Aboriginal and Torres Strait Islander Peoples' Experiences With Culturally Safe Dental Research: A Qualitative Exploration.

IF 2.9 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Sonia Nath, Ria Aiyar, Johanna Groundwater, Joanne Hedges, Gina L Guzzo, Kostas Kapellas, Alexander Pham, Lisa Jamieson
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Abstract

Objectives: The engagement and retention of Indigenous participants are critical factors in the success of oral health research, particularly in longitudinal studies. However, participant experiences and perceptions of Indigenous research involvement remain underexplored. The objective of this qualitative study was to explore Indigenous participants' experiences of culturally safe oral health research.

Methods: The longitudinal intervention study involved Indigenous adults who received culturally safe dental care. The intervention included home-based dental checks, flexible appointment scheduling, regular follow-up and financial support for dental treatment at a local dental clinic. Following dental treatment, semi-structured interviews were conducted using a yarning-based approach to document participants' experiences of both the intervention and the study processes. Interviews were audio-recorded, transcribed and analysed thematically.

Results: Four themes were developed from 136 participants' experiences of culturally safe dental research: (1) research and clinical team characteristics including positive interactions with team members and personalised care; (2) participation in a research intervention that breaks down barriers to dental care including home visits, flexible scheduling and financial support; (3) research participation as a means of supporting personal and community health; and (4) a community-driven recruitment strategy that improved trust and retention.

Conclusions: Culturally safe, community-driven dental research centred on Indigenous representation, personalised care and home-based dental service delivery can effectively reduce barriers to dental care and improve engagement and retention among Indigenous participants in oral health research.

原住民与托雷斯海峡岛民的牙科文化安全研究经验:质性探索。
目标:土著参与者的参与和保留是口腔健康研究,特别是纵向研究成功的关键因素。然而,参与者的经验和对土著研究参与的看法仍未得到充分探讨。本质性研究的目的是探讨原住民参与者在文化安全口腔健康研究中的经验。方法:纵向干预研究涉及接受文化安全牙科护理的土著成年人。干预措施包括以家庭为基础的牙科检查、灵活的预约安排、定期随访和在当地牙科诊所进行牙科治疗的财政支持。牙科治疗后,采用基于纱线的方法进行半结构化访谈,以记录参与者在干预和研究过程中的经历。对采访进行了录音、文字记录和专题分析。结果:从136名参与者的文化安全牙科研究经历中发展出四个主题:(1)研究和临床团队特征,包括与团队成员的积极互动和个性化护理;(2)参与一项研究干预,打破牙科保健的障碍,包括家访、灵活的时间安排和经济支持;(3)参与研究,作为支持个人和社区健康的一种手段;(4)以社区为导向的招聘策略,提高了信任度和保留率。结论:文化上安全、以土著代表为中心的社区驱动的牙科研究、个性化护理和以家庭为基础的牙科服务提供可以有效地减少牙科护理的障碍,并提高土著参与者对口腔健康研究的参与和保留。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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