{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:11:21Z","timestamp":1789575081806,"version":"build-2803163510"},"reference-count":0,"publisher":"Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promot Chronic Dis Prev Can"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<sec>\n                    <title>Introduction<\/title>\n                    <p>Since 2004, the Children\u2019s Oral Health Initiative (COHI) has been working in many First Nations and Inuit communities in Canada to address oral health disparities, specifically early childhood caries (ECC). The COHI community-based approach improves early childhood oral health (ECOH) by balancing prevention with minimally invasive dentistry. The goal is to reduce the burden of oral disease, mainly by minimizing the need for surgery. We investigated program success in First Nations communities in the province of Manitoba, from the perspective of COHI staff.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Methods<\/title>\n                    <p>First Nations community-based dental therapists and dental worker aides participated in three focus groups and an in-depth semistructured interview. The collected data were thematically analyzed.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Results<\/title>\n                    <p>Data from 22 participants yielded converging and practitioner-specific themes. Participants reported that dental therapists and dental worker aides provide access to basic oral care in their communities including oral health assessments, teeth cleaning, fluoride varnish applications and sealants. The participants agreed that education, information sharing and culturally appropriate parental engagement are crucial for continuous support and capacity building in the community programs. Low enrolment, difficulty accessing homes and getting consent, limited human resources as well as lack of educational opportunities for dental worker aides were identified challenges.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusion<\/title>\n                    <p>Overall, the participants reported that the COHI program positively contributes to ECOH in First Nations communities. However, increased community-based training for dental workers, community awareness about the program, and engagement of parents to facilitate culturally appropriate programming and consent processes are critical to improving program outcomes.<\/p>\n                  <\/sec>","DOI":"10.24095\/hpcdp.43.9.01","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T09:20:36Z","timestamp":1694424036000},"page":"393-402","source":"Crossref","is-referenced-by-count":4,"title":["Children\u2019s Oral Health Initiative: workers\u2019 perspectives on its impact in First Nations communities"],"prefix":"10.24095","volume":"43","author":[{"given":"Robert J.","family":"Schroth","sequence":"first","affiliation":[{"name":"Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Children\u2019s Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Section of Pediatric Dentistry, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Kyoon-Achan","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"McNally","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette","family":"Edwards","sequence":"additional","affiliation":[{"name":"Shared Health Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny","family":"White","sequence":"additional","affiliation":[{"name":"First Nations and Inuit Health Branch, Ontario Region, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Tait Neufeld","sequence":"additional","affiliation":[{"name":"School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Bertone","sequence":"additional","affiliation":[{"name":"School of Dental Hygiene, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Hayes","sequence":"additional","affiliation":[{"name":"Department of Indigenous Services Canada, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalida","family":"Hai-Santiago","sequence":"additional","affiliation":[{"name":"Shared Health Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Manitoba Health, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leona","family":"Star","sequence":"additional","affiliation":[{"name":"First Nations Health and Social Secretariat of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"McNab Fontaine","sequence":"additional","affiliation":[{"name":"First Nations Health and Social Secretariat of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Yerex","sequence":"additional","affiliation":[{"name":"School of Dental Hygiene, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olubukola O.","family":"Olatosi","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Children\u2019s Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Department of Oral Biology, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E. K.","family":"Moffatt","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Children\u2019s Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivianne","family":"Cruz de Jesus","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada"},{"name":"Department of Oral Biology, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10188","container-title":["Health Promotion and Chronic Disease Prevention in Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-43-no-9-2023\/childrens-oral-health-initiative-workers-perspectives-impact-first-nations-communities.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T09:20:37Z","timestamp":1694424037000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-43-no-9-2023\/childrens-oral-health-initiative-workers-perspectives-impact-first-nations-communities.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":0,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.24095\/hpcdp.43.9.01","archive":["Internet Archive"],"relation":{},"ISSN":["2368-738X"],"issn-type":[{"value":"2368-738X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}