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

Merrick, Jessica, Chong, Alwin, Parker, Eleanor, Roberts-Thomson, Kaye, Misan, Gary, Spencer, John, Broughton, John, Lawrence, Herenia and Jamieson, Lisa (2012). Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention. BMC Public Health,12(323):1-6.

Document type: Journal Article
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IRMA ID MENbsnellxPUB67
NHMRC Grant No. 627350
Title Reducing disease burden and health inequalities arising from chronic disease among Indigenous children: an early childhood caries intervention
Author Merrick, Jessica
Chong, Alwin
Parker, Eleanor
Roberts-Thomson, Kaye
Misan, Gary
Spencer, John
Broughton, John
Lawrence, Herenia
Jamieson, Lisa
Journal Name BMC Public Health
Publication Date 2012
Volume Number 12
Issue Number 323
ISSN 1471-2458   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84860336185
Start Page 1
End Page 6
Total Pages 6
Place of Publication United Kingdom
Publisher BioMed Central Ltd.
HERDC Category C2 - Journal Article - Other contributions to refereed journal (internal)
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.
DOI http://dx.doi.org/10.1186/1471-2458-12-323   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes 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.


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