Preliminary studies of oral screening of 3-6 year old Head Start children at Fort Belknap Reservation revealed that 47% of children had missing teeth, 67% had multiple restorations, and 43% had untreated dental caries. The data confirmed to the community their belief that the prevalence and severity of ECC in their children was unacceptably high. This proposed CBPR project will address the goal of reducing ECC by building on an existing, longstanding, and trusting relationship established between the Fort Belknap community and MSU's College of Nursing (MSUCON). The a priori hypothesis to be tested through a randomized trial is that the proposed community oral health worker (COHW) model will reduce the incidence of new and untreated dental decay and have a positive impact on caregiver reported child oral health practices. The COHW model will be implemented in a series of carefully planned and agreed upon steps and will consist of strategic and innovafive aims:
Aim 1 : Build the research infrastructure and strategic partnerships needed to enable the Gros Ventre and Assiniboine Tribes and MSUCON to create and test a sustainable and effective Community Oral Health Worker program to reduce the burden of ECC.
Aim 2 : Develop and test in a randomized control trial the effectiveness of a COHW-implemented ECC reduction protocol. A Fort Belknap community member will be trained as a COHW to deliver culturally sensitive health behavior change counseling and case management.
Aim 3 : Assist and support the Aaniiih Nakoda College in the development of the systems and infrastructure necessary to establish an accredited Community Dental Health Coordinator training program. Sustainability ofthe COHW model depends on the ability of the Tribes to reliably continue to attract qualified COHWs. COHW's who graduate from an accredited school instead of receiving on-the-job training (as proposed in Aim 2) are able to provide direct billable dental services in lieu of a dentist. Assisting the Tribes in acquiring a COHW with formal training (termed a Community Dental Health Coordinator, or CDHC) and a confinued source of qualified COHWs will result in a sustainable intervention adaptable to other tribes.

Public Health Relevance

Eariy childhood carries (ECC) is an extremely serious problem in Montana's Native communities. By partnering with Aaniiih Nakoda College and the Fort Belknap Reservafion community members, we will employ a community oral health worker-driven intervention to reduce ECC. Developing an American Dental Association Community Dental Health Coordinator (CDHC) training program at ADC will then make this program sustainable and transferable to other tribes.

Agency
National Institute of Health (NIH)
Institute
National Institute of General Medical Sciences (NIGMS)
Type
Exploratory Grants (P20)
Project #
1P20GM104417-01A1
Application #
8663425
Study Section
Special Emphasis Panel (ZGM1)
Project Start
Project End
Budget Start
2014-09-15
Budget End
2015-08-31
Support Year
1
Fiscal Year
2014
Total Cost
Indirect Cost
Name
Montana State University - Bozeman
Department
Type
DUNS #
City
Bozeman
State
MT
Country
United States
Zip Code
59717
Brooker, Rebecca J; Canen, Mara J; Davidson, Richard J et al. (2017) Short- and long-term stability of alpha asymmetry in infants: Baseline and affective measures. Psychophysiology 54:1100-1109
Deen, Jason F; Adams, Alexandra K; Fretts, Amanda et al. (2017) Cardiovascular Disease in American Indian and Alaska Native Youth: Unique Risk Factors and Areas of Scholarly Need. J Am Heart Assoc 6:
Ahmed, Selena; Byker Shanks, Carmen (2017) Quality of Vegetables Based on Total Phenolic Concentration Is Lower in More Rural Consumer Food Environments in a Rural American State. Int J Environ Res Public Health 14:
Najjar, Reema; Brooker, Rebecca J (2017) Delta-beta coupling is associated with paternal caregiving behaviors during preschool. Int J Psychophysiol 112:31-39
Canen, Mara J; Brooker, Rebecca J (2017) ERN, theta power, and risk for anxiety problems in preschoolers. Biol Psychol 123:103-110
Houle, Jason N; Warner, Cody (2017) Into the Red and Back to the Nest? Student Debt, College Completion, and Returning to the Parental Home among Young Adults. Sociol Educ 90:89-108
Byker Shanks, Carmen; Banna, Jinan; Serrano, Elena L (2017) Food Waste in the National School Lunch Program 1978-2015: A Systematic Review. J Acad Nutr Diet 117:1792-1807
Greene, Kaylin M; Maggs, Jennifer L (2017) Academic time during college: Associations with mood, tiredness, and binge drinking across days and semesters. J Adolesc 56:24-33
Gonzalez, Vivian M; Skewes, Monica C (2016) Association of the firewater myth with drinking behavior among American Indian and Alaska Native college students. Psychol Addict Behav 30:838-849
Begnoche, J Patrick; Brooker, Rebecca J; Vess, Matthew (2016) EEG Asymmetry and ERN: Behavioral Outcomes in Preschoolers. PLoS One 11:e0155713

Showing the most recent 10 out of 12 publications