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Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/73967

Type: Journal article
Title: Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
Author: Merrick, Jessica Ann
Chong, Alwin
Parker, Eleanor Jane
Roberts-Thomson, Kaye Frances
Misan, Gary Michael
Spencer, Andrew John
Broughton, John
Lawrence, Herenia P.
Jamieson, Lisa Marie
Citation: BMC Public Health, 2012; 12:323
Publisher: BioMed Central Ltd.
Issue Date: 2012
ISSN: 1471-2458
School/Discipline: School of Dentistry
Statement of
Responsibility: 
Jessica Merrick, Alwin Chong, Eleanor Parker, Kaye Roberts-Thomson, Gary Misan, John Spencer, John Broughton, Herenia Lawrence and Lisa Jamieson
Abstract: 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.
Rights: © 2012 Merrick et al.; licensee BioMed Central Ltd.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.
RMID: 0020121560
DOI: 10.1186/1471-2458-12-323
Published version: http://www.biomedcentral.com/1471-2458/12/323
Appears in Collections:Dentistry publications
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