A Community Participatory Oral Health Promotion Program in an Inner-city Latino Community

Authors

  • Maria Rosa Watson DDS, MS, MPH;,

    Corresponding author
      Send correspondence and reprint requests to Dr. Watson, Department of Pediatric Dentistry, Baltimore College of Dental Surgery, Dental School, University of Maryland, 666 West Baltimore Street, Baltimore, MD 21201-1596. E-mail: mwatson@umaryland.edu. Web site: http://www.dental.umaryland.eduhomepagedefault.htm. Drs. Horowitz, Garcia, and Canto are all affiliated with the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD. Sources of support: Oral Health America grant #95-07. Additional in-kind support by the NIDCR/NIH, the University of Maryland Dental School, and the VA Maryland Health Care system. This work was presented in a symposium: “An oral health promotion and education program ‘with’ a Hispanic community: description and baseline findings,” American Association of Public Health Dentistry, September 1996, Orlando, FL. A summary of this project was featured in Lasker RD, Abramson DM, Freedman GR, eds. Pocket guide to cases of medicine and public health. New York: New York Academy of Medicine, 1998:48-9.
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  • Alice M. Horowitz PhD;,

    Corresponding author
      Send correspondence and reprint requests to Dr. Watson, Department of Pediatric Dentistry, Baltimore College of Dental Surgery, Dental School, University of Maryland, 666 West Baltimore Street, Baltimore, MD 21201-1596. E-mail: mwatson@umaryland.edu. Web site: http://www.dental.umaryland.eduhomepagedefault.htm. Drs. Horowitz, Garcia, and Canto are all affiliated with the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD. Sources of support: Oral Health America grant #95-07. Additional in-kind support by the NIDCR/NIH, the University of Maryland Dental School, and the VA Maryland Health Care system. This work was presented in a symposium: “An oral health promotion and education program ‘with’ a Hispanic community: description and baseline findings,” American Association of Public Health Dentistry, September 1996, Orlando, FL. A summary of this project was featured in Lasker RD, Abramson DM, Freedman GR, eds. Pocket guide to cases of medicine and public health. New York: New York Academy of Medicine, 1998:48-9.
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  • Isabel Garcia DDS, MPH;,

    Corresponding author
      Send correspondence and reprint requests to Dr. Watson, Department of Pediatric Dentistry, Baltimore College of Dental Surgery, Dental School, University of Maryland, 666 West Baltimore Street, Baltimore, MD 21201-1596. E-mail: mwatson@umaryland.edu. Web site: http://www.dental.umaryland.eduhomepagedefault.htm. Drs. Horowitz, Garcia, and Canto are all affiliated with the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD. Sources of support: Oral Health America grant #95-07. Additional in-kind support by the NIDCR/NIH, the University of Maryland Dental School, and the VA Maryland Health Care system. This work was presented in a symposium: “An oral health promotion and education program ‘with’ a Hispanic community: description and baseline findings,” American Association of Public Health Dentistry, September 1996, Orlando, FL. A summary of this project was featured in Lasker RD, Abramson DM, Freedman GR, eds. Pocket guide to cases of medicine and public health. New York: New York Academy of Medicine, 1998:48-9.
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  • Maria T. Canto DDS, MS, MPH

    Corresponding author
      Send correspondence and reprint requests to Dr. Watson, Department of Pediatric Dentistry, Baltimore College of Dental Surgery, Dental School, University of Maryland, 666 West Baltimore Street, Baltimore, MD 21201-1596. E-mail: mwatson@umaryland.edu. Web site: http://www.dental.umaryland.eduhomepagedefault.htm. Drs. Horowitz, Garcia, and Canto are all affiliated with the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD. Sources of support: Oral Health America grant #95-07. Additional in-kind support by the NIDCR/NIH, the University of Maryland Dental School, and the VA Maryland Health Care system. This work was presented in a symposium: “An oral health promotion and education program ‘with’ a Hispanic community: description and baseline findings,” American Association of Public Health Dentistry, September 1996, Orlando, FL. A summary of this project was featured in Lasker RD, Abramson DM, Freedman GR, eds. Pocket guide to cases of medicine and public health. New York: New York Academy of Medicine, 1998:48-9.
    Search for more papers by this author

Send correspondence and reprint requests to Dr. Watson, Department of Pediatric Dentistry, Baltimore College of Dental Surgery, Dental School, University of Maryland, 666 West Baltimore Street, Baltimore, MD 21201-1596. E-mail: mwatson@umaryland.edu. Web site: http://www.dental.umaryland.eduhomepagedefault.htm. Drs. Horowitz, Garcia, and Canto are all affiliated with the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD. Sources of support: Oral Health America grant #95-07. Additional in-kind support by the NIDCR/NIH, the University of Maryland Dental School, and the VA Maryland Health Care system. This work was presented in a symposium: “An oral health promotion and education program ‘with’ a Hispanic community: description and baseline findings,” American Association of Public Health Dentistry, September 1996, Orlando, FL. A summary of this project was featured in Lasker RD, Abramson DM, Freedman GR, eds. Pocket guide to cases of medicine and public health. New York: New York Academy of Medicine, 1998:48-9.

Abstract

Objectives: This paper reports the planning, implementation, process evaluation, and refinement of an oral health community participatory project in Mount Pleasant, an inner-city Latino neighborhood of Washington, DC. The main goal was to explore the feasibility of implementing such a project. Methods: The PRECEDE-PROCEED model was used to guide the planning and process evaluation of this project, in conjunction with community organizational methods. A steering committee, which met periodically, was formed to assist in program planning, implementation, and evaluation. The needs assessment of the community identified extensive dental health problems among children and deficiencies in their parents' oral health knowledge, opinions, and practices. In response, culturally appropriate health education and promotion activities were planned and implemented in collaboration with local community organizations, volunteers, and local practitioners. Process evaluation was used to provide feedback into the refinement of the community approach, which included record keeping and an inventory approach to activities completed and resources used. The overall impact and usefulness of this program were assessed informally using an anonymous open-ended questionnaire directed to members of the steering committee, and an outreach survey using a convenience sample at a local Latino health fair. Results: The implementation of such a community participatory approach was feasible and useful for building upon existing local resources and addressing oral health concerns in a community not reached by traditional dental care and health promotion initiatives. Individuals in this community showed a substantial interest in oral health matters and participated in a variety of oral health prevention activities. The community approach adhered to community-based research principles.

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