Vir irgin inia ia Sar arah ah E. Ras askin, kin, PhD, MPH on - PowerPoint PPT Presentation

Com ommun unit ity y Eng ngaged d Research ch on on Or Oral l He Healt lth h Di Disparit ities ies in in Vir irgin inia ia Sar arah ah E. Ras askin, kin, PhD, MPH on behalf of the VCU iCubed Oral Health Core Virginia Health Catalyst Annual Summit Richmond, VA ⚬ Nov 7, 2019

What is Community Engaged Research? (1) “… the process of working collaboratively with and through groups of people to address issues affecting (their) well-being. It is a powerful vehicle for bringing about environmental and behavioral changes that will improve (their) health. It often involves partnerships and coalitions that help mobilize resources and influence systems, change relationships among partners, and serve as catalysts for changing policies, programs, and practices. ” Centers for Disease Control and Prevention Prevention Research Centers: Evaluation results: Program context. Atlanta (GA): Centers for Disease Control and Prevention; 2009

What is Community Engaged Research? (2) Like traditional research approaches Unlike traditional research approaches ○ ○ Systematic investigations Explicitly applied ○ ○ Variety of designs, methods Partnerships ○ ■ Reaches scholarly audiences Power sharing ■ Reciprocal learning ■ Capacity building ○ Community may influence: ■ Topic ■ Design ■ Execution ■ Translation of findings ○ Ethics ○ Evaluation of success

What is Community Engaged Research? (3) Community Energy Knowledge - Action Partnership N.d. https://www.cekap.ca/research.php Adapted from Jordan 2016.

What is Community Engaged Research? (4) Principles of Community Engagement, Second Edition https://www.atsdr.cdc.gov/communityengagement/index. html

Who is “The Community” : End users, community workers, and more https://www.nparks.gov.sg/gardenin g/community-gardens http://floridahealthnetworks.org/net work/community-health-workers/ http://augustafreeclinic.org/medical-clinic-staff/

CEnR in Oral Health Research “Although community-based participatory research (CBPR) approaches are being used broadly in research focused on prevention of a variety of health issues, its use in oral health research has been limited, and only a few recent studies have reported community-based approaches to be a priority in the development of oral health interventions. ” -- Hoffman LM, Rollins L, Henry Akintobi T et al. Oral health intervention for low-income African American men in Atlanta, Georgia. American journal of public health. 2017 May;107(S1):S104-10

Meet the iCubed Oral Health Core

VCU iCubed Oral Health Core: Community Engaged Studies (1) ● HNA to inform Health Services Development ( full core) ○ Glen Lea Elementary, Henrico Wellness Coalition, Children's Hospital of Richmond ● Exploring Dental Underutilization* (Akinkugbe, Raskin, and Kohlmann) ○ CrossOver Healthcare Ministry ● Examining FAMIS MOMS Implementation* (Naavaal, Raskin, Williams, and Duggan) ○ VDH - Oral Health / PIOHQIE, WIC; VCU Health System; VCU Dental Clinic

VCU iCubed Oral Health Core: Community Engaged Studies (2) ● Assessing HIV/AIDS Patients’ Oral Health Needs (Naavaal and Garcia) ○ VCU Health System HIV/AIDS Center ● Understanding Remote Supervision Dental Hygienist Protocol Implementation* (Raskin) ○ Virginia Dental Hygienists Association ● Community Health Workers and Oral Health (Garcia) ● CEnR and Oral Health ( Raskin, Garcia, and Brody )

Opportunities for using CEnR in oral health research ● Prevention, prevention, prevention ○ Health behaviors ○ Completing screenings and preventive dental care ● CEnR on health service delivery in safety net and institutional settings ● CEnR amongst professional groups ○ Dental team reconfigurations to increase care opportunities

For further reading ● Community-Engaged Scholarship for Health http://www.ces4health.info/ ● Engagement Scholarship Consortium https://engagementscholarship.org/ ● Principles of Community Engagement (Second Ed.) https://www.atsdr.cdc.gov/communityengagement/pdf/PCE_Report_508_FINAL.pdf ● Community Based Participatory Research listserv http://mailman13.u.washington.edu/mailman/listinfo/cbpr

Works Cited and For Future Reading (1) Ayala GX, Elder JP. Qualitative methods to ensure acceptability of behavioral and social interventions to the target population. Journal of Public Health Dentistry. 2011 Jan;71:S69-79. Braun PA, Quissell DO, Henderson WG, Bryant LL, Gregorich SE, George C, Toledo N, Cudeii D, Smith V, Johs N, Cheng J. A cluster-randomized, community-based, tribally delivered oral health promotion trial in Navajo Head Start children. Journal of dental research. 2016 Oct;95(11):1237-44. Finlayson TL, Asgari P, Hoffman L, Palomo-Zerfas A, Gonzalez M, Stamm N, Rocha MI, Nunez-Alvarez A. Formative research: using a community- based participatory research approach to develop an oral health intervention for migrant Mexican families. Health promotion practice. 2017 May;18(3):454-65. Gibbs L, Waters E, Christian B, Gold L, Young D, de Silva A, Calache H, Gussy M, Watt R, Riggs E, Tadic M. Teeth Tales: a community-based child oral health promotion trial with migrant families in Australia. BMJ open. 2015 Jun 1;5(6):e007321. Hoffman LM, Rollins L, Henry Akintobi T, Erwin K, Lewis K, Hernandez N, Miller A. Oral health intervention for low-income African American men in Atlanta, Georgia. American journal of public health. 2017 May;107(S1):S104-10. Huebner CE, Milgrom P. Evaluation of a parent ‐ designed programme to support tooth brushing of infants and young children. International journal of dental hygiene. 2015 Feb;13(1):65-73.

Works Cited and For Future Reading (2) Leite R, Hudson C, West L, Carpenter E, Andrews JO. Assessment of Oral Health Needs and Barriers to Care in a Gullah Community – Hollywood Smiles. Progress in community health partnerships: research, education, and action. 2013;7(2):201. Naidu A, Macdonald ME, Carnevale FA, Nottaway W, Thivierge C, Vignola S. Exploring oral health and hygiene practices in the Algonquin community of Rapid Lake, Quebec. Rural & Remote Health. 2014 Oct 1;14(4). Northridge ME, Metcalf SS, Yi S, Zhang Q, Gu X, Trinh-Shevrin C. A Protocol for a Feasibility and Acceptability Study of a Participatory, Multi-Level, Dynamic Intervention in Urban Outreach Centers to Improve the Oral Health of Low-Income Chinese Americans. Frontiers in public health. 2018 Feb 14;6:29. Quissell DO, Bryant LL, Braun PA, Cudeii D, Johs N, Smith VL, George C, Henderson WG, Albino J. Preventing caries in preschoolers: Successful initiation of an innovative community-based clinical trial in Navajo Nation Head Start. Contemporary clinical trials. 2014 Mar 1;37(2):242-51. Riedy CA, Ly KA, Ybarra V, Milgrom P. An FQHC research network in oral health: enhancing the workforce and reducing disparities. Public health reports. 2007 Sep;122(5):592-601. Watson MR, Horowitz AM, Garcia I, Canto MT. A community participatory oral health promotion program in an inner ‐ city Latino community. Journal of Public Health Dentistry. 2001 Mar;61(1):34-41.

Thank k you for having ing us, and for your partnersh ership ip. We’d love to hear from you! https://icubed.vcu.edu/programs/oral-health/