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

<p>Abstract</p> <p>Background</p> <p>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, Australi...

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Main Authors: Merrick Jessica, Chong Alwin, Parker Eleanor, Roberts-Thomson Kaye, Misan Gary, Spencer John, Broughton John, Lawrence Herenia, Jamieson Lisa
Format: Article
Language:English
Published: BMC 2012-05-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/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 DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods/Design</p> <p>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.</p> <p>Discussion</p> <p>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.</p>
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spelling doaj.art-fa4c0d24213b4f3596cd477abbe125862022-12-22T01:12:19ZengBMCBMC Public Health1471-24582012-05-0112132310.1186/1471-2458-12-323Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries interventionMerrick JessicaChong AlwinParker EleanorRoberts-Thomson KayeMisan GarySpencer JohnBroughton JohnLawrence HereniaJamieson Lisa<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods/Design</p> <p>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.</p> <p>Discussion</p> <p>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.</p>http://www.biomedcentral.com/1471-2458/12/323
spellingShingle 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
BMC Public Health
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
url http://www.biomedcentral.com/1471-2458/12/323
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