{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:18:58Z","timestamp":1787797138542,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Issue Addressed<\/jats:title>\n                    <jats:p>Refugee parents often experience barriers when accessing oral health information and dental services for their children, including language difficulties, unfamiliarity with health systems, and limited culturally appropriate resources. These challenges can contribute to poorer oral health outcomes. Participatory approaches may help identify oral health priorities that better reflect community experiences and service needs. The IMPROV project (Intervention Mapped for Promoting Refugee Oral Healthcare in Victoria) aims to address these gaps by engaging the Karen refugee community and key stakeholders in priority setting for oral health promotion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This protocol describes the prioritisation phase of the IMPROV project, which will use a modified Nominal Group Technique (NGT). Separate NGT workshops will be conducted with Karen refugee parents and other stakeholders, including dental service providers, interpreters, and settlement service organisations. Prior to the workshops, key findings from earlier qualitative interviews will be summarised and presented to participants. Participants will then generate ideas, discuss them, and independently rank the most important ideas. Quantitative ranking scores and qualitative discussion data will be analysed to identify the most important priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The primary outcome of the NGT workshops will be a list of the highest\u2010ranked oral health needs and strategies for improving access to oral health information and dental care for Karen refugee families in Victoria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This protocol outlines a structured, participatory approach for identifying stakeholder\u2010informed priorities to guide oral health promotion initiatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Involvement<\/jats:title>\n                    <jats:p>Karen refugee parents were actively involved in shaping this study through earlier qualitative interviews that informed the research focus. They will further contribute to the study through participation in the NGT workshops and co\u2010design sessions to identify priorities and collaboratively develop the intervention. Their lived experiences will inform both the design and interpretation of the study outputs to ensure cultural relevance and practical applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70781","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:46:32Z","timestamp":1784789192000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The IMPROV Project: Protocol for Using a Modified Nominal Group Technique to Prioritise Oral Health Promotion Strategies With the Karen Refugee Community in Victoria"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0977-3889","authenticated-orcid":false,"given":"Sudheer Babu","family":"Balla","sequence":"first","affiliation":[{"name":"Dentistry and Oral Health, Department of Rural Clinical Sciences, La Trobe Rural Health School La Trobe University Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2518-6476","authenticated-orcid":false,"given":"Jyothi","family":"Tadakamadla","sequence":"additional","affiliation":[{"name":"Dentistry and Oral Health, Department of Rural Clinical Sciences, La Trobe Rural Health School La Trobe University Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-2897","authenticated-orcid":false,"given":"Santosh Kumar","family":"Tadakamadla","sequence":"additional","affiliation":[{"name":"Dentistry and Oral Health, Department of Rural Clinical Sciences, La Trobe Rural Health School La Trobe University Bendigo Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"e_1_2_19_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034520908533"},{"key":"e_1_2_19_3_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","year":"2022"},{"key":"e_1_2_19_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31133-X"},{"key":"e_1_2_19_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/froh.2025.1669597"},{"key":"e_1_2_19_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-02886-3"},{"key":"e_1_2_19_7_1","volume-title":"Oral Health and Dental Care in Australia","author":"Australian Institute of Health and Welfare","year":"2023"},{"key":"e_1_2_19_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2012.01697.x"},{"key":"e_1_2_19_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-22907-w"},{"key":"e_1_2_19_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2014.907391"},{"key":"e_1_2_19_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70110"},{"key":"e_1_2_19_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2005.016527"},{"key":"e_1_2_19_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2019-009570"},{"key":"e_1_2_19_14_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3222211"},{"key":"e_1_2_19_15_1","doi-asserted-by":"publisher","DOI":"10.2196\/72107"},{"key":"e_1_2_19_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0784-z"},{"key":"e_1_2_19_17_1","volume-title":"Using Experience\u2010Based Co\u2010Design to Improve the Quality of Healthcare: Mapping Where We Are Now and Establishing Future Directions","author":"Donetto S.","year":"2014"},{"key":"e_1_2_19_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-084620"},{"key":"e_1_2_19_19_1","volume-title":"Group Techniques for Idea Building","author":"Moore C. 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