Evaluation of a Bright Futures Oral Health Intervention
Palabras clave
Abstracto
Descripción
Although health professionals must be equipped to promote healthy lifestyles and serve as resources for the public's health information, many gaps in the education and training of residents exist. Health professional students readily admit to deficiencies in their training (i.e. lack of learning principles of prevention, health promotion, behavior change and risk reduction), yet, curricular changes have been slow [1,2]. A 1997 AAMC Medical School Graduation Questionnaire revealed that almost one quarter of graduates felt instruction time devoted to health promotion and disease prevention was inadequate [3, 4, 5, 6]. Mandates for competency-based, post-graduate training by the ACGME Outcomes Project and competency expectations by the AAMC Medical Schools Objectives Project (MSOP) require all residency programs and medical schools to develop innovative approaches to teaching clinical skills.
We believe the resident continuity experience is the perfect venue to implement and practice clinical guidelines and Bright Futures concepts. Past studies have documented that residents in academic, hospital-based sites, similar to those in CORNET, experience the most continuity and longitudinal relationships with their patients [7, 8, 9]. Longitudinal learning is a basic tenet of successful interventions and is easily accomplished during resident continuity practice. Pediatrics in Practice provides key resources for enhancing knowledge in family-centered oral health promotion and responding to the present gaps in medical education and training. Both residents and pediatricians in practice have limited knowledge of Bright Futures and its tenets. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents represents the framework of providing contextual care to children that fosters partnerships among families, health professionals, and communities and increases knowledge about health education and prevention [10, 11, 12]. Although more competency-based curricula are being designed to promote skills and knowledge in health promotion and preventive services, there has been very little research into their efficacy in trainees.
fechas
Verificado por última vez: | 07/31/2010 |
Primero enviado: | 07/28/2011 |
Inscripción estimada enviada: | 07/28/2011 |
Publicado por primera vez: | 07/31/2011 |
Última actualización enviada: | 07/28/2011 |
Última actualización publicada: | 07/31/2011 |
Fecha de inicio real del estudio: | 08/31/2005 |
Fecha estimada de finalización primaria: | 11/30/2010 |
Fecha estimada de finalización del estudio: | 11/30/2010 |
Condición o enfermedad
Intervención / tratamiento
Behavioral: Group 1
Behavioral: Group 2
Fase
Grupos de brazos
Brazo | Intervención / tratamiento |
---|---|
Group 1 Group 1: 16 programs / 148 residents | Behavioral: Group 1 Residents who are randomized to Group 1 will receive a resident curriculum that exposes them to Bright Futures concepts of health promotion, including partnership building, communication and oral health. Group 1 residents will complete 7 modules, 3 on Bright Futures concepts (health, partnership building and communication), and 4 on oral health promotion. These modules have been developed in collaboration with the Pediatrics in Practice workgroup and the Open Wide modules endorsed by the American Academy of Pediatrics and the Maternal and Child Health Bureau. The oral health modules address dental caries development and prevention, importance of identifying maternal oral health status, duration of bottle-feeding or breastfeeding and discouraging both during sleep. |
Group 2 Group 2: 16 programs / 142 residents | Behavioral: Group 2 Our study team opted to include a single 1-hour educational module addressing the identification and prevention of iron deficiency created by the AAP on Pedialink® to the active control group. This educational module addresses screening for and assessing risk for iron deficiency. |
Criterio de elegibilidad
Edades elegibles para estudiar | 12 Months A 12 Months |
Sexos elegibles para estudiar | All |
Método de muestreo | Non-Probability Sample |
Acepta voluntarios saludables | si |
Criterios | Inclusion Criteria: - Residents 1. Pediatric categorical residents 2. PL-1 or PL-2 level - Parents/Patients 1. Parents/legal guardian of children 12- 35 months of age 2. Legal guardian present at visit 3. Primary care provider is pediatric resident seeing patient at that visit 4. Child presents for health maintenance visit 5. English speaking |