Oral Health Centre of Expertise in Western Norway, Bergen, Norway.
Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway.
BMC Oral Health. 2023 Sep 1;23(1):620. doi: 10.1186/s12903-023-03329-9.
Immigrants are known to experience greater socioeconomic stress and poorer well-being and to suffer more from lifestyle- and diet-related disorders than native populations. There is also evidence that children of immigrant parents are at greater risk of diverse health problems than their host country cohorts. The aim of this study is to apply and evaluate the efficacy of an early life intervention program among parents/children with immigrant background to prevent childhood caries and obesity, thereby improving the children's general health, oral health, and quality of life.
This is a study protocol for a cluster randomized controlled intervention follow-up study. In phase I of the study, the primary care health centers in the municipality of Bergen, Norway were randomly allocated to intervention or control groups. The intervention was carried out using the motivational interviewing technique and the common risk factor approach. The intervention group received guidance on diet/oral hygiene and the control group received standard care information. Parental knowledge and children at age 3 and 5 years old will be assessed in a prospective phase II follow-up study compared to native Norwegian controls. The primary outcome will be evaluation of change on parental oral health related knowledge and attitudes. The secondary outcome will assess the impact of the intervention on children's caries -, body mass index- and oral health related quality of life.
Collaboration between dental public health and primary health care personnel on the common risk approach motivational intervention offers opportunities to address key dietary behaviors that may prevent obesity and dental caries. Providing sustainable preventive measures decreases the burden of diseases and consequently reduces health inequalities, particularly among at-risk children.
The study is registered as a clinical trial (ClinicalTrials.gov Identifier: NCT05758454: 7 March 2023). Ethical approval has already been granted by the Regional Ethical Committee (REK) (2015/ 27,639 /REK vest) and Sikt - Norwegian Agency for Shared Services in Education and Research (Reference number 778825).
移民被认为比本地人口经历更大的社会经济压力和较差的幸福感，并且更容易受到与生活方式和饮食相关的疾病的影响。还有证据表明，移民父母的子女比其所在国的同龄人面临更多的健康问题风险。本研究的目的是在有移民背景的父母/子女中应用和评估早期生活干预计划的效果，以预防儿童龋齿和肥胖症，从而改善儿童的整体健康、口腔健康和生活质量。
这是一项针对群体随机对照干预随访研究的研究方案。在研究的第一阶段，挪威卑尔根市的初级保健中心被随机分配到干预组或对照组。干预措施采用动机访谈技术和共同危险因素方法进行。干预组接受了饮食/口腔卫生方面的指导，对照组则接受了标准的护理信息。在一个前瞻性的第二阶段随访研究中，将评估父母在 3 岁和 5 岁时的知识，并与挪威本土对照组进行比较。主要结局将评估父母口腔健康相关知识和态度变化的评估。次要结局将评估干预对儿童龋齿、体重指数和口腔健康相关生活质量的影响。
牙科公共卫生和初级保健人员之间在共同危险因素方法动机干预方面的合作提供了机会，可以解决可能预防肥胖和龋齿的关键饮食行为。提供可持续的预防措施可以减轻疾病负担，从而减少健康不平等，特别是在高危儿童中。
该研究已作为临床试验（ClinicalTrials.gov 标识符：NCT05758454：2023 年 3 月 7 日）进行注册。区域伦理委员会（REK）（2015/27,639/REK vest）和 Sikt-挪威教育和研究共享服务机构（参考号 778825）已经批准了伦理。
