Implementation and Dissemination of the Sikh American Families Oral - PowerPoint PPT Presentation

1 Implementation and Dissemination of the Sikh American Families Oral Health Promotion Program Mary E. Northridge, PhD, MPH Department of Epidemiology & Health Promotion New York University College of Dentistry

Social justice is the foundation of public health 2 “If and when we are able to ensure respectful and accessible health care that includes comprehensive oral health care to everyone regardless of race/ethnicity, socioeconomic position, age, gender, sexuality, or immigration status, then the United States will have achieved the measure of a just society: oral health for all.” Treadwell HM, Northridge ME. Oral health is the measure of a just society. Journal of Health Care for the Poor and Underserved . 2007;18(1):12-20, p. 20.

3 Community-based participatory research (CBPR) A partnership approach that facilitates capacity building and policy change through equitable engagement of diverse partners

4 Community-engaged research in D & I CBPR may be considered as a translational strategy for diverse communities to improve health equity Northridge ME, Kavathe R, Zanowiak J, Wyatt L, Singh H, Islam N. Implementation and dissemination of the Sikh American Families Oral Health Promotion Program. Translational Behavioral Medicine . (in re-review)

5 Purpose Formative research intended to examine the impact of community engagement throughout the process of program adaptation, implementation and dissemination

6 Methods An interactive curriculum was developed consisting of 4 core and 3 special topics

7 Consolidated Framework for Implementation Research (CFIR) The CFIR guided a mixed methods evaluation, consisting of both process and outcome measures

8 Results 5 trained community educators delivered a total of 42 educational sessions

Improved oral hygiene behaviors among participants 9

Improved self-efficacy among participants 10

Helped 81% of families without insurance to find it 11

Helped 93% of families without local dentists find one 12

Short videos in Punjabi were created 13

14 Practice implications Demonstrations of brushing and flossing techniques delivered by trusted community educators in familiar settings may be effective in promoting oral health for individuals, families, and communities.

15 Policy implications The expansion of Medicaid under the Affordable Care Act provided a mechanism for Sikh—South Asian program participants to obtain dental insurance for themselves and their children, and program resources helped link families to local dentists who accepted their dental insurance.

16 Research implications Integration of CBPR and D & I approaches may prove effective in translating evidence- based practices into culturally-tailored programs that are delivered by trusted community leaders in local settings.

Acknowledgments 17 UL1 TR000038: Primary Care Coordination by Dental Hygienists at Chairside: Developing and Evaluating an Electronic Tool (NIH/NCAT) R01DE0230721: Integrating Social and Systems Science Approaches to Promote Oral Health Equity (NIH/NIDCR, OBSSR) 003140: Family Based Dental Health Promotion in the Sikh Community (DentaQuest Foundation)