Title: Reducing disease burden and health inequalities arising from chronic disease among indigenous children: an early childhood caries intervention
Country: Kind:
Author(s): , , , , , , , , Year:
Volume: 12
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Description:

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:

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 collected 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. Trial registration: Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12611000111976.
Reference (Biomedical Style):
Broughton J, Chong. A, Jamieson L., Lawrence H., Merrick J., Misan G., Parker E., Roberts-Thomso K., Spencer J.. Reducing disease burden and health inequalities arising from chronic disease among indigenous children: an early childhood caries intervention. 2012.