scholarly journals Community based programs to improve the oral health of Australian Indigenous adolescents: A systematic review and recommendations to guide future strategies.

2020 ◽  
Author(s):  
Josephine Gwynn ◽  
John Skinner ◽  
Yvonne Dimitropoulos ◽  
Angela Masoe ◽  
Boe Rambaldini ◽  
...  
Keyword(s):  
Oral Health ◽  
Assessment Tool ◽  
Positive Impact ◽  
Indigenous Health ◽  
Public Health Practice ◽  
Cochrane Library ◽  
International Studies ◽  
Community Based Interventions ◽  
Community Based ◽  
Indigenous Adolescents

Abstract Background: To review the international literature on community-based interventions aiming to improve the oral health of Indigenous adolescents and identify which demonstrate a positive impact.Methods: Data sources were MEDLINE, EMBASE, CINAHL, SCOPUS, the COCHRANE library and the Australian Indigenous HealthInfoNet. Articles were included where they: were published in English from 1990 onwards; described oral health outcomes for Indigenous adolescents aged 10 to 19 years; implemented a community based oral health intervention. The Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project was applied.Results: Nine studies met inclusion criteria; two rated strong in quality; only one study was conducted with an urban community; five reported moderate community engagement. Five intervention strategies were identified, and schools were the most common setting reported. Statistically significant improvements were described in eight studies with the most frequently reported outcome being change in decayed missing or filled teeth.Conclusions: Few good quality peer reviewed international studies of community-based oral health interventions which address the needs of Indigenous adolescents exist. Studies must include strong Indigenous community leadership and governance at all stages of the research, adopt participatory action-based research approaches, and are required in urban communities.

scholarly journals Community based programs to improve the oral health of Australian Indigenous adolescents: A systematic review and recommendations to guide future strategies.

2020 ◽  
Author(s):  
Josephine Gwynn ◽  
John Skinner ◽  
Yvonne Dimitropoulos ◽  
Angela Masoe ◽  
Boe Rambaldini ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Assessment Tool ◽  
Positive Impact ◽  
Indigenous Health ◽  
Cochrane Library ◽  
International Studies ◽  
Community Based Interventions ◽  
Community Based ◽  
Indigenous Adolescents

Abstract Background To review the international literature on community-based interventions aiming to improve the oral health of Indigenous adolescents and identify which demonstrate a positive impact. Methods Data sources were MEDLINE, EMBASE, CINAHL, SCOPUS, the COCHRANE library and the Australian Indigenous Health Info Net. Articles were included where they: were published in English from 1990 onwards; described oral health outcomes for Indigenous adolescents aged 10 to 19 years; implemented a community based oral health intervention. The Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project was applied. Results Nine studies met inclusion criteria; two rated strong in quality; only one study was conducted with an urban community; five reported moderate community engagement. Five intervention strategies were identified, and schools were the most common setting reported. Statistically significant improvements were described in eight studies with the most frequently reported outcome being change in decayed missing or filled teeth. Conclusions Few good quality peer reviewed international studies of community-based oral health interventions which address the needs of Indigenous adolescents exist. Studies must include strong Indigenous community leadership and governance at all stages of the research, adopt participatory action-based research approaches, and are required in urban communities. Registration The PRISMA checklist of items to include when reporting a systematic review were followed and this review was registered with the PROSPERO register (number: CRD42018084673).

scholarly journals Community based programs to improve the oral health of Australian Indigenous adolescents: A systematic review and recommendations to guide future strategies.

2019 ◽  
Author(s):  
Josephine Gwynn ◽  
John Skinner ◽  
Yvonne Dimitropoulos ◽  
Angela Masoe ◽  
Boe Rambaldini ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Assessment Tool ◽  
Indigenous Health ◽  
Public Health Practice ◽  
Cochrane Library ◽  
International Studies ◽  
Community Based Interventions ◽  
Community Based ◽  
Indigenous Adolescents

Abstract Background To review the international literature on community-based interventions aiming to improve the oral health of Indigenous adolescents and identify which demonstrate a positive impact.Methods Data sources were MEDLINE, EMBASE, CINAHL, SCOPUS, the COCHRANE library and the Australian Indigenous Health Info Net. Articles were included where they: were published in English from 1990 onwards; described oral health outcomes for Indigenous adolescents aged 10 to 19 years; implemented a community based oral health intervention. The Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project was applied.Results Nine studies met inclusion criteria; two rated strong in quality; only one study was conducted with an urban community; five reported moderate community engagement. Five intervention strategies were identified, and schools were the most common setting reported. Statistically significant improvements were described in eight studies with the most frequently reported outcome being change in decayed missing or filled teeth.Conclusions Few good quality peer reviewed international studies of community-based oral health interventions which address the needs of Indigenous adolescents exist. Studies must include strong Indigenous community leadership and governance at all stages of the research, adopt participatory action-based research approaches, and are required in urban communities.Registration The PRISMA checklist of items to include when reporting a systematic review were followed and this review was registered with the PROSPERO register (number: CRD42018084673).

scholarly journals Community-based interventions for childhood asthma using comprehensive approaches: a systematic review and meta-analysis

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mei Chan ◽  
Melinda Gray ◽  
Christine Burns ◽  
Louisa Owens ◽  
Susan Woolfenden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Childhood Asthma ◽  
Action Plan ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Mean Difference ◽  
Cochrane Library ◽  
Care Utilization ◽  
Community Based Interventions ◽  
Community Based

Abstract Objective We conducted a systematic review and meta-analysis to determine the effectiveness of comprehensive community-based interventions with ≥ 2 components in improving asthma outcomes in children. Methods A systematic search of Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (EMBASE), Cochrane Library and hand search of reference collections were conducted to identify any research articles published in English between 2000 and 2019. All studies reporting community-based asthma interventions with ≥ 2 components (e.g., asthma self-management education, home environmental assessment or care coordination etc.) for children aged ≤ 18 years were included. Meta-analyses were performed using random-effects model to estimate pooled odds ratio (OR) with 95% confidence intervals (CIs). Results Of the 2352 studies identified, 21 studies were included in the final analysis: 19 pre-post interventions, one randomised controlled trial (RCT) and one retrospective study. Comprehensive asthma programs with multicomponent interventions were associated with significant reduction in asthma-related Emergency Department (ED) visits (OR = 0.26; 95% CI 0.20–0.35), hospitalizations (OR = 0.24; 95% CI 0.15–0.38), number of days (mean difference = − 2.58; 95% CI − 3.00 to − 2.17) and nights with asthma symptoms (mean difference = − 2.14; 95% CI − 2.94 to − 1.34), use of short-acting asthma medications/bronchodilators (BD) (OR = 0.28; 95% CI 0.16–0.51), and increase use of asthma action plan (AAP) (OR = 8.87; 95% CI 3.85–20.45). Conclusion Community-based asthma care using more comprehensive approaches may improve childhood asthma management and reduce asthma related health care utilization.

Community-based oral health promotion practices targeted at children and adolescents in Finland - developing an assessment tool

2013 ◽  
Vol 42 (3) ◽  
pp. 245-253
Author(s):  
Pia Blomqvist ◽  
Ellinoora Ojala ◽  
Tarja Kettunen ◽  
Marita Poskiparta ◽  
Kirsti Kasila
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
Children And Adolescents ◽  
Assessment Tool ◽  
Oral Health Promotion ◽  
Community Based

scholarly journals Promoting Inclusion Oral Health: Social Interventions to Reduce Oral Health Inequities

2020 ◽  
Vol 8 (1) ◽  
pp. 5
Author(s):  
Ruth Freeman
Keyword(s):  
Oral Health ◽  
Mixed Methods Research ◽  
Social Deprivation ◽  
Health Inequities ◽  
Research Process ◽  
Community Based Interventions ◽  
Research Papers ◽  
Community Based ◽  
Social Interventions ◽  
The Impact

To advance our understanding of inclusion oral health and to address the impact of social exclusion upon oral health, this group of papers sets out to provide an argument for the need for social and community-based interventions, theoretically underpinned by pluralistic definitions of evidence-based practice and the radical discourse of health promotion for those experiencing exclusion. Using the definition and framework of inclusion oral health, these papers illustrate the requirement for mixed-methods research, the incorporation of experts by experience in the research process, and the need for co-design and co-produced interventions. The papers in this Special Issue present various sources of evidence used to transform top-down into bottom-up community-based interventions for people experiencing homelessness, people in custody, and families residing in areas of high social deprivation. The first two papers provide the evidence for extreme oral health in those experiencing exclusion, and the final four papers report on the implementation and evaluation of social or community-based interventions. This collection of research papers will be of interest to all those wishing to reduce health inequities. This will be achieved by focusing on prevention, adopting a common risk factor agenda, and incorporating co-design and co-production elements into interventions, to tackle the oral health inequities felt by those most excluded in our societies.

scholarly journals Core health-components, contextual factors and program elements of community-based interventions in Southeast Asia – a realist synthesis regarding hypertension and diabetes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zinzi E. Pardoel ◽  
Sijmen A. Reijneveld ◽  
Robert Lensink ◽  
Vitri Widyaningsih ◽  
Ari Probandari ◽  
...  
Keyword(s):  
Southeast Asia ◽  
Contextual Factors ◽  
Southeast Asian ◽  
Cochrane Library ◽  
Lifestyle Advice ◽  
Community Based Interventions ◽  
Community Based ◽  
Health Related ◽  
Asian Context ◽  
The Impact

Abstract Background In Southeast Asia, diabetes and hypertension are on the rise and have become major causes of death. Community-based interventions can achieve the required behavioural change for better prevention. The aims of this review are 1) to assess the core health-components of community-based interventions and 2) to assess which contextual factors and program elements affect their impact in Southeast Asia. Methods A realist review was conducted, combining empirical evidence with theoretical understanding. Documents published between 2009 and 2019 were systematically searched in PubMed/Medline, Web of Science, Cochrane Library, Google Scholar and PsycINFO and local databases. Documents were included if they reported on community-based interventions aimed at hypertension and/or diabetes in Southeast Asian context; and had a health-related outcome; and/or described contextual factors and/or program elements. Results We retrieved 67 scientific documents and 12 grey literature documents. We identified twelve core health-components: community health workers, family support, educational activities, comprehensive programs, physical exercise, telehealth, peer support, empowerment, activities to achieve self-efficacy, lifestyle advice, activities aimed at establishing trust, and storytelling. In addition, we found ten contextual factors and program elements that may affect the impact: implementation problems, organized in groups, cultural sensitivity, synergy, access, family health/worker support, gender, involvement of stakeholders, and referral and education services when giving lifestyle advice. Conclusions We identified a considerable number of core health-components, contextual influences and program elements of community-based interventions to improve diabetes and hypertension prevention. The main innovative outcomes were, that telehealth can substitute primary healthcare in rural areas, storytelling is a useful context-adaptable component, and comprehensive interventions can improve health-related outcomes. This extends the understanding of promising core health-components, including which elements and in what Southeast Asian context.

scholarly journals Health promotion interventions for the control of hypertension in Africa, a systematic scoping review from 2011 to 2021

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260411
Author(s):  
Jinhee Shin ◽  
Kennedy Diema Konlan ◽  
Eugenia Mensah
Keyword(s):  
Health Promotion ◽  
Health Workers ◽  
Positive Impact ◽  
Health Resources ◽  
Cost Effective ◽  
Population Based ◽  
Cochrane Library ◽  
Community Based Interventions ◽  
Salt Consumption ◽  
Health Promotion Interventions

Background A proportion of hypertension patients live in developing countries with low awareness, poor control capabilities, and limited health resources. Prevention and control of hypertension can be achieved by applying both targeted and population-based health promotion interventions. This study synthesised the health promotion interventions for the control of hypertension in Africa. Methods An in-depth search of PubMed, CINAHL, EMBASE, Cochrane library, web of science, google scholar yielded 646 titles and 615 after duplicates were removed. Full text (112) was screened, and ten articles were selected. The data analysis method was thematic analysis through the incorporation of convergent synthesis. The major sub-themes that were identified were reduction in the prevalence of hypertension, increase in knowledge, impact and feasibility, role in the reduction of risk factors, and the cost associated with health promotion interventions. Results Health promotion interventions led to a remarkable decrease in the prevalence of hypertension, increased knowledge and awareness in the intervention compared to the control groups. Community-based interventions were noted to have a positive impact on people’s adoption of measures to reduce risk or identify early symptoms of hypertension. There was a significant relationship for the reduction in salt consumption, smoking, alcohol use, and increased physical activity after the administration of an intervention. Interventions using community health workers were cost-effective. Conclusion To sustain health promotion interventions and achieve control of hypertension especially in the long term, interventions must be culturally friendly and incorporate locally available resources in Africa.

scholarly journals Effects of community-based interventions on exclusive breastfeeding among lactating women: a systematic review

2021 ◽  
Vol 8 (9) ◽  
pp. 4550
Author(s):  
Harshita Misra ◽  
C. Shivani ◽  
Barkha Sirwani ◽  
Ritu Rana
Keyword(s):  
Systematic Review ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
World Health ◽  
Low Income Countries ◽  
Cochrane Library ◽  
Community Based Interventions ◽  
Community Based ◽  
Lactating Women ◽  
Low Middle Income Countries

Improvement in the exclusive breastfeeding (EBF) rates until 6 months have been proved to be a major contributor in the improvement of child survival over last two decades because EBF provides optimal nutrition for early life. However, most of the low-income countries (LIC) and low-middle income countries (LMIC) are below the 90% benchmark set by World Health Organization. Evidence regarding CBIs for EBF among lactating women with infants <6 m was searched in PubMed and Cochrane library. Studies from LICs and LMICs that reported EBF until 6 months as outcomes were included and their results were analysed. Data extraction included characteristics of the studies and full summary that involved the effect of interventions on the outcomes. Of 5,530 studies initially identified, 25 studies were included for the systematic review. The interventions were community-based that focused on breastfeeding practices among lactating women with infants <6 m. The studies were geographically diverse-involved LICs (n=7) and LMICs (n=11). The population ranged from n=12 to 26,262. Of 25 studies, five types of interventions reported- counselling interventions (n=14), training to peer counsellors (n=2), mass media interventions (n=5), mobile phone Interventions (n=1), and EBF promotion and education (n=3). CBIs could substantially increase the rates of EBF. The review identified five types of CBIs, indicating that there are different ways through which high EBF rates could be achieved. Counselling intervention was more effective but other interventions have also shown significant results in improving BF practices.

scholarly journals Population-Based Prevalence of Oral Conditions as a Basis for Planning Community-Based Interventions: An Epidemiological Study From Rural Burkina Faso

2021 ◽  
Vol 9 ◽  
Author(s):  
Alexandra Clauss ◽  
Ali Sie ◽  
Pascal Zabre ◽  
Jörg Schmoll ◽  
Rainer Sauerborn ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Burkina Faso ◽  
Age Groups ◽  
Epidemiological Data ◽  
Epidemiological Studies ◽  
Community Based Interventions ◽  
Community Based ◽  
Attachment Loss ◽  
Periodontal Index

Objectives: The purpose of the present study was to: (i) provide timely data on dental caries and periodontal conditions in rural Burkina Faso; (ii) identify the oral health practices carried out in this population, and (iii) to prioritize evidence-based interventions at the community level.Methods: Leaning on WHO recommendations for oral health epidemiological studies, clinical examinations and questionnaire-based surveys were conducted in two different age groups (adolescents: 15–19 years old; adults: 35–44 years old) in the health district of Nouna, Burkina Faso. Caries and tooth status were assessed according to the DMFT Index. The periodontal status was assessed by a modified Community Periodontal Index on all teeth present and measuring the level of attachment-loss of six index teeth. Questionnaire items specifically included utilization of oral health care and oral health behaviors.Results: The prevalence of untreated caries was 38% in adolescents and 73% in adults. In terms of periodontal health, 21% of adolescents and 61% of adults had an attachment loss ≥4 mm. Ninety seven percent of adolescents had not attended a dentist in the previous year and 78% of adults had never seen a dentist in their life. About one third of adolescents and adults cleaned their teeth less often than once per day with equal proportions of toothbrushes and traditional chewing sticks made of tree branches. Fluoride toothpaste was used by &lt;10% of study participants. Almost half of the examined people reported to drink a sugar-sweetened beverage at least once a day.Conclusions: Dental caries and periodontitis are highly prevalent in rural Burkina Faso. These findings highlight the key relevance of epidemiological data for identifying people's oral health needs as basis for developing, testing, and implementing oral health interventions and programs. Special emphasis should be put on the design and evaluation of community-based interventions.

scholarly journals A Systematic Narrative Review of Effects of Community-Based Intervention on Rates of Organ Donor Registration

2017 ◽  
Vol 27 (3) ◽  
pp. 295-308 ◽  
Author(s):  
Sarah Elizabeth Golding ◽  
Mark Cropley
Keyword(s):  
Organ Donation ◽  
General Public ◽  
Assessment Tool ◽  
Organ Donor ◽  
Brief Interventions ◽  
Community Based Interventions ◽  
Community Based ◽  
Intervention Delivery ◽  
Protocol Registration ◽  
Registration Number

Background: The demand for organ donation is increasing worldwide. One possible way of increasing the pool of potential posthumous donors is to encourage more members of the general public to join an organ donor registry. Objective: A systematic review was conducted to investigate the effectiveness of psychological interventions designed to increase the number of individuals in the community who register as organ donors. Methods: PsycINFO and PubMed databases were searched. No date limits were set. Randomized and nonrandomized controlled trials exploring the effects of community-based interventions on organ donor registration rates were included. Methodological quality was assessed using the “Quality Assessment Tool for Quantitative Studies.” Results: Twenty-four studies met the inclusion criteria; 19 studies found a positive intervention effect on registration. Only 8 studies were assessed as having reasonable methodological robustness. A narrative synthesis was conducted. Factors influencing registration rates include providing an immediate registration opportunity and using brief interventions to challenge misconceptions and concerns about organ donation. Discussion: Community-based interventions can be effective at increasing organ donor registrations among the general public. Factors that may increase effectiveness include brief interventions to address concerns and providing an immediate registration opportunity. Particular consideration should be paid to the fidelity of intervention delivery. Protocol registration number: CRD42014012975.

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