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A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries

BACKGROUND: Early Childhood Caries (ECC) is a widespread problem in Australian Aboriginal communities causing severe pain and sepsis. In addition dental services are difficult to access for many Aboriginal children and trying to obtain care can be stressful for the parents. The control of dental car...

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Autores principales: Blinkhorn, Fiona, Brown, Ngiare, Freeman, Ruth, Humphris, Gerry, Martin, Andrew, Blinkhorn, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520707/
https://www.ncbi.nlm.nih.gov/pubmed/22909327
http://dx.doi.org/10.1186/1471-2458-12-681
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author Blinkhorn, Fiona
Brown, Ngiare
Freeman, Ruth
Humphris, Gerry
Martin, Andrew
Blinkhorn, Anthony
author_facet Blinkhorn, Fiona
Brown, Ngiare
Freeman, Ruth
Humphris, Gerry
Martin, Andrew
Blinkhorn, Anthony
author_sort Blinkhorn, Fiona
collection PubMed
description BACKGROUND: Early Childhood Caries (ECC) is a widespread problem in Australian Aboriginal communities causing severe pain and sepsis. In addition dental services are difficult to access for many Aboriginal children and trying to obtain care can be stressful for the parents. The control of dental caries has been identified as a key indictor in the reduction of Indigenous disadvantage. Thus, there is a need for new approaches to prevent ECC, which reflect the cultural norms of Aboriginal communities. METHODS/DESIGN: This is a Phase II single arm trial designed to gather information on the effectiveness of a dental health education program for Aboriginal children aged 6 months, followed over 2 years. The program will deliver advice from Aboriginal Health Workers on tooth brushing, diet and the use of fluoride toothpaste to Aboriginal families. Six waves of data collection will be conducted to enable estimates of change in parental knowledge and their views on the acceptability of the program. The Aboriginal Health Workers will also be interviewed to record their views on the acceptability and program feasibility. Clinical data on the child participants will be recorded when they are 30 months old and compared with a reference population of similar children when the study began. Latent variable modeling will be used to interpret the intervention effects on disease outcome. DISCUSSION: The research project will identify barriers to the implementation of a family centered Aboriginal oral health strategy, as well as the development of evidence to assist in the planning of a Phase III cluster randomized study. TRIAL REGISTRATION: ACTRN12612000712808
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spelling pubmed-35207072012-12-13 A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries Blinkhorn, Fiona Brown, Ngiare Freeman, Ruth Humphris, Gerry Martin, Andrew Blinkhorn, Anthony BMC Public Health Study Protocol BACKGROUND: Early Childhood Caries (ECC) is a widespread problem in Australian Aboriginal communities causing severe pain and sepsis. In addition dental services are difficult to access for many Aboriginal children and trying to obtain care can be stressful for the parents. The control of dental caries has been identified as a key indictor in the reduction of Indigenous disadvantage. Thus, there is a need for new approaches to prevent ECC, which reflect the cultural norms of Aboriginal communities. METHODS/DESIGN: This is a Phase II single arm trial designed to gather information on the effectiveness of a dental health education program for Aboriginal children aged 6 months, followed over 2 years. The program will deliver advice from Aboriginal Health Workers on tooth brushing, diet and the use of fluoride toothpaste to Aboriginal families. Six waves of data collection will be conducted to enable estimates of change in parental knowledge and their views on the acceptability of the program. The Aboriginal Health Workers will also be interviewed to record their views on the acceptability and program feasibility. Clinical data on the child participants will be recorded when they are 30 months old and compared with a reference population of similar children when the study began. Latent variable modeling will be used to interpret the intervention effects on disease outcome. DISCUSSION: The research project will identify barriers to the implementation of a family centered Aboriginal oral health strategy, as well as the development of evidence to assist in the planning of a Phase III cluster randomized study. TRIAL REGISTRATION: ACTRN12612000712808 BioMed Central 2012-08-21 /pmc/articles/PMC3520707/ /pubmed/22909327 http://dx.doi.org/10.1186/1471-2458-12-681 Text en Copyright © 2012 Blinkhorn 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
Blinkhorn, Fiona
Brown, Ngiare
Freeman, Ruth
Humphris, Gerry
Martin, Andrew
Blinkhorn, Anthony
A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries
title A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries
title_full A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries
title_fullStr A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries
title_full_unstemmed A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries
title_short A phase II clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries
title_sort phase ii clinical trial of a dental health education program delivered by aboriginal health workers to prevent early childhood caries
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520707/
https://www.ncbi.nlm.nih.gov/pubmed/22909327
http://dx.doi.org/10.1186/1471-2458-12-681
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