{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T08:18:31Z","timestamp":1760170711659,"version":"build-2065373602"},"reference-count":15,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T00:00:00Z","timestamp":1636416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["NIHR200415"],"award-info":[{"award-number":["NIHR200415"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The number of individuals in England experiencing homelessness, substance use, and involvement with the criminal justice system is increasing. These issues, referred to as severe and multiple disadvantage (SMD), are often interlinked and co-occur. Health inequalities, particularly poor oral health, persist for those facing these inter-related issues and are closely linked with high levels of substance use, smoking, and poor diet. However, evidence for interventions that can improve these health outcomes for those experiencing these issues is limited. This paper outlines the design of a qualitative study which aims to explore the perspectives of stakeholders to understand what interventions can help to support SMD groups with their oral health and related health behaviours (i.e., substance use, smoking, diet). Interviews and focus groups will be undertaken with stakeholders comprising two groups: (1) individuals with experience of SMD, and (2) service providers (staff and volunteers), policy makers, and commissioners who support such individuals. Public involvement and engagement is central to the project. For example, stakeholders and research partners in policy and practice and people with lived experience of SMD will provide input at all stages of this study. Findings from the study will inform an \u2018evidence for practice\u2019 briefing outlining recommendations for policy. Dissemination will occur through presentations to a range of practice, policy and academic beneficiaries, and through peer-reviewed publications.<\/jats:p>","DOI":"10.3390\/ijerph182211755","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T12:46:23Z","timestamp":1636461983000},"page":"11755","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exploring Interventions to Improve the Oral Health and Related Health Behaviours of Adults Experiencing Severe and Multiple Disadvantage: Protocol for a Qualitative Study with Stakeholders"],"prefix":"10.3390","volume":"18","author":[{"given":"Emma C.","family":"Joyes","sequence":"first","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4054-9300","authenticated-orcid":false,"given":"Laura J.","family":"McGowan","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7536-0658","authenticated-orcid":false,"given":"Emma A.","family":"Adams","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha","family":"Paisi","sequence":"additional","affiliation":[{"name":"Peninsula Dental School, University of Plymouth, Plymouth PL4 8AA, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Burrows","sequence":"additional","affiliation":[{"name":"Inclusive Insight, Bournemouth BH6 5AY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hosein","family":"Shabaninejad","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Beyer","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Haddow","sequence":"additional","affiliation":[{"name":"Fulfilling Lives Newcastle\/Gateshead, Gateshead NE8 4DY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aishah","family":"Coyte","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Landes","sequence":"additional","affiliation":[{"name":"Public Health England, Newcastle Upon Tyne NE15 8NY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Moffatt","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard G.","family":"Watt","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Public Health, University College London, London WC1E 7HB, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Falko F.","family":"Sniehotta","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Bambra","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5808-0096","authenticated-orcid":false,"given":"Dawn","family":"Craig","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Kaner","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheena E.","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE2 4AX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,9]]},"reference":[{"key":"ref_1","unstructured":"Bramley, G., Fitzpatrick, S., Edwards, J., Ford, D., Johnsen, S., Sosenko, F., and Watkins, D. 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