Evidence mapPaperPMID 40873005Full record

SynthesisCommunity dentistry and oral epidemiology2025

Aboriginal and Torres Strait Islander Dental Program Evaluations: A Mixed-Methods Systematic Review.

Alexander Pham, Joanne Hedges, Emma Flanagan, Tiyanna Mastrosavas, Lisa Jamieson, Sonia Nath

Abstract readSystematic Review
In one paragraph

Synthesis in Community dentistry and oral epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. The sociobiome-oral microbiome mediates dental caries among Indigenous Australians.Frontiers in cellular and infection microbiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexander PhamAdelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.ORCID 0009-0000-9545-7289
Joanne HedgesAdelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
Emma FlanaganAdelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
Tiyanna MastrosavasAdelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
Lisa JamiesonAdelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
Sonia NathAdelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0001-8714-7264

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOver the last 20 years, the disparity in oral health between Aboriginal and Torres Strait Islander Australians and other Australians has continued to grow. This suggests that further programmes and programme improvements are needed to reach equitable oral health outcomes for Aboriginal and Torres Strait Islander Peoples. This mixed methods systematic review aims to assess Aboriginal and Torres Strait Islander Dental Programme Evaluations by measuring outcomes and cultural safety via the Lowitja Institute Evaluation Framework to Improve Aboriginal and Torres Strait Islander Health.

methodsDatabases searched were PubMed, Embase, Dentistry & Oral Sciences Source, Public Health Database and Scopus. All years were included. The date of the last search was the 1 May 2025. Published articles researching dental health programmes with Aboriginal and Torres Strait Islander participants in Australia were identified. Quantitative, qualitative and mixed methods studies were included. The Joanna Briggs Institute approach to Mixed-Methods Systematic Reviews was followed, except for a deviation in critical appraisal, which utilised the Quality Assessment for Diverse Studies (QuADs) instead. This review protocol was registered in PROSPERO (CRD42025637868) a priori.

resultsThere were 54 studies included. New South Wales, South Australia, Queensland, Northern Territory and Western Australia were the states with the most data. The research designs included qualitative, quantitative and mixed-methods approaches. Most studies were of relatively high quality, as assessed by the QuADS criteria. Evaluations of dental programs for Aboriginal and Torres Strait Islander communities largely adhered to the Lowitja Framework, particularly in shared responsibility, partnerships and active engagement with Aboriginal and Torres Strait Islander peoples and their communities. Program effectiveness was primarily assessed through reductions in dental decay and participant feedback. Findings may be limited because the Lowitja Framework was developed via evaluation tenders, and the studies included were sourced from research articles.

conclusionsStrong partnerships between programs, evaluation teams and Aboriginal and Torres Strait Islander communities are critical for cultural safety. Effective study designs should be used, and culturally relevant and holistic outcome measures should be chosen. Lessons learnt from this systematic review can be used to improve the effectiveness of Aboriginal and Torres Strait Islander dental programme evaluations.

Indexed as

Dental CareHealth Services, IndigenousOral HealthProgram EvaluationAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesHumansaboriginaldentistryfirst nationshealth program evaluationoral healthpublic health dentistryTorres Strait Islander

Identifiers

PMID40873005
PMCPMC12627262

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.