PMID- 31006023 OWN - NLM STAT- MEDLINE DCOM- 20201204 LR - 20201214 IS - 1460-2245 (Electronic) IS - 0957-4824 (Linking) VI - 35 IP - 2 DP - 2020 Apr 1 TI - Family-centred oral health promotion through Victorian child-health services: a pilot. PG - 279-289 LID - 10.1093/heapro/daz025 [doi] AB - Maternal and Child Health Services (MCHS) provide ideal settings for oral disease prevention. In Victoria (Australia), child mouth-checks (Lift-the-Lip) and oral health promotion (OHP) occur during MCHS child visits. This study trialled Tooth-Packs (OHP resources, toothbrushes, toothpastes) distribution within MCHS to (i) assess the impacts of Tooth-Packs distribution on child and family oral health (OH) behaviours and knowledge, including Maternal and Child Health Nurses (MCHN) child referral practices to dental services, and (ii) determine the feasibility and acceptability of incorporating Tooth-Packs distribution into MCHN OHP practices. A mixed-methods evaluation design was employed. MCHN from four high-needs Victorian Local Government Areas distributed Tooth-Packs to families of children attending 18-month and/or 24-month MCHS visits (baseline). Families completed a questionnaire on OH and dietary practices at baseline and 30-month follow-up. Tooth-Packs distribution, Lift-the-lip mouth-checks and child OH referrals were conducted. Guided discussions with MCHN examined intervention feasibility. Overall, 1585 families received Tooth-Packs. Lift-the-lip was conducted on 1493 children (94.1%). Early childhood caries were identified in 142 children (9.5%) and these children were referred to dental services. Baseline to follow-up behavioural improvements (n = 230) included: increased odds of children having ever seen an OH professional (OR 28.0; 95% CI 7.40-236.88; p < 0.001), parent assisted toothbrushing twice/day (OR 1.76; 95% CI 1.05-3.00; p = 0.030) and toothpaste use >once/day (OR 2.82; 95% CI 1.59-5.24; p < 0.001). MCHN recommendations included distribution of Tooth-Packs to at-risk children <12-months of age. MCHS provide an ideal setting to enable timely family-centred OHP intervention and adoption of good OH behaviours at an early age. CI - (c) The Author(s) 2019. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Heilbrunn-Lang, Adina Y AU - Heilbrunn-Lang AY AD - Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia. FAU - Carpenter, Lauren M AU - Carpenter LM AD - Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, The Melbourne School of Population and Global Health, Level 5, 207 Bouverie Street, Carlton, Victoria 3053, Australia. FAU - de Silva, Andrea M AU - de Silva AM AD - WorkSafe Victoria, 1 Malop Street Geelong, Victoria 3220, Australia. FAU - Meyenn, Lisa K AU - Meyenn LK AD - Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia. FAU - Lang, Gillian AU - Lang G AD - Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia. FAU - Ridge, Allison AU - Ridge A AD - Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia. FAU - Perry, Amanda AU - Perry A AD - Sunbury Community Health, 12-28 Macedon Street, Sunbury, Victoria 3429, Australia. FAU - Cole, Deborah AU - Cole D AD - Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia. FAU - Hegde, Shalika AU - Hegde S AD - Dental Health Services Victoria, 720 Swanston Street, Carlton, Victoria 3053, Australia. LA - eng PT - Journal Article PL - England TA - Health Promot Int JT - Health promotion international JID - 9008939 SB - IM MH - *Child Health Services MH - Child, Preschool MH - *Family MH - Female MH - *Health Promotion MH - Humans MH - Infant MH - Male MH - *Oral Health MH - Parents/education MH - Pediatric Nursing MH - Referral and Consultation MH - Surveys and Questionnaires MH - Victoria OTO - NOTNLM OT - child health professionals OT - early childhood caries OT - oral health OT - prevention EDAT- 2019/04/22 06:00 MHDA- 2020/12/15 06:00 CRDT- 2019/04/22 06:00 PHST- 2019/04/22 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2019/04/22 06:00 [entrez] AID - 5475794 [pii] AID - 10.1093/heapro/daz025 [doi] PST - ppublish SO - Health Promot Int. 2020 Apr 1;35(2):279-289. doi: 10.1093/heapro/daz025.