Evidence map›Paper›PMID 42460691›Full record

SynthesisCommunity dentistry and oral epidemiology2026

Oral Health Interventions for Culturally and Linguistically Diverse Children and Caregivers: A RE-AIM Systematic Review of Implementation Gaps.

I Awadh, D Ha, R Boyd, A Khan, L Ball, M Nisar, S Zafar

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in Community dentistry and oral epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

I AwadhSchool of Dentistry, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Herston, QLD, Australia.ORCID https://orcid.org/0009-0006-8409-3364
D HaSchool of Dentistry, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Herston, QLD, Australia.ORCID https://orcid.org/0000-0002-5440-4452
R BoydCentre for Extracellular Vesicle Nanomedicine, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, South Brisbane, QLD, Australia.ORCID https://orcid.org/0000-0002-4919-5975
A KhanCentre for Hearing Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, St Lucia, QLD, Australia.ORCID https://orcid.org/0000-0003-4188-2065
L BallCentre for Community Health and Wellbeing, The University of Queensland, Springfield, QLD, Australia.ORCID https://orcid.org/0000-0002-5394-0931
M NisarCentre for Hearing Research, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, St Lucia, QLD, Australia.ORCID https://orcid.org/0000-0003-1650-9840
S ZafarSchool of Dentistry, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Herston, QLD, Australia.ORCID https://orcid.org/0000-0001-5551-8147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo characterise implementation reporting completeness of oral health interventions for culturally and linguistically diverse (CALD) children and caregivers using the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance).

methodsSix databases (PubMed, Embase, CINAHL, Scopus, Web of Science, Cochrane Library) were searched for studies published 2010-2025 (PROSPERO CRD42024531750; PRISMA 2020). Eligible studies evaluated oral health interventions for CALD children aged 0-18 years from immigrant, refugee, or asylum-seeking backgrounds. Risk of bias was assessed with RoB 2, MMAT, and ROBINS-I. A 22-item RE-AIM coding tool assessed reporting completeness across five domains, categorised as low (< 60%), moderate (60%-69.9%), or high (≥ 70%).

resultsEleven studies were included (USA n = 9, UK n = 1, Australia n = 1; samples 36-1207). Two of three RCTs were rated High risk (RoB 2), all six non-randomised studies Serious risk (ROBINS-I), and two mixed-methods studies Low and Moderate (MMAT). Reporting completeness was predominantly low (72.7% of studies). Reach (84.1%) and Adoption (86.4%) were well-documented; Effectiveness (32.3%) showed the largest gap. Clinical outcomes (dmft/DMFT) were assessed in 36.4% of studies; cost was not reported in any study. Follow-up of 18 months or longer was limited to 18.2%, and attrition (5.6%-47%) in refugee populations reflected structural mobility rather than intervention failure.

conclusionsReporting completeness was substantially incomplete for Effectiveness, cost, and long-term follow-up, though several gaps reflect structural constraints in CALD settings rather than reporting failures alone. Future studies should prospectively embed validated reporting checklists that capture intervention structure and implementation, select outcomes matched to the phase of evidence (proximal in early-phase, clinical in adequately powered trials), and design retention strategies suited to mobile and recently resettled populations.

Indexed as

CaregiversCultural DiversityDental Care for ChildrenOral HealthAdolescentChildChild, PreschoolEmigrants and ImmigrantsEvidence GapsHumansInfantRefugeeschildcultural competencyemigrants and immigrantshealthcare disparitieshealth services accessibilityoral healthsystematic review

Identifiers

PMID42460691
PMCPMC13669799

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.