Evidence map›Paper›PMID 26068509›Full record

ArticleBMJ open2015

Teeth Tales: a community-based child oral health promotion trial with migrant families in Australia.

Lisa Gibbs, Elizabeth Waters, Bradley Christian, Lisa Gold, Dana Young, Andrea de Silva, Hanny Calache, Mark Gussy, Richard Watt, Elisha Riggs and 5 more

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In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  10. Definitions ofInternational journal of environmental research and public health · 2021
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  12. Implementing culturally competent transplant care and implications for reducing health disparities: A prospective qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lisa GibbsJack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia.
Elizabeth WatersJack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia.
Bradley ChristianJack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia.
Lisa GoldDeakin Health Economics, Deakin University, Burwood, Victoria, Australia.
Dana YoungJack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, University of Melbourne, Carlton, Victoria, Australia Merri Community Health Services, Brunswick, Victoria, Australila.
Andrea de SilvaDental Health Services Victoria, Carlton, Victoria, Australia Melbourne Dental Health School, University of Melbourne, Carlton, Victoria, Australia.
Hanny CalacheDental Health Services Victoria, Carlton, Victoria, Australia.
Mark GussyDepartment of Dentistry and Oral Health, La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
Richard WattEpidemiology and Public Health, University College London, London, UK.
Elisha RiggsHealthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, Carlton, Victoria, Australia.
Maryanne TadicMerri Community Health Services, Brunswick, Victoria, Australila.
Martin HallNorth Richmond Community Health Limited, Richmond, Victoria, Australia.
Iqbal GondalInternet Commerce Security Lab, Federation University Australia and Pakistan Australia Association Melbourne, Caulfield, Victoria, Australia.
Veronika PradelMerri Community Health Services, Brunswick, Victoria, Australila.
Laurence MooreMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.

Funding

Medical Research Council MC_UU_12017/11Medical Research Council MC_UU_12017/14
6 · The paper itself

Abstract

objectivesThe Teeth Tales trial aimed to establish a model for child oral health promotion for culturally diverse communities in Australia.

designAn exploratory trial implementing a community-based child oral health promotion intervention for Australian families from migrant backgrounds. Mixed method, longitudinal evaluation.

settingThe intervention was based in Moreland, a culturally diverse locality in Melbourne, Australia.

participantsFamilies with 1-4-year-old children, self-identified as being from Iraqi, Lebanese or Pakistani backgrounds residing in Melbourne. Participants residing close to the intervention site were allocated to intervention.

interventionThe intervention was conducted over 5 months and comprised community oral health education sessions led by peer educators and follow-up health messages. OUTCOME MEASURES: This paper reports on the intervention impacts, process evaluation and descriptive analysis of health, knowledge and behavioural changes 18 months after baseline data collection.

resultsSignificant differences in the Debris Index (OR=0.44 (0.22 to 0.88)) and the Modified Gingival Index (OR=0.34 (0.19 to 0.61)) indicated increased tooth brushing and/or improved toothbrushing technique in the intervention group. An increased proportion of intervention parents, compared to those in the comparison group reported that they had been shown how to brush their child's teeth (OR=2.65 (1.49 to 4.69)). Process evaluation results highlighted the problems with recruitment and retention of the study sample (275 complete case families). The child dental screening encouraged involvement in the study, as did linking attendance with other community/cultural activities.

conclusionsThe Teeth Tales intervention was promising in terms of improving oral hygiene and parent knowledge of tooth brushing technique. Adaptations to delivery of the intervention are required to increase uptake and likely impact. A future cluster randomised controlled trial would provide strongest evidence of effectiveness if appropriate to the community, cultural and economic context. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12611000532909).

Indexed as

FamilyTransients and MigrantsAustraliaChild, PreschoolDental CariesFemaleHealth EducationHealth Education, DentalHealth PromotionHumansInfantIraqLebanonLongitudinal StudiesMalePakistanORAL MEDICINEPUBLIC HEALTH

Identifiers

PMID26068509
PMCPMC4466605

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.