Lessons learned from a periodontal intervention to reduce progression of chronic kidney disease among Aboriginal Australians

BMC Research Notes

Alex Brown¹  Kostas Kapellas²  Lisa M. Jamieson²  Michael R. Skilton³  Basant Pawar⁴  Cherian Sajiv⁴  Wendy Hoy⁵  Alan Cass⁶  Louise J. Maple-Brown⁶  Jaquelyne T. Hughes⁷  Lisa M. Askie⁸  Peter Arrow⁹  David Harris^1,10 

[1] Aboriginal Research Unit, South Australian Health & Medical Research Institute, Adelaide, SA, Australia;Australian Research Centre for Population Oral Health, University of Adelaide Dental School, University of Adelaide, Adelaide, SA, Australia;Boden Collaboration for Obesity, Nutrition, Exercise and Eating Disorders, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia;Central Australian Renal Services, Northern Territory Department of Health, Darwin, NT, Australia;Centre for Chronic Disease, University of Queensland, Brisbane, QLD, Australia;Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia;Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia;Department of Nephrology, Division of Medicine, Royal Darwin Hospital, Darwin, NT, Australia;NHMRC Clinical, Trials Centre, University of Sydney, Sydney, NSW, Australia;Western Australian Dental Services, Western Australian Government, Perth, WA, Australia;Westmead Centre for Medical Research, University of Sydney & Department of Renal Medicine, Westmead Hospital, Sydney, NSW, Australia;

关键词: Periodontal disease;    Chronic kidney disease;    Aboriginal Australian;   

DOI  :  10.1186/s13104-020-05317-6

来源: Springer

【 摘 要 】

ObjectivePeriodontal disease is associated with chronic kidney disease (CKD), with both conditions being highly prevalent among Australia’s Aboriginal population. This paper reflects on the lessons learned following implementation of a periodontal intervention in the Central Australian region of the Northern Territory among Aboriginal adults with CKD.ResultsBetween Oct 2016 and May 2019, research staff recruited 102 eligible participants. This was far below the anticipated recruitment rate. The challenges faced, and lessons learned, were conceptualised into five specific domains. These included: (1) insufficient engagement with the Aboriginal community and Aboriginal community-controlled organisations; (2) an under-appreciation of the existing and competing patient commitments with respect to general health and wellbeing, and medical treatment to enable all study commitments; (3) most study staff employed from outside the region; (4) potential participants not having the required number of teeth; (5) invasive intervention that involved travel to, and time at, a dental clinic. A more feasible research model, which addresses the divergent needs of participants, communities and service partners is required. This type of approach, with sufficient time and resourcing to ensure ongoing engagement, partnership and collaboration in co-design throughout the conduct of research, challenges current models of competitive, national research funding.

【 授权许可】

CC BY