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Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention

BACKGROUND: This study seeks to determine if implementing a culturally-appropriate early childhood caries (ECC) intervention reduces dental disease burden and oral health inequalities among Indigenous children living in South Australia, Australia. METHODS/DESIGN: This paper describes the study proto...

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Autores principales: Merrick, Jessica, Chong, Alwin, Parker, Eleanor, Roberts-Thomson, Kaye, Misan, Gary, Spencer, John, Broughton, John, Lawrence, Herenia, Jamieson, Lisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413605/
https://www.ncbi.nlm.nih.gov/pubmed/22551058
http://dx.doi.org/10.1186/1471-2458-12-323
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author Merrick, Jessica
Chong, Alwin
Parker, Eleanor
Roberts-Thomson, Kaye
Misan, Gary
Spencer, John
Broughton, John
Lawrence, Herenia
Jamieson, Lisa
author_facet Merrick, Jessica
Chong, Alwin
Parker, Eleanor
Roberts-Thomson, Kaye
Misan, Gary
Spencer, John
Broughton, John
Lawrence, Herenia
Jamieson, Lisa
author_sort Merrick, Jessica
collection PubMed
description BACKGROUND: This study seeks to determine if implementing a culturally-appropriate early childhood caries (ECC) intervention reduces dental disease burden and oral health inequalities among Indigenous children living in South Australia, Australia. METHODS/DESIGN: This paper describes the study protocol for a randomised controlled trial conducted among Indigenous children living in South Australia with an anticipated sample of 400. The ECC intervention consists of four components: (1) provision of dental care; (2) fluoride varnish application to the teeth of children; (3) motivational interviewing and (4) anticipatory guidance. Participants are randomly assigned to two intervention groups, immediate (n = 200) or delayed (n = 200). Provision of dental care (1) occurs during pregnancy in the immediate intervention group or when children are 24-months in the delayed intervention group. Interventions (2), (3) and (4) occur when children are 6-, 12- and 18-months in the immediate intervention group or 24-, 30- and 36-months in the delayed intervention group. Hence, all participants receive the ECC intervention, though it is delayed 24 months for participants who are randomised to the control-delayed arm. In both groups, self-reported data will be collected at baseline (pregnancy) and when children are 24- and 36-months; and child clinical oral health status will be determined during standardised examinations conducted at 24- and 36-months by two calibrated dental professionals. DISCUSSION: Expected outcomes will address whether exposure to a culturally-appropriate ECC intervention is effective in reducing dental disease burden and oral health inequalities among Indigenous children living in South Australia.
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spelling pubmed-34136052012-08-08 Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention Merrick, Jessica Chong, Alwin Parker, Eleanor Roberts-Thomson, Kaye Misan, Gary Spencer, John Broughton, John Lawrence, Herenia Jamieson, Lisa BMC Public Health Study Protocol BACKGROUND: This study seeks to determine if implementing a culturally-appropriate early childhood caries (ECC) intervention reduces dental disease burden and oral health inequalities among Indigenous children living in South Australia, Australia. METHODS/DESIGN: This paper describes the study protocol for a randomised controlled trial conducted among Indigenous children living in South Australia with an anticipated sample of 400. The ECC intervention consists of four components: (1) provision of dental care; (2) fluoride varnish application to the teeth of children; (3) motivational interviewing and (4) anticipatory guidance. Participants are randomly assigned to two intervention groups, immediate (n = 200) or delayed (n = 200). Provision of dental care (1) occurs during pregnancy in the immediate intervention group or when children are 24-months in the delayed intervention group. Interventions (2), (3) and (4) occur when children are 6-, 12- and 18-months in the immediate intervention group or 24-, 30- and 36-months in the delayed intervention group. Hence, all participants receive the ECC intervention, though it is delayed 24 months for participants who are randomised to the control-delayed arm. In both groups, self-reported data will be collected at baseline (pregnancy) and when children are 24- and 36-months; and child clinical oral health status will be determined during standardised examinations conducted at 24- and 36-months by two calibrated dental professionals. DISCUSSION: Expected outcomes will address whether exposure to a culturally-appropriate ECC intervention is effective in reducing dental disease burden and oral health inequalities among Indigenous children living in South Australia. BioMed Central 2012-05-02 /pmc/articles/PMC3413605/ /pubmed/22551058 http://dx.doi.org/10.1186/1471-2458-12-323 Text en Copyright ©2012 Merrick et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Merrick, Jessica
Chong, Alwin
Parker, Eleanor
Roberts-Thomson, Kaye
Misan, Gary
Spencer, John
Broughton, John
Lawrence, Herenia
Jamieson, Lisa
Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
title Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
title_full Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
title_fullStr Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
title_full_unstemmed Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
title_short Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
title_sort reducing disease burden and health inequalities arising from chronic disease among indigenous children: an early childhood caries intervention
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3413605/
https://www.ncbi.nlm.nih.gov/pubmed/22551058
http://dx.doi.org/10.1186/1471-2458-12-323
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