Weinstein 2006
Methods |
Study design: randomised controlled trial Conducted in: community in Surrey, British Columbia Unit of randomisation: household Unit of analysis: mother and child Setting: mothers from Punjabi‐speaking (South Asian) community in Surrey, British Columbia, Canada Funded by: "The study was supported by the National Institute of Dental and Craniofacial Research grant" Duration of the study: 1 year (2004 to 2005) |
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Participants |
Inclusion criteria: not reported Exclusion criteria: history of serious acute or chronic disease that would interfere with ability to examine the child, or with ability of the child and parent to participate fully Age at baseline: recruited when child was 6 to 18 months old N (controls baseline): not reported N (controls follow‐up): not reported N (interventions baseline): not reported N (interventions follow‐up): not reported Recruitment: Temples and fairs in the South Asian Punjabi speaking community (total participants: n = 240; study does not provide a breakdown of participant numbers in terms of intervention and control groups) Gender: not reported |
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Interventions |
Intervention: pamphlet and video plus 45‐minute counselling, 2 follow‐up telephone calls within 6 weeks, 4 follow‐up calls within 20 weeks and postcards Control: education pamphlet and video Duration of intervention: not directly reported |
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Outcomes | Caries/New caries lesions (decayed or filled surfaces) | |
Implementation related factors |
Theoretical basis: motivational Interviewing, behaviour change Resources for implementation: educational material, video, pamphlet, interviewing, postcards Who delivered the intervention: 3 trained local South Asian women who acted as counsellors PROGRESS categories assessed at baseline: yes PROGRESS categories analysed at outcome: not reported Outcomes related to harms/unintended effects: not reported Intervention included strategies to address diversity or disadvantage: not reported Economic evaluation: not reported |
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Notes | 240 healthy infants 6 to 18 months of age were recruited; 205 (85%) total were analysed | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Participants were assigned to motivational counselling or to a health education group via a table of random numbers, after children had been stratified into 2 age groups (6 to 12 months and older than 12 months) |
Allocation concealment (selection bias) | Unclear risk | Unclear |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Unclear |
Selective reporting (reporting bias) | Low risk | Published report presents all expected outcomes of interest to the review |
Other bias | Unclear risk | Unclear |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Unclear |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Unclear |