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Trial registered on ANZCTR
Registration number
ACTRN12611000532909
Ethics application status
Approved
Date submitted
28/04/2011
Date registered
23/05/2011
Date last updated
9/09/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Teeth Tales: An exploratory trial implementing a community based child oral health promotion intervention for Australian families from refugee and migrant backgrounds
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Scientific title
A longitudinal community-based exploratory trial implementing an intervention for migrant and refugee background families with children (aged 1-4years); to improve community oral health knowledge and practices and the cultural appropriateness and accessibility of services, compared to matched comparison groups. Measurements include child oral health outcomes, parental knowledge, attitudes and behaviours and staff reported organisational cultural competency, as well as trial costs and processes.
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Secondary ID [1]
260070
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oral health
265745
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Condition category
Condition code
Oral and Gastrointestinal
265888
265888
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The community program will consist of informal group sessions led by the peer educator to discuss the key oral health themes of eat well, drink well, clean well, as well as access to and use of local oral health services. Additionally the program will act to promote and provide links to local community groups and services. The participants will be able to discuss the relationship between traditional and cultural practices with the key oral health themes. They will be given an opportunity to apply and practice the learnings. The sessions will run for approximately two hours a week for three weeks and will be held at culturally appropriate sites. All participants will be given a family oral health resource pack that will consist of information resources addressing the key oral health messages, details about local services, toothpaste and toothbrushes for the family, and topic relevant stickers and colouring sheets for the children. The final week will consist of a group visit to the local community health service to provide participants with an introduction to the dental and family support services available at the local community health service and through local government. Some changes to the duration and timing of sessions may be made to accommodate the availability and learning styles of the participants. The program will also include follow up reinforcement of key oral health messages. In addition, relevant local community health and government services will be supported through a review of organisational cultural competency and development and implementation of action plans to address any identified areas requiring improvement.
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Intervention code [1]
264489
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Early detection / Screening
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Intervention code [2]
264490
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Prevention
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Intervention code [3]
264491
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Behaviour
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Comparator / control treatment
Active, no treatment group
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Control group
Active
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Outcomes
Primary outcome [1]
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Assess the impact of the intervention on child toothbrushing using parent questionnaire and child dental examination - proxy measures of debris index and modified gingival index.
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Assessment method [1]
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Timepoint [1]
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At baseline and at 18 months follow up
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Primary outcome [2]
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Assess the impact of the intervention on parent knowledge of child oral hygiene needs by parent questionnaire.
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Assessment method [2]
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Timepoint [2]
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At baseline and at 18 months follow up
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Secondary outcome [1]
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Measure change in child oral health over time for target cultural groups by child dental examination (ICDAS and Care index) and parent questionnaire
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Assessment method [1]
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Timepoint [1]
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At baseline and 18months follow up
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Secondary outcome [2]
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Measure change in child and parent oral health related behaviours over time for target cultural groups by parent questionnaire
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Assessment method [2]
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Timepoint [2]
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At baseline and at 18 months follow up
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Secondary outcome [3]
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Measure change in parent/care-giver oral health related knowledge, confidence and attitudes over time for target cultural groups by parent questionnaire
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Assessment method [3]
276142
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Timepoint [3]
276142
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At baseline and at 18 months follow up
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Secondary outcome [4]
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Assess change in cultural competency of local health and dental services over time by staff survey and document review
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Assessment method [4]
276143
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Timepoint [4]
276143
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At baseline and at 18 months follow up
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Secondary outcome [5]
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Assess access to dental and other services over time for target cultural groups by parent questionnaire and organisational service use reports
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Assessment method [5]
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Timepoint [5]
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At baseline and at 18 months follow up
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Secondary outcome [6]
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Determine the costs of the intervention by staff and organisational records
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Assessment method [6]
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Timepoint [6]
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Measures collected 6monthly and assessed at endpoint
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Secondary outcome [7]
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Identify facilitators and barriers to implementing both components of the intervention by project documentation, formal reflexive practice discussions and observation activities, and focus group discussions with cultural partner organisations
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Assessment method [7]
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Timepoint [7]
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Project documentation and reflexive practice discussions collected on a fortnightly basis for the duration of the trial. Focus group discussions held at end of intervention.
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Secondary outcome [8]
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Assess intervention, fidelity, dose and reach by project documentation, focus groups and interviews, and researcher observations.
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Assessment method [8]
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Timepoint [8]
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Project documentation collected continuously. Focus groups conducted at end of intervention. Interviews conducted mid-CORe intervention. Researcher observations conducted weekly throughout intervention.
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Eligibility
Key inclusion criteria
Families living within the Melbourne metropolitan area that have children aged between 1-4 years at baseline, and identify with one of the targeted cultural groups, will be eligible to participate.
Participating parents living in areas local to Merri Community Health Services, Moreland will be eligible to be allocated to intervention.
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Minimum age
1
Years
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Maximum age
4
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Families not living within the Melbourne metropolitan area, and/or who do not have children aged between 1-4 years at baseline, and/or do not identify with one of the targeted cultural groups, will not be eligible to participate.
Participating parents not living in areas local to Merri Community Health Services, Moreland will not be eligible to be allocated to intervention.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/05/2011
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Actual
1/03/2012
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Date of last participant enrolment
Anticipated
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Actual
14/09/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
600
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
3954
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3058
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Recruitment postcode(s) [2]
3955
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3121
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Recruitment postcode(s) [3]
3956
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3056
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Recruitment postcode(s) [4]
3957
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3057
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Recruitment postcode(s) [5]
3958
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3055
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Recruitment postcode(s) [6]
3959
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3060
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Recruitment postcode(s) [7]
3960
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3046
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Recruitment postcode(s) [8]
7328
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3043 - Gowanbrae
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Recruitment postcode(s) [9]
7329
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3043 - Tullamarine
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Recruitment postcode(s) [10]
7330
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3044 - Pascoe Vale
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Recruitment postcode(s) [11]
7331
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3044 - Pascoe Vale South
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Recruitment postcode(s) [12]
7332
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3068 - Fitzroy North
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council (linkage funding)
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Address [1]
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Level 2, 11 Lancaster Place, Majura Park ACT 2609
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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Merri Community Health Service
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Address [2]
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11 Glenlyon Road, Brunswick, VIC 3056
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Country [2]
264964
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Australia
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Funding source category [3]
264965
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Government body
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Name [3]
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Dental Health Service Victoria
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Address [3]
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720 Swanston Street, Carlton VIC 3053
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Country [3]
264965
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Australia
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Funding source category [4]
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Government body
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Name [4]
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Moreland City Council
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Address [4]
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90 Bell Street, Coburg, VIC 3058
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Country [4]
264966
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Australia
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Primary sponsor type
University
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Name
The McCaughey Centre, The University of Melbourne
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Address
Level 5, 207 Bouverie Street, Carlton, VIC 3010
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Country
Australia
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Secondary sponsor category [1]
264059
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Other
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Name [1]
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Merri Community Health Services, Health Promotion and Research Unit
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Address [1]
264059
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11 Glenlyon Road, Brunswick, VIC 3056
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Country [1]
264059
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Australia
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Other collaborator category [1]
251971
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Charities/Societies/Foundations
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Name [1]
251971
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Arabic Welfare
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Address [1]
251971
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Level 1, 233 Sydney Road, Brunswick, VIC 3056
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Country [1]
251971
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Australia
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Other collaborator category [2]
251972
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Charities/Societies/Foundations
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Name [2]
251972
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Pakistan Australia Association Melbourne (PAAM)
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Address [2]
251972
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PO BOX 2080, Meadow Heights, VIC 3048
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Country [2]
251972
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Australia
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Other collaborator category [3]
251973
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Charities/Societies/Foundations
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Name [3]
251973
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Victorian Arabic Social Services
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Address [3]
251973
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178 Dallas Drive, Broadmeadows, VIC, 3047
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Country [3]
251973
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Australia
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Other collaborator category [4]
251974
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Government body
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Name [4]
251974
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Dental Health Service Victoria
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Address [4]
251974
0
720 Swanston Street, Carlton VIC 3053
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Country [4]
251974
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Australia
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Other collaborator category [5]
251975
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Government body
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Name [5]
251975
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Moreland City Council
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Address [5]
251975
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90 Bell Street, Coburg, VIC, 3058
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Country [5]
251975
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Australia
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Other collaborator category [6]
251976
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Other Collaborative groups
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Name [6]
251976
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The Centre for Culture, Ethnicity and Health
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Address [6]
251976
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81-85 Barry Street, Carlton, VIC, 3053
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Country [6]
251976
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Australia
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Other collaborator category [7]
251977
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Other
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Name [7]
251977
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North Richmond Community Health
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Address [7]
251977
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23 Lennox Street, Richmond, VIC 3121
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Country [7]
251977
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
266928
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The University of Melbourne Human Research Ethics Committee
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Ethics committee address [1]
266928
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161 Barry Street, Carlton, VIC 3010
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Ethics committee country [1]
266928
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Australia
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Date submitted for ethics approval [1]
266928
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29/04/2010
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Approval date [1]
266928
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19/07/2010
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Ethics approval number [1]
266928
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1033207
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Ethics committee name [2]
266929
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Department of Education and Early Childhood Development Research Committee
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Ethics committee address [2]
266929
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Department of Education and Early Childhood Development, GPO Box 4637, Melbourne, Victoria 3001
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Ethics committee country [2]
266929
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Australia
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Date submitted for ethics approval [2]
266929
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26/10/2010
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Approval date [2]
266929
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13/12/2010
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Ethics approval number [2]
266929
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Summary
Brief summary
This exploratory trial of an intervention aims to develop a community based model for improving child oral health by increasing the cultural appropriateness and accessibility of existing oral health services and family programs. A peer-led oral health education program conducted in cultural settings and followed by a group dental clinic visit will be an essential component of the intervention. A cultural competence review of community dental and family programs, and maternal and child health services will also be conducted to enhance the accessibility of these services. This study will be of direct benefit to the community and will inform development and testing of a community based oral health promotion model for other culturally diverse areas of Australia
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Trial website
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Trial related presentations / publications
Publications and presentations related to earlier phases of the study: JOURNAL PUBLICATIONS Gibbs L, Gold LG, Kulkens K, Riggs EM, van Gemert C, Waters EB. Are the Potential Benefits of a Community-Based Participatory Approach to Public Health Research Worth the Potential Costs? Just Policy. 2008; 47:54-8. Riggs E, van Gemert C, Gussy M, Waters E, Kilpatrick N. Reflections on cultural diversity in oral health promotion. Global Health Promotion (accepted January 2011). BOOK CHAPTERS Gibbs L, Abebe M, Riggs E. Working with minority groups in developed countries. In: Waters E, Seidell J, Swinburn B, Uauy R, eds. Community-based obesity prevention: evidence, practice and policy. Oxford, United Kingdom: Blackwell Publishing, 2009. Waters E, Gibbs L, Renzaho A, Riggs E, Kulkens M, Priest N. Cultural competence in Public Health. Encyclopaedia of Public Health. Ed. Heggenhougen K. Elsevier Inc., Oxford United Kingdom, 2008. CONFERENCE PRESENTATIONS Riggs E, Gibbs, L, Armit C, Pradel V, Waters E, Gussy M, Alloush L, El-Khoury A, Gondal I. Teeth Tales: Addressing child oral health inequalities in refugee and migrant communities. International Union of Health Promotion and Education, Geneva, July 2010. Pradel V, Armit C, Riggs E, Gibbs L, Chowdhry R, El-Khoury A, Alloush L, Waters E. Towards best practice in organisational cultural competency. Diversity in Health Conference, Melbourne, June 2010. Riggs E, Gibbs L, Armit C, Gussy M, El-Khoury A, Alloush L, Saiqa, Ali S, Waters E. Hard-to-reach communities or hard-to-access services? Diversity in Health Conference, Melbourne, June 2010. Riggs E, Pradel V, Gibbs L, Armit C, Chowdhry R, Alloush L, El-Khoury A, Reorienting health services for refugee and migrant communities: development of a cultural competence review tool. Oral Health Symposium. Innovative models of oral health care for high risk populations. Melbourne, October 2010. Riggs E, Ali S, Gibbs L, Waters E, Gussy M, Armit C, Younan N, Zoghaib S. Community participation and cultural competence in child oral health research. International Association of Dental Research, Thailand, September 2009. Riggs E, Ali S, Gibbs L, Waters E, Armit C, Younan N, Zoghaib S, Gussy M. Cultural competency in qualitative data analysis: the importance of community perspectives Public Health Association of Australia, Canberra, September 2009. Gibbs L, Waters E, Riggs E, Abebe M. Cultural competence in community-based research. 5th Australasian Occupational Science Symposium Contextual Perspectives – Participation for wellbeing. Melbourne, 2008. Riggs E, van Gemert C, Gibbs L, Waters E, Gussy M, Alloush L, El-Khoury A. A culturally competent study exploring the sociocultural determinants of child oral health from refugee/migrant communities. Population Health Congress, Brisbane, July 2008. Riggs E, Waters E, Kilpatrick N, Gibbs L, Kulkens M, van Gemert C, Watt R. Sociocultural determinants of children’s oral health in CALD communities – a systematic review. The 19th International Union of Health Promotion and Education, July 2007. Trial protocol and baseline papers for the exploratory trial pending
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Public notes
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Contacts
Principal investigator
Name
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Dr Lisa Gibbs
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Address
32542
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McCaughey VicHealth Centre for Community Wellbeing
University of Melbourne
Level 5, 207 Bouverie Street
Carlton 3053
Victoria, Australia
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Country
32542
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Australia
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Phone
32542
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+61 3 8344 0920
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Fax
32542
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Email
32542
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[email protected]
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Contact person for public queries
Name
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Lisa Gibbs
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Address
15789
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Level 5, 207 Bouverie Street, Carlton, VIC 3010, Australia
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Country
15789
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Australia
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Phone
15789
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+61 3 8344 0920
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Fax
15789
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+61 3 9348 2832
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Email
15789
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[email protected]
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Contact person for scientific queries
Name
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Lisa Gibbs
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Address
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Level 5, 207 Bouverie Street, Carlton, VIC 3010, Australia
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Country
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Australia
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Phone
6717
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+61 3 8344 0920
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Fax
6717
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+61 3 9348 2832
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Email
6717
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
An exploratory trial implementing a community-based child oral health promotion intervention for Australian families from refugee and migrant backgrounds: a protocol paper for Teeth Tales
2014
https://doi.org/10.1136/bmjopen-2013-004260
Embase
Teeth Tales: A community-based child oral health promotion trial with migrant families in Australia.
2015
https://dx.doi.org/10.1136/bmjopen-2014-007321
N.B. These documents automatically identified may not have been verified by the study sponsor.
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