healthy Future (HC4HF):A Collaborative Health Disp. Res.*
    Renee R Jenkins; Fiscal Year: 2013
  19. Hereditary Causes of Nephrolithaisis and Kidney Failure
    DAWN SCHMAUTZ MILLINER; Fiscal Year: 2013
    ..This work will address barriers of rare diseases research through vigorous multidisciplinary cooperation. ..
  20. TRIAD-2 Center for Health Disparities Research
    Debra C Wallace; Fiscal Year: 2013
    ..Thus, this is an ideal natural laboratory for disparities research. ..
  21. SCHS, mitochondria, healthy aging and longevity
    Gino A Cortopassi; Fiscal Year: 2013
    ..abstract_text> ..