249252 Contra Caries: Acceptability of a theory-based, promotora-led educational program to prevent Early Childhood Caries among rural Latino children

Tuesday, November 1, 2011: 1:10 PM

Kristin Hoeft, MPH , Department of Anthropology, History and Social Medicine; Center to Address Disparities in Children's Oral Health (CAN DO);, University of California- San Francisco, San Francisco, CA
Judith C. Barker, PhD , Department of Anthropology, History and Social Medicine; Center to Address Disparities in Chidren's Oral Health (CAN DO), University of California - San Francisco, San Francisco, CA
Backgound: Latino children, particularly those in rural areas, have a disproportionately high burden of Early Childhood Caries. There is a shortage of culturally appropriate, theory-based interventions targeted towards Latino parents to improve children's oral health. This presentation describes the development of such an intervention. Methods: Twelve focus groups were conducted in Spanish during intervention development to determine acceptability of the educational curriculum. Guided by Bandura's Social Cognitive Theory, data from existing research, and a childcare workers' oral health curriculum, a 4-session promotora led oral health education program was devised for low literate, low income Latino parents of children aged 1- 5 years in the rural town of Salinas, CA. Results: Presentation of four topics (cavity causes, oral hygiene, nutrition and snacking, and dental visits) by knowledgeable promotoras who had experience raising children, in weekly 2-hour sessions was acceptable. One key message was not embraced - stopping bottle use at age 1 year was rejected as participants felt that children that age are too young to understand why they can't have the bottle anymore. More detailed information about what happens in a dental office—about treatment especially (eg, what is a filling or a crown, what is involved with anesthesia, etc.) – was particularly requested. Conclusion: The proposed educational activities were generally acceptable but some things needed to be adjusted in response to parental feedback. More discussion was added to the curriculum surrounding weaning from the bottle, with the inclusion of intermediary behavioral goals, and what to expect at the dental office.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the acceptability of the Contra Caries educational program Explain how the curriculum was developed using theory, previous research, and focus groups.

Keywords: Early Childhood Caries, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I work on multiple oral health disparities research projects, with significant responsibilities in design, data collection, and data analysis. I have a MPH degree in health behavior and education and am currently pursuing a PhD in Epidemiology and Translational Science.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.