ArticleEClinicalMedicine2018
Dental Disease Outcomes Following a 2-Year Oral Health Promotion Program for Australian Aboriginal Children and Their Families: A 2-Arm Parallel, Single-blind, Randomised Controlled Trial.
Article in EClinicalMedicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.
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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.
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.
Who cites it
37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Aboriginal and Torres Strait Islander Dental Program Evaluations: A Mixed-Methods Systematic Review.Community dentistry and oral epidemiology · 2025Pooled it
- Are educational tools in oral health programs for pregnant women effective in improving the oral status of mothers and babies? A systematic review.Evidence-based dentistry · 2024Pooled it
- Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries.The Cochrane database of systematic reviews · 2024Pooled it
- Family-centred interventions for Indigenous early childhood well-being by primary healthcare services.The Cochrane database of systematic reviews · 2022Pooled it
- Systematic Review of Intervention Studies Aiming at Reducing Inequality in Dental Caries among Children.International journal of environmental research and public health · 2021Pooled it
- Early childhood caries intervention in Aboriginal Australian children: Follow-up at child age 9 years.PloS one · 2025Trial
- Early Childhood Caries Intervention in Aboriginal Australian Children: A Cross-in Randomized Trial.JDR clinical and translational research · 2024Trial
- A Cluster Randomised Controlled Trial of a Targeted Distributed Toothpaste and Toothbrushing Programme.Caries research · 2024Trial
- Motivational Interviewing and Childhood Caries: A Randomised Controlled Trial.International journal of environmental research and public health · 2023Trial
- Strategies to Support Sustained Participant Engagement in an Oral Health Promotion Study for Indigenous Children and Their Families in Australia.International journal of environmental research and public health · 2022Trial
- Follow-up of Intervention to Prevent Dental Caries Among Indigenous Children in Australia: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2019Trial
- Economic evaluation on dental caries preventive interventions for Australian children using a priority-setting approach.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Your right to choose: parents' preferences toward a pediatric dental center.BMC oral health · 2025Article
- Feasibility and preliminary outcomes of a culturally adapted motivational interviewing intervention to reduce early childhood caries among children of two American Indian communities.Discover public health · 2025Article
- Pre-Pandemic and Recent Oral and Medical Health Care Utilization among Young American Indian Children and Their Caregivers.Journal of community health · 2024Article
- At the cultural interface: A systematic review of study characteristics and cultural integrity from twenty years of randomised controlled trials with Indigenous participants.Dialogues in health · 2023Review
- Article
- Exploring the Reported Strengths and Limitations of Aboriginal and Torres Strait Islander Health Research: A Narrative Review of Intervention Studies.International journal of environmental research and public health · 2023Review
- Current knowledge about early childhood caries in the gulf cooperation council with worldwide reflection: Scoping review of the scientific literature (2010-2021).PLOS global public health · 2023Article
- Oral health promotion and programming provided by Aboriginal Community Controlled Health Organisations in South Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDental disease has far-reaching impacts on child health and wellbeing. We worked with Aboriginal Australian communities to develop a multifaceted oral health promotion initiative to reduce children's experience of dental disease at age 2 years.
methodsThis was a single-blind, parallel-arm, randomised controlled trial. Participants were recruited from health service providers across South Australia. Women pregnant with an Aboriginal child were eligible. The intervention comprised: (1) provision of dental care to mothers during pregnancy; (2) application of fluoride varnish to teeth of children at ages 6, 12 and 18 months; (3) motivational interviewing delivered in conjunction with; (4) anticipatory guidance. The primary outcome was untreated dental decay as assessed by the number of teeth with cavitated and non-cavitated carious lesions (mean dt) at child age 24 months. Analyses followed intention-to-treat principles. The RCT was registered with the Australian and New Zealand Clinical Trial Registry, ACTRN12611000111976.
findingsWomen (n = 448) were recruited from February 2011 to May 2012, resulting in 223 children in the treatment group and 225 in the control. Mean dt at age two years was 0.62 (95% CI 0.59 to 0.65) for the intervention group and 0.89 (95% CI 0.85 to 0.92) for the control group (mean difference - 0.27 (95% CI - 0.31, - 0.22)).
interpretationA culturally-appropriate intervention at four time-points from pregnancy through to 18-months resulted in improvements in the oral health of Aboriginal children. Further consultation with Aboriginal communities is essential for understanding how to best sustain these oral health improvements for young Aboriginal children.
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Registered trials
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.