Department of Pediatrics (Drs Martin and Frese) and Institute for Health Research and Policy (Dr Sandoval), University of Illinois at Chicago, Chicago, Illinois; and Section of Population Oral Health, Columbia University College of Dental Medicine, New York City, New York (Dr Lumsden).
J Public Health Manag Pract. 2018 May/Jun;24(3):e9-e18. doi: 10.1097/PHH.0000000000000582.
Community health workers (CHWs) are a promising approach to oral health promotion in high-risk populations. This article describes the process of creating a pediatric oral health CHW training curriculum.
Existing curricula were identified through outreach efforts to experts in the oral health and CHW fields, as well as PubMed and Google searches. After coding basic information, curricula were mapped to define oral health domains. Then group discussion was employed to determine final curriculum contents.
United States.
Curricula were included if they addressed oral health, were in English or Spanish, involved US populations, did not target dental clinicians, and whether sufficient data could be obtained.
Curricula were evaluated for delivery format, number of hours, target audience, inclusion of CHWs, completeness, and oral health content.
Eighteen unique curricula were identified; 14 (78%) were CHW specific. Pathologic factors, caries formation, toothbrushing basics, flossing, nutrition, sugar-sweetened beverages, oral health recommendations, baby bottle tooth decay, fluoride treatments, and fluoride were covered to some extent in 75% of curricula. More than half did not mention types of teeth, oral health during pregnancy, antifluoride, cultural humility, and special needs populations. After comparing CHW curricula with non-CHW curricula, the original 26 oral health domains were condensed into 10 CHW training domains.
Using existing evidence and expert insight, an oral health CHW training curriculum outline was created that emphasizes behaviors, social support, and navigation assistance to promote preventive oral health behaviors in families of young children. This has implications beyond oral health. CHW programs are expanding to address the social determinants of health. The process of creating this curriculum and its basic elements can be applied to other disease areas. Clearly defined trainings that are made publicly available, such as this one, support efforts to standardize the CHW field in preparation for CHW certification and reimbursement in the future.
社区卫生工作者（CHW）是促进高危人群口腔健康的一种有前途的方法。本文介绍了创建儿科口腔健康 CHW 培训课程的过程。
通过向口腔健康和 CHW 领域的专家以及 PubMed 和 Google 搜索进行外展工作，确定了现有的课程。在对基本信息进行编码后，将课程映射以定义口腔健康领域。然后采用小组讨论来确定最终的课程内容。
美国。
如果课程涉及口腔健康，使用英语或西班牙语，涉及美国人群，不针对牙科临床医生，并且可以获得足够的数据，则可以将其纳入。
课程的评估内容包括交付形式、课时数、目标受众、CHW 参与情况、完整性和口腔健康内容。
确定了 18 种独特的课程，其中 14 种（78%）是专门针对 CHW 的。病理学因素、龋齿形成、刷牙基础知识、使用牙线、营养、含糖饮料、口腔健康建议、奶瓶性龋齿、氟化物治疗和氟化物在 75%的课程中都有不同程度的涵盖。超过一半的课程没有提到牙齿类型、怀孕期口腔健康、抗氟化物、文化谦逊和特殊需求人群。在比较 CHW 课程和非 CHW 课程后，将最初的 26 个口腔健康领域浓缩为 10 个 CHW 培训领域。
利用现有证据和专家见解，创建了一个口腔健康 CHW 培训课程大纲，该大纲强调行为、社会支持和导航协助，以促进幼儿家庭的预防性口腔健康行为。这不仅对口腔健康有影响。CHW 计划正在扩大，以解决健康的社会决定因素。创建此课程及其基本要素的过程可应用于其他疾病领域。明确界定并公开发布的培训课程，例如本课程，可以支持为未来 CHW 认证和报销做好准备，努力使 CHW 领域标准化。
