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Open Access Study protocol

An oral health intervention for people with serious mental illness (Three Shires Early Intervention Dental Trial): study protocol for a randomised controlled trial

Hannah F Jones1*, Clive E Adams2, Andrew Clifton3, Jayne Simpson1, Graeme Tosh4, Peter F Liddle5, Patrick Callaghan6, Min Yang1, Boliang Guo1 and Vivek Furtado5

Author Affiliations

1 CLAHRC-NDL, Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham, NG7 2TU, UK

2 Cochrane Schizophrenia Group, Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham, NG7 2TU, UK

3 School of Human & Health Sciences, University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, UK

4 Ferham Clinic, Kimberworth Road, Rotherham, S61 1SAJ, UK

5 Division of Psychiatry, Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham, NG7 2TU, UK

6 School of Nursing, Midwifery and Physiotherapy, Queen's Medical Centre, Derby Road, Nottingham, NG7 2UH, UK

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Trials 2013, 14:158  doi:10.1186/1745-6215-14-158

Published: 29 May 2013

Abstract

Background

Oral health is an important part of general physical health and is essential for self-esteem, self-confidence and overall quality of life. There is a well-established link between mental illness and poor oral health. Oral health problems are not generally well recognized by mental health professionals and many patients experience barriers to treatment.

Methods/Design

This is the protocol for a pragmatic cluster randomised trial that has been designed to fit within standard care. Dental awareness training for care co-ordinators plus a dental checklist for service users in addition to standard care will be compared with standard care alone for people with mental illness. The checklist consists of questions about service users’ current oral health routine and condition. Ten Early Intervention in Psychosis (EIP) teams in Nottinghamshire, Derbyshire and Lincolnshire will be cluster randomised (five to intervention and five to standard care) in blocks accounting for location and size of caseload. The oral health of the service users will be monitored for one year after randomisation.

Trial registration

Current Controlled Trials ISRCTN63382258.