Investigating the effectiveness and acceptability of oral health and related health behaviour interventions in adults with severe and multiple disadvantage: Protocol for a mixed-methods systematic review

Laura J. McGowan (Lead / Corresponding author), Emma C. Joyes, Emma A. Adams, Aishah Coyte, Richard Gavin, Catherine Richmond, Hosein Shabaninejad, Fiona Beyer, Angela Broadbridge, Kevin Dobson, David Landes, Suzanne Moffatt, Richard G. Watt, Falko F. Sniehotta, Ruth Freeman, Martha Paisi, Clare Bambra, Dawn Craig, Eileen Kaner, Sheena E. Ramsay

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Abstract

Increasing numbers of people in England experience homelessness, substance use, and repeated offending (known as ‘severe and multiple disadvantage’; SMD). Populations experiencing SMD often have extremely poor oral health, which is closely inter-linked with high levels of substance use, smoking, and poor diet. This study aims to undertake an evidence synthesis to identify the effectiveness, resource requirements, and factors influencing the implementation and acceptability of oral health and related health behaviour interventions in adults experiencing SMD. Two systematic reviews will be conducted using mixed-methods. Review 1 will investigate the effectiveness and resource implications of oral health and related health behaviours (substance use, smoking, diet) interventions; Review 2 will investigate factors influencing the implementation of such interventions. The population includes adults (≥18 years) experiencing SMD. Standard review methods in terms of searches, screening, data extraction, and quality appraisal will be conducted. Narrative syntheses will be conducted. If feasible, a meta-analysis will be conducted for Review 1 and a thematic synthesis for Review 2. Evidence from the two reviews will then be synthesised together. Input from people with experience of SMD will be sought throughout to inform the reviews. An initial logic model will be iteratively refined during the review.

Original languageEnglish
Article number11554
Number of pages12
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number21
DOIs
Publication statusPublished - 3 Nov 2021

Keywords

  • Diet
  • Evidence synthesis
  • Health inequalities
  • Homelessness
  • Multiple disadvantage
  • Oral health
  • Repeat offending
  • Smoking
  • Substance misuse
  • Systematic review

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