Department of Health Behavior and Policy, Virginia Commonwealth University, School of Medicine, United States.
Tompkins-McCaw Library for the Health Sciences, Virginia Commonwealth University, United States.
Community Dent Health. 2021 Aug 31;38(3):198-208. doi: 10.1922/CDH_00370Garcia11.
To synthesize English or Spanish-language literature on community health workers' (CHWs') roles, training, and impact in oral health.
A scoping review conducted in accordance with the Arksey and O'Malley (2005) methodological framework.
Electronic literature searches were conducted in Medline (Ovid), Embase (Ovid), DOSS, CINAHL, Web of Science, and Global Health CAB from inception of the databases to April 2020. Three reviewers independently conducted the title and abstract and full-text reviews. This was followed by data charting by three reviewers and data summarizing by two reviewers.
Out of the 36 articles that met the inclusion criteria, most took place in the United States (n=15) with most published between 2012 and 2019 (12). CHWs were incorporated in programs that focused on access to dental care (n=10), oral health promotion only (9), early childhood caries (8), oral health promotion and services (5), and oral cancer screening (4). Common roles included providing oral health education and behavior change motivation to community members, facilitating utilization of dental services, and the delivery of diagnostic and dental services to community members. Training and outcomes were not consistently described across studies.
CHWs have been used in oral health programs and interventions across a wide range of locations and contexts. The implementation and scaling-up of oral health CHW programs requires appropriate provision of training as well as community embedded monitoring and evaluation structures based on rigorous methods with clearly defined outcomes.
综合英语或西班牙语社区卫生工作者（CHW）在口腔健康方面的角色、培训和影响的文献。
根据 Arksey 和 O'Malley（2005 年）方法框架进行的范围综述。
从数据库建立到 2020 年 4 月，在 Medline（Ovid）、Embase（Ovid）、DOSS、CINAHL、Web of Science 和全球卫生 CAB 中进行电子文献检索。三名审查员独立进行标题和摘要以及全文审查。然后由三名审查员进行数据图表制作，由两名审查员进行数据总结。
在符合纳入标准的 36 篇文章中，大多数（n=15）来自美国，大多数（12 篇）发表于 2012 年至 2019 年期间。CHW 被纳入专注于获得牙科护理（n=10）、仅口腔健康促进（9）、儿童期早期龋（8）、口腔健康促进和服务（5）以及口腔癌筛查（4）的项目。常见角色包括向社区成员提供口腔健康教育和行为改变动机，促进牙科服务的利用，以及向社区成员提供诊断和牙科服务。培训和结果在研究中并未一致描述。
CHW 已被用于口腔健康计划和干预措施，涉及广泛的地点和背景。口腔健康 CHW 计划的实施和扩大需要适当提供培训，以及基于严格方法并明确界定结果的社区嵌入式监测和评估结构。
