Gibbs Lisa, Waters Elizabeth, de Silva Andrea, Riggs Elisha, Moore Laurence, Armit Christine, Johnson Britt, Morris Michal, Calache Hanny, Gussy Mark, Young Dana, Tadic Maryanne, Christian Bradley, Gondal Iqbal, Watt Richard, Pradel Veronika, Truong Mandy, Gold Lisa
Jack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia.
BMJ Open. 2014 Mar 12;4(3):e004260. doi: 10.1136/bmjopen-2013-004260.
Inequalities are evident in early childhood caries rates with the socially disadvantaged experiencing greater burden of disease. This study builds on formative qualitative research, conducted in the Moreland/Hume local government areas of Melbourne, Victoria 2006-2009, in response to community concerns for oral health of children from refugee and migrant backgrounds. Development of the community-based intervention described here extends the partnership approach to cogeneration of contemporary evidence with continued and meaningful involvement of investigators, community, cultural and government partners. This trial aims to establish a model for child oral health promotion for culturally diverse communities in Australia.
This is an exploratory trial implementing a community-based child oral health promotion intervention for Australian families from refugee and migrant backgrounds. Families from an Iraqi, Lebanese or Pakistani background with children aged 1-4 years, residing in metropolitan Melbourne, were invited to participate in the trial by peer educators from their respective communities using snowball and purposive sampling techniques. Target sample size was 600. Moreland, a culturally diverse, inner-urban metropolitan area of Melbourne, was chosen as the intervention site. The intervention comprised peer educator led community oral health education sessions and reorienting of dental health and family services through cultural Competency Organisational Review (CORe).
Ethics approval for this trial was granted by the University of Melbourne Human Research Ethics Committee and the Department of Education and Early Childhood Development Research Committee. Study progress and output will be disseminated via periodic newsletters, peer-reviewed research papers, reports, community seminars and at National and International conferences.
Australian New Zealand Clinical Trials Registry (ACTRN12611000532909).
幼儿龋齿率存在明显不平等现象，社会弱势群体承受着更大的疾病负担。本研究基于2006 - 2009年在维多利亚州墨尔本莫雷兰/休姆地方政府辖区进行的形成性定性研究，以回应社区对难民和移民背景儿童口腔健康的关注。此处所描述的基于社区的干预措施的开展，将伙伴关系方法扩展至当代证据的共同生成，研究人员、社区、文化及政府伙伴持续且有意义地参与其中。该试验旨在为澳大利亚文化多元社区建立儿童口腔健康促进模式。
这是一项探索性试验，针对来自难民和移民背景的澳大利亚家庭实施基于社区的儿童口腔健康促进干预措施。居住在墨尔本市区、有1 - 4岁孩子且具有伊拉克、黎巴嫩或巴基斯坦背景的家庭，由各自社区的同伴教育者采用滚雪球抽样和目的抽样技术邀请参与试验。目标样本量为600。墨尔本一个文化多元的内城区莫雷兰被选为干预地点。干预措施包括由同伴教育者主导的社区口腔健康教育课程，以及通过文化能力组织审查（CORe）对牙科保健和家庭服务进行重新定位。
本试验已获得墨尔本大学人类研究伦理委员会以及教育与幼儿发展研究委员会的伦理批准。研究进展和成果将通过定期通讯、同行评审研究论文、报告、社区研讨会以及在国内和国际会议上进行传播。
澳大利亚新西兰临床试验注册中心（ACTRN12611000532909）
