Implementing a Participatory, Multi-level Intervention to Improve Asian American Health Study
Oral Disease, Dental Caries
About this trial
This is an interventional health services research trial for Oral Disease focused on measuring Chinese American, implementation science, feasibility, acceptability, oral health, dental care, health equity, urban health
Eligibility Criteria
Inclusion Criteria:
Outreach center patients will be enrolled into either or both of 2 groups.
Approximately 50 patients from each of 3 centers (n = 150) will be consented to allow their data to be entered via the remote EHR. These EHR patient participants must meet all of the following criteria to be enrolled:
- Greater than or equal to 21 years of age
- Self-identify as being of Chinese ethnicity
- Live in any of the 5 boroughs of New York, NY and visit a participating outreach center
- Able and willing to provide informed consent to have their data entered into the remote EHR
Approximately 30 patients from each of 3 centers (n = 90) will be consented to participate in an exit interview and a follow-up interviews. These interview patient participants must meet all of the following criteria:
- Greater than or equal to 21 years of age
- Self-identify as being of Chinese ethnicity
- Live in any of the 5 boroughs of New York, NY and visit a participating outreach center
- Able and willing to provide informed consent and participate in an exit interview and a follow-up interview
Approximately 20 research staff, NYU administrators, outreach center directors, and providers (dentists and CHWs) will be enrolled to participate in interviews about the partnered intervention and/or remote EHR. These non-patient participants must meet all of the following criteria:
- Greater than or equal to 18 years of age
- Be employed or volunteers at participating outreach centers or employed at NYU
- For CHW-staff, speak and read Mandarin Chinese
- Able and willing to provide informed consent
Approximately 32 non-patient participants (research staff, NYU administrators, CAB members, outreach site directors, and providers (dentists and CHWs) will be enrolled to participate in interviews and a group model-building workshop to inform model development by sharing their knowledge about factors that influence access to oral health care and care-seeking behaviors among low-income, urban Chinese American adults. These individuals must meet all of the following criteria:
- Greater than 18 years of age
- Be employed or volunteers at participating outreach centers or employed at NYU
- Able and willing to provide informed consent
Exclusion Criteria:
Individuals meeting any of the following criteria will not be enrolled as either EHR patient participants or interview patient participants:
- Have an acute or terminal illness or a serious mental illness or any other severe health condition(s) that might preclude visiting an oral health care provider
- Are currently participating in another oral health study
Individuals meeting any of the following criteria will not be enrolled to complete the interviews about the partnered intervention or remote EHR or to provide input to the knowledge modeling activities:
1. Staff in functional areas that do not directly service patients (e.g., custodial staff) A patient participant may participate in either the EHR patient participant group only or both patient participant groups (interview patient participants are a subset of EHR patient participants). A non-patient participant may participate in any or all of the non-patient participant data collection activities. Co-participation in activities by any subject is not required.
Sites / Locations
- NYU College of Dentistry
Arms of the Study
Arm 1
Experimental
Partnered Intervention
The aspects of the partnering package of evidence-based intervention strategies are: (1) written agreements of collaboration for dental screening, health promotion, and incentives; (2) culturally-tailored and language-specific adaptation of materials; (3) demonstrations with role-playing of proper brushing with fluoride toothpaste and flossing techniques; and (4) CHW follow-up with patients of oral health care receipt and dental hygiene behaviors. Additionally, bilingual (English and Mandarin Chinese) CHWs will receive additional training in oral health promotion demonstration, oral health services and programs available at local clinics and hospitals, information about dental and health insurance, and evidence-based oral health behaviors.