{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T06:12:04Z","timestamp":1779343924485,"version":"3.51.4"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although diabetes and oral health share a bidirectional relationship, there is little emphasis on oral health promotion by diabetes care providers despite global guidelines and recommendations. In Australia, diabetes educators are well-placed to promote oral health among their clients; however, comprehensive training programs tailored for diabetes educators are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To develop and evaluate a diabetes oral health training program to assess the potential impact in improving oral health knowledge and confidence of diabetes educators, and the acceptability, feasibility, and sustainability of integrating the training into practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Guided by the Medical Research Council framework for complex interventions, a mixed-methods, quasi-experimental one-group pretest-posttest design was used. The development led to a three-module training program, which integrated videos, a screening tool, and resources to support oral health referrals. A pre-post knowledge and confidence questionnaire was analysed using a paired-sample t-test. To assess acceptability, feasibility and sustainability, qualitative semi-structured interviews were conducted and analysed using directed content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty diabetes educators from the states of New South Wales and Victoria were recruited. There was an overall significant difference in the knowledge scores pre-test (mean\u2009=\u200923.24, SD 4.4) compared to post-test (mean\u2009=\u200929.67, SD 2.01), (t\u2009=\u2009\u22126.11),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921), and across all confidence variables on discussing, screening and referring clients to oral health services (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Most participants agreed with the trainings perceived acceptability, feasibility, and sustainability, although some recommendations were made to improve long-term sustainability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using online training modules and tailored resources to support clinical practice has shown preliminary improvements in oral health knowledge and confidence among diabetes educators, and was acceptable, feasible, and sustainable for integration into clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/froh.2026.1819829","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T05:43:50Z","timestamp":1779342230000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and preliminary evaluation of an 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Sydney Medical School, The University of Sydney","place":["Campbelltown, NSW, Australia"]},{"name":"Sydney Dental Hospital, Sydney Local Health District","place":["Surry Hills, NSW, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phyllis","family":"Lau","sequence":"additional","affiliation":[{"name":"Melbourne Dental School, The University of Melbourne","place":["Carlton, VIC, Australia"]},{"name":"School of Medicine, Western Sydney University","place":["Campbelltown, NSW, Australia"]},{"name":"Department of General Practice, The University of Melbourne","place":["Melbourne, VIC, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Australian Centre for Integration of Oral Health (ACIOH), School of Nursing & Midwifery, Western Sydney University","place":["Liverpool, NSW, 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Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorena","family":"Akerman","sequence":"additional","affiliation":[{"name":"Australian Diabetes Educators Association","place":["Turner, ACT, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Wong","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences, Monash University","place":["Clayton, VIC, Australia"]},{"name":"School of Clinical Sciences, Monash University","place":["Clayton, VIC, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Uthurralt","sequence":"additional","affiliation":[{"name":"NSW Ministry of Health, Centre for Oral Health Strategy","place":["St Leonards, NSW, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Priede","sequence":"additional","affiliation":[{"name":"Melbourne Dental School, The University of Melbourne","place":["Carlton, VIC, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent W.","family":"Wong","sequence":"additional","affiliation":[{"name":"South-Western Sydney Clinical School, University of New South Wales","place":["Liverpool, NSW, Australia"]},{"name":"Fairfield & Liverpool Diabetes Services, South Western Sydney Local Health District","place":["Liverpool, NSW, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathryn","family":"Forsyth","sequence":"additional","affiliation":[{"name":"School of Dentistry, Faculty of Medicine and Health, The University of Sydney","place":["Surry Hills, NSW, Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parul","family":"Marwaha","sequence":"additional","affiliation":[{"name":"Dental Services, Monash Health","place":["Springvale, VIC, 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