Preventing Chronic Disease | Recruitment for Health Disparities Preventive Intervention Trials: The Early Childhood Caries Collaborating Centers - CDC
Recruitment for Health Disparities Preventive Intervention Trials: The Early Childhood Caries Collaborating Centers
Tamanna Tiwari, MPH, MDS, BDS; Alana Casciello, MPH; Stuart A. Gansky, PhD; Michelle Henshaw, DDS, MPH; Francisco Ramos-Gomez, DDS, MS, MPH; Margaret Rasmussen, MPH; Raul I. Garcia, DMD, MMedSc; Judith Albino, PhD; Terrence S. Batliner, DDS, MBA; The Early Childhood Caries Collaborating Centers
Suggested citation for this article: Tiwari T, Casciello A, Gansky SA, Henshaw M, Ramos-Gomez F, Rasmussen M, et al. Recruitment for Health Disparities Preventive Intervention Trials: The Early Childhood Caries Collaborating Centers. Prev Chronic Dis 2014;11:140140. DOI: http://dx.doi.org/10.5888/pcd11.140140
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Abstract
Background
Four trials of interventions designed to prevent early childhood caries are using community-engagement strategies to improve recruitment of low-income, racial/ethnic minority participants. The trials are being implemented by 3 centers funded by the National Institute of Dental and Craniofacial Research and known as the Early Childhood Caries Collaborating Centers (EC4): the Center for Native Oral Health Research at the University of Colorado, the Center to Address Disparities in Children’s Oral Health at the University of California San Francisco, and the Center for Research to Evaluate and Eliminate Dental Disparities at Boston University.
Four trials of interventions designed to prevent early childhood caries are using community-engagement strategies to improve recruitment of low-income, racial/ethnic minority participants. The trials are being implemented by 3 centers funded by the National Institute of Dental and Craniofacial Research and known as the Early Childhood Caries Collaborating Centers (EC4): the Center for Native Oral Health Research at the University of Colorado, the Center to Address Disparities in Children’s Oral Health at the University of California San Francisco, and the Center for Research to Evaluate and Eliminate Dental Disparities at Boston University.
Community Context
The community contexts for the EC4 trials include urban public housing developments, Hispanic communities near the US–Mexican border, and rural American Indian reservations. These communities have a high prevalence of early childhood caries, suggesting the need for effective, culturally acceptable interventions.
The community contexts for the EC4 trials include urban public housing developments, Hispanic communities near the US–Mexican border, and rural American Indian reservations. These communities have a high prevalence of early childhood caries, suggesting the need for effective, culturally acceptable interventions.
Methods
Each center’s intervention(s) used community-based participatory research approaches, identified community partners, engaged the community through various means, and developed communication strategies to enhance recruitment.
Each center’s intervention(s) used community-based participatory research approaches, identified community partners, engaged the community through various means, and developed communication strategies to enhance recruitment.
Outcome
All 3 centers have completed recruitment. Each center implemented several new strategies and approaches to enhance recruitment efforts, such as introducing new communication techniques, using media such as radio and newspapers to spread awareness about the studies, and hosting community gatherings.
All 3 centers have completed recruitment. Each center implemented several new strategies and approaches to enhance recruitment efforts, such as introducing new communication techniques, using media such as radio and newspapers to spread awareness about the studies, and hosting community gatherings.
Interpretation
Using multiple strategies that build trust in the community, are sensitive to cultural norms, and are adaptable
Using multiple strategies that build trust in the community, are sensitive to cultural norms, and are adaptable
Acknowledgments
This research was supported by the NIDCR of the National Institutes of Health under award nos. U54DE019259, U54DE019285, and U54DE019275. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We thank staff of each study, including Mario Orozco, Tracy Zacher, Nikola Toledo, and Carmen George. We also thank the community partners of each study including Matthew Baronas, Rachel Goodman, Gregory Davis, John Lindamood, Steven Swanger, and Edwina Kee. Finally, we thank the CABs and the study participants, without whom this work would not be possible. A complete list of EC4 Recruitment and Retention Working Group members is available at www.oralhealthdisparities.org.
Author Information
Corresponding Author: Tamanna Tiwari, MPH, MDS, BDS, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus. 13055 E 17th Ave, Aurora, CO 80045. Telephone: 303-724-0099. E-mail tamanna.tiwari@ucdenver.edu.
Author Affiliations: Alana Casciello, Michelle Henshaw, Raul Garcia, Boston University Henry M. Goldman School of Dental Medicine, Boston, Massachusetts; Stuart A. Gansky, Margaret Rasmussen, University of California San Francisco, School of Dentistry, San Francisco, California; Francisco Ramos-Gomez, University of California Los Angeles, School of Dentistry, Los Angeles, California; Judith Albino, Terrence S. Batliner, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado; The Early Childhood Caries Collaborating Centers.
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