Table 3 Explanation of optional CDEs by specific centers

Health Literacy (1)

BU and UCSF

Single Item Literacy Screener (SILS) of Chew et al. (2004) and Morris et al. (2006)

1–5

1 = always

5 = never

Parent/Caregiver

Health Literacy (2)

UCD

3 items adapted from screening items developed by Chew et al. (2004) and Morris et al (2006)

1–5

1 = always

5 = never

Parent/Caregiver

Tribal Identity (2)

UCD

Tribal identity measures items assessing facility with tribal language and tribal values

1–5

1 = always

5 = never

Child

Acculturation (13)

BU and UCSF

The revised Acculturation Rating Scale for Mexican-Americans (ARSMA-II)

1–5

1 = Not at all

5 = All the time

Parent/Family

Oral Health Locus of Control (9)

Subscales - Internal locus of control (3)

External locus of control - powerful others (3)

External locus of control - chance (3)

UCD

Attitudes about who or what has control over their child’s oral health outcomes (i.e., the parents themselves, the dentist, or chance)

1–5

1 = Strongly disagree

5 = Strongly agree

Parent/Family

Official Tribal Affiliation (3)

UCD

This measure includes items related to enrollment in the tribe

1 = yes

0 = no

2 = pending

Parent/Family

Insurance (7)

UCD

This measure included items related to Indian Health Services

1 = yes

0 = no

Parent/Family

Perceived Discrimination (9)

UCD

The perceived discrimination measure represents the amount of discrimination participants feel they are subject to, on account of being American Indian

1–4

1 = Never

4 = Often

Parent/Family

Sense of Coherence (13)

Comprehensibility (5)

Meaningfulness (4)

Manageability (4)

UCD

Degree to which participants feel the world makes sense and has meaning

1–7

Higher numbers indicate

stronger coherence

Parent/Family

Social Support (4)

UCD

Degree to which participants believe they have others available to help them when needed

0–1

0 = No available support

1 = Support available

Parent/Family

Chronic Stress (17

Subscales - Expectations (3)

Location hassles (5)

Community family dysfunction (2)

Community risky behaviors (5)

Community economic distress (2)

UCD

Ongoing stress related to personal expectations, hassles associated with the local community, and community dysfunction

1–4

1 = Strongly disagree

4 = Strongly agree

Parent/Family

Parent Stress Index (8)

UCSF

8 parent stress items adapted from Detroit Dental Health Project’s adaption of the short version of Abidin

1–5

1 = never

5 = almost always

Parent/Family

Alcohol Use (3)

UCD

A shortened version of the Alcohol Use Disorders Identification Test (AUDIT). Referred to as the AUDIT-C. The alcohol score provides an indication of the degree to which a participant drinks excessively.

0–12

Large numbers represent greater alcohol use

Parent/Family

Distress (6)

UCD

Amount of distress experienced in the last 30 days.

1–5

1 = none of the time

5 = all the time

Community

Parent/Family

Motivation (12)

BU

Items are summed to indicate how motivated participants are to engage in a variety of behaviors concerning their child’s oral health

1–5 scale

1 = not at all

3 = somewhat want to

5 = very much

Parent/Family

Caregiver Stress (9)

BU

The measured represents caregiver stress using the Hassles Scale

1 = yes

0 = no

Parent/Family

Oral Health Knowledge (17)

BU and UCSF

The overall knowledge score represents the percentage of oral health knowledge items answered correctly.

Four items are true/false;13 items have these response options:

Good for your child’s teeth, does not affect your child’s teeth, bad for your child’s teeth, don’t know, and prefer not to answer.

Parent/Family

Cavity Prevention Information Source (1)

UCSF

Where does the parent/caregiver get information about cavity prevention

TV, radio, dentist, family member, friends, magazine, doctor, WIC program

Parent/Family

Sealant History, Knowledge, and Acceptability (6)

UCSF

Past sealant history, knowledge and acceptability

1 = yes

0 = no

Don’t know

Child

Child country of birth (3)

UCSF

This measure collects information about the country of birth

N/A

Child

Child birth order (1)

UCSF

Birth order

N/A

Child

Importance of engaging in behaviors to support child’s oral health (12)

BU and UCD

Items are summed to indicate participants’ perceived importance of engaging in a variety of behaviors concerning their child’s oral health.

1–5 scale

1 = not at all

3 = somewhat want to

5 = very much

Parent/Family

Physical Living Conditions (4)

BU and UCD

This measure assess the living conditions of the caregiver (having enough food, decent place to live, sufficient clothing and access to health care)

1 = yes

0 = no

Don’t know and prefer not to answer are also options

Parent/Family

Health Belief Model (16)

Subscales -Perceived susceptibility (3)

Perceived severity (3)

Perceived barriers (5)

Perceived benefits (5)

UCSF, BU and UCD

The measure represents the parent/caregiver agreement level with items related to each domain.

1–5

1 = Strongly disagree

5 = Strongly agree

Parent/Family