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Ellen Daley, PhD, MPH
Women’s Health Traditionally:
Dichotomized between reproductive and non-reproductive issues
Approached from a limited perspective by discipline (e.g. biomedical, psychological, social science, etc.)
Resulting in “siloed” clinical care and research
Influence by women’s social, cultural, political, and economic environments across the lifespan.
The Oral/Systemic Connection Women’s oral/systemic health conditions can be
categorized as follows:
Health conditions that are specific to women where systemic conditions impact oral health (e.g. pregnancy, menopause, etc.)
Systemic health conditions that are caused or exacerbated by poor oral health conditions (e.g. periodontal disease and heart disease)
Oral manifestations resultant of a range of behavioral issues more common among women (e.g. eating disorders and resulting oral conditions)
Oral/Systemic Connection Examples of Oral/Systemic Women’s Health Conditions
System Oral Oral System Behavioral Oral
Systemic health conditions that result in oral issues
Systemic health issues that result from oral conditions (e.g. gingivitis)
Behavioral issues and conditions that have oral manifestations
Pregnancy Infant feeding practices Eating disorders Diabetes Heart disease Menopause Osteoporosis
Preeclampsia Gestational diabetes Preterm birth Low infant birth weight Congenital oral defects Respiratory problems Diabetes Stroke Heart Disease
Eating disorders Intimate partner violence Substance use/abuse Poor nutrition Smoking Stress
Women’s Oral/Systemic Health
We’ve come to believe that the link between women’s systemic and oral health
across the lifespan necessitates
a transdisciplinary approach to
research, practice, and policy.
What does multidisciplinary mean? “Multidisciplinarity is a process in which scholars from disparate fields
work independently or sequentially, periodically coming together to share their individual perspectives for purposes of achieving broader-gauged analyses of common research problems. Participants in multidisciplinary teams remain firmly anchored in the concepts and methods of their respective fields.”
(Stokols, Hall, Taylor, and Moser, 2008)
Public
Health Medicine Dentistry
What does interdisciplinary mean? “Interdisciplinarity is a
more robust approach to scientific integration in the sense that team members not only combine or juxtapose concepts and methods drawn from their different fields, but also work more intensively to integrate their divergent perspectives, even while remaining anchored in their own respective fields.”
(Stokols, Hall, Taylor, and Moser, 2008)
Social Work
Sociology
Psychology
Public Health
Nursing
Library Science
Dentistry
Communication
Anthropology
Medicine
Women’s Health
Interdisciplinary Research
What does transdisciplinary mean? “Transdisciplinarity is a process in which team members representing
different fields work together over extended periods to develop shared conceptual and methodologic frameworks that not only integrate but also transcend their respective disciplinary perspectives.”
(Stokols, Hall, Taylor, and Moser, 2008)
Anthropology
Dentistry
Sociology
Communication
Nursing
Medicine
Social Work
Women’s Studies
Public Health
Psychology
Library Science
What does transdisciplinary mean? Disciplinary
Multidisciplinary
Interdisciplinary
Transdisciplinary
Moving from multidisciplinary to transdisciplinary research
Transdisciplinary Research Exercise
Congratulations! You have just received a $25,000 grant that has to have an interdisciplinary basis.
Your group’s task: come up with specific aims for your research.
Follow-Up Discussion What are some characteristics of the team you
have assembled that will help make the team
effective?
Are there any characteristics that could hinder
your team’s ability to achieve its goals?
How might role conflict occur and what are
some strategies for resolving these potential
issues?
Reflecting on some of your recent team
experiences, what kind of leadership have you
brought to those teams?
“The Big IG”
A group of women’s health researchers and providers from a variety of
disciplines (including anthropology, communications, dentistry, dental hygiene,
medicine, nursing, public health, sociology and women’s studies) was formed
Purpose of the study Establish a comprehensive and collaborative approach to women’s
health based on oral/systemic relations.
Increase collaboration among different health disciplines using Systems
Thinking and Lifecourse approaches to further the research, practice,
and advocacy of women’s health.
Three oral/systemic links will be looked at: systemic health conditions
affecting oral health, oral health conditions affecting systemic health,
and behavioral issues affecting oral health.
Professionals from a range of disciplines will be brought in to work on
and offer insight towards the oral/systemic relationship in women’s
health.
What started as a very linear model, has now
become more complex in order to more accurately
reflect the complexity of our approach.
We’d like to know what you think about it and how
you would suggest further changing it.
Behavioral
Systemic Oral
Transforming Women’s Health: Exploring the Oral/Systemic Connection as a New Paradigm to Improve Women’s Health
Macro
Meso
Micro
Relationships at Micro scale
Birth to Menarche Menarche to Menopause Menopause and Beyond
Behavioral
Systemic Oral
HERE’S AN EXAMPLE OF HOW THIS MODEL WOULD BE USED…
Macro
Meso
Micro
Relationships at Micro scale
Birth to Menarche
ECC
Tooth Loss
Otitis Media
Hearing Loss
Ped. Dentist Ped. ENT
Pediatrician
Caregiver
TOO LATE
I
I = Intervention
I
MCH Leadership Defined
“An MCH Leader
inspires and brings
people together to
achieve sustainable
results to improve the
lives of the MCH
population.” Source: MCH Leadership Defined, MCH
Leadership Competencies Website,
http://leadership.mchtraining.net/?page_id=155
The Value of Working in Interdisciplinary and Transdisciplinary Teams Network, Network, Network
Leadership
Team Building
Creativity and Innovation
Passion for learning
Flexibility – and patience
Open Discussion
Now that we have discussed the difference aspects
of interdisciplinary/transdisciplinary research, think
about your research or practice interests…
In what ways do you think you can incorporate aspects
of interdisciplinary approaches into your own
research?
What do you see as benefits to incorporating an
interdisciplinary approach?
What difficulties may you come up against?
Thank you!
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