Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context
Background: Dental disease has far-reaching impacts on child health and wellbeing. We worked with Aboriginal Australian communities to develop a multifaceted oral health promotion initiative to reduce children's experience of dental disease at age 2 years. Methods: This was a single-blind, para...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-07-01
|
| Series: | EClinicalMedicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589537018300014 |
| _version_ | 1828776647793311744 |
|---|---|
| author | Lisa Jamieson Lisa Smithers Joanne Hedges Eleanor Parker Helen Mills Kostas Kapellas Herenia P. Lawrence John R. Broughton Xiangqun Ju |
| author_facet | Lisa Jamieson Lisa Smithers Joanne Hedges Eleanor Parker Helen Mills Kostas Kapellas Herenia P. Lawrence John R. Broughton Xiangqun Ju |
| author_sort | Lisa Jamieson |
| collection | DOAJ |
| description | Background: Dental disease has far-reaching impacts on child health and wellbeing. We worked with Aboriginal Australian communities to develop a multifaceted oral health promotion initiative to reduce children's experience of dental disease at age 2 years. Methods: This was a single-blind, parallel-arm, randomised controlled trial. Participants were recruited from health service providers across South Australia. Women pregnant with an Aboriginal child were eligible. The intervention comprised: (1) provision of dental care to mothers during pregnancy; (2) application of fluoride varnish to teeth of children at ages 6, 12 and 18 months; (3) motivational interviewing delivered in conjunction with; (4) anticipatory guidance. The primary outcome was untreated dental decay as assessed by the number of teeth with cavitated and non-cavitated carious lesions (mean dt) at child age 24 months. Analyses followed intention-to-treat principles. The RCT was registered with the Australian and New Zealand Clinical Trial Registry, ACTRN12611000111976. Findings: Women (n = 448) were recruited from February 2011 to May 2012, resulting in 223 children in the treatment group and 225 in the control. Mean dt at age two years was 0.62 (95% CI 0.59 to 0.65) for the intervention group and 0.89 (95% CI 0.85 to 0.92) for the control group (mean difference −0.27 (95% CI −0.31, −0.22)). Interpretation: A culturally-appropriate intervention at four time-points from pregnancy through to 18-months resulted in improvements in the oral health of Aboriginal children. Further consultation with Aboriginal communities is essential for understanding how to best sustain these oral health improvements for young Aboriginal children. Keywords: Early childhood caries, Aboriginal, Randomised controlled trial, Oral health promotion |
| first_indexed | 2024-12-11T16:03:27Z |
| format | Article |
| id | doaj.art-12f7a4fce0034111b8f3f420faa37d3f |
| institution | Directory Open Access Journal |
| issn | 2589-5370 |
| language | English |
| last_indexed | 2024-12-11T16:03:27Z |
| publishDate | 2018-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EClinicalMedicine |
| spelling | doaj.art-12f7a4fce0034111b8f3f420faa37d3f2022-12-22T00:59:15ZengElsevierEClinicalMedicine2589-53702018-07-0114350Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in ContextLisa Jamieson0Lisa Smithers1Joanne Hedges2Eleanor Parker3Helen Mills4Kostas Kapellas5Herenia P. Lawrence6John R. Broughton7Xiangqun Ju8Adelaide Dental School, University of Adelaide, Australia; Corresponding author.School of Public Health, University of Adelaide, AustraliaAdelaide Dental School, University of Adelaide, AustraliaAdelaide Dental School, University of Adelaide, AustraliaAdelaide Dental School, University of Adelaide, AustraliaAdelaide Dental School, University of Adelaide, AustraliaSchool of Dentistry, University of Toronto, CanadaSchool of Dentistry, University of Otago, New ZealandAdelaide Dental School, University of Adelaide, AustraliaBackground: Dental disease has far-reaching impacts on child health and wellbeing. We worked with Aboriginal Australian communities to develop a multifaceted oral health promotion initiative to reduce children's experience of dental disease at age 2 years. Methods: This was a single-blind, parallel-arm, randomised controlled trial. Participants were recruited from health service providers across South Australia. Women pregnant with an Aboriginal child were eligible. The intervention comprised: (1) provision of dental care to mothers during pregnancy; (2) application of fluoride varnish to teeth of children at ages 6, 12 and 18 months; (3) motivational interviewing delivered in conjunction with; (4) anticipatory guidance. The primary outcome was untreated dental decay as assessed by the number of teeth with cavitated and non-cavitated carious lesions (mean dt) at child age 24 months. Analyses followed intention-to-treat principles. The RCT was registered with the Australian and New Zealand Clinical Trial Registry, ACTRN12611000111976. Findings: Women (n = 448) were recruited from February 2011 to May 2012, resulting in 223 children in the treatment group and 225 in the control. Mean dt at age two years was 0.62 (95% CI 0.59 to 0.65) for the intervention group and 0.89 (95% CI 0.85 to 0.92) for the control group (mean difference −0.27 (95% CI −0.31, −0.22)). Interpretation: A culturally-appropriate intervention at four time-points from pregnancy through to 18-months resulted in improvements in the oral health of Aboriginal children. Further consultation with Aboriginal communities is essential for understanding how to best sustain these oral health improvements for young Aboriginal children. Keywords: Early childhood caries, Aboriginal, Randomised controlled trial, Oral health promotionhttp://www.sciencedirect.com/science/article/pii/S2589537018300014 |
| spellingShingle | Lisa Jamieson Lisa Smithers Joanne Hedges Eleanor Parker Helen Mills Kostas Kapellas Herenia P. Lawrence John R. Broughton Xiangqun Ju Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context EClinicalMedicine |
| title | Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context |
| title_full | Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context |
| title_fullStr | Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context |
| title_full_unstemmed | Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context |
| title_short | Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled TrialResearch in Context |
| title_sort | dental disease outcomes following a 2 year oral health promotion program for australian aboriginal children and their families a 2 arm parallel single blind randomised controlled trialresearch in context |
| url | http://www.sciencedirect.com/science/article/pii/S2589537018300014 |
| work_keys_str_mv | AT lisajamieson dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT lisasmithers dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT joannehedges dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT eleanorparker dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT helenmills dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT kostaskapellas dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT hereniaplawrence dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT johnrbroughton dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext AT xiangqunju dentaldiseaseoutcomesfollowinga2yearoralhealthpromotionprogramforaustralianaboriginalchildrenandtheirfamiliesa2armparallelsingleblindrandomisedcontrolledtrialresearchincontext |