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2OO9 – 2O1O - Faculty of Dentistry - University of Otago

2OO9 – 2O1O - Faculty of Dentistry - University of Otago

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ALISON MELDRUM<br />

MDS (<strong>Otago</strong>)<br />

Oral Sciences<br />

Senior Lecturer<br />

Alison Meldrum’s main areas <strong>of</strong> research include the allied<br />

dental pr<strong>of</strong>essionals workforce, childhood caries, and<br />

student learning and acquisition <strong>of</strong> knowledge.<br />

Research and Collaboration<br />

Improving the oral health <strong>of</strong> preschoolers <strong>–</strong> developing a<br />

workable and effective tool for oral health pr<strong>of</strong>essional.<br />

This project was funded by a NZDA research grant<br />

and involved Annette Hannah, Dawn Coates and<br />

Wendy Aitken. This research aims to investigate whether<br />

Motivational Interviewing (MI) is an effective chairside<br />

education tool for the caregivers <strong>of</strong> young children.<br />

Underpinning oral health promotion is ‘the process <strong>of</strong><br />

enabling people to increase control over, and to improve,<br />

their health’ (MOH, 2004). This principle <strong>of</strong> enabling<br />

people is at the heart <strong>of</strong> MI, which is a patient-centred<br />

method designed to augment an individual’s motivation to<br />

change a problematic behaviour. This research developed<br />

Motivational Interviewing methodology for use in New<br />

Zealand Dental Clinics with the caregivers <strong>of</strong> young<br />

children (aged 6<strong>–</strong>24 months) and examined its efficacy in<br />

a controlled environment.<br />

An evaluation <strong>of</strong> the acceptability <strong>of</strong> primary health care<br />

nurses delivering oral health messages. This pilot study is<br />

in collaboration with Susan M<strong>of</strong>fat, Dawn Coates and<br />

Wendy Aitken, and supported by a <strong>University</strong> <strong>of</strong> <strong>Otago</strong><br />

Research Committee grant. There is limited international<br />

research on primary health care providers’ involvement<br />

in oral health care promotion. Research in Australia found<br />

that practice nurses have no confidence or self-perceived<br />

legitimacy to deliver oral health anticipatory guidance, and<br />

that there was a clear need for clear and consistent oral<br />

health information and agreed roles between disciplines.<br />

There is a need to provide intervention packages and<br />

effective training for practice nurses to enable them to<br />

undertake oral health promotion activities.<br />

Three general practices in the Dunedin area were<br />

recruited. Practice nurses from each complete a brief<br />

training programme to enable them to deliver a brief<br />

oral health message to infants at their five-month<br />

immunisation appointments.<br />

42 FACULTY OF DENTISTRY RESEARCH REPORT 2009-2010<br />

Recent Publications<br />

M<strong>of</strong>fat SM, Coates, DE, Meldrum AM. New Zealand’s<br />

changing oral health workforce. A dental practitioner’s<br />

guide to dual trained dental therapists/dental hygienists.<br />

New Zealand Dental Journal 6: 57-60 (2009).<br />

Kardos RL, Meldrum AM, M<strong>of</strong>fat SM. The <strong>University</strong> <strong>of</strong><br />

<strong>Otago</strong>. In: Tsang TKL (ed.) Oral Health Therapy Programs in<br />

Australia and New Zealand <strong>–</strong>Emergence and Development.<br />

Knowledge Books and S<strong>of</strong>tware Publishing, Queensland<br />

pp75-98 (2010).<br />

Tang A, M<strong>of</strong>fat SM, Kardos RL, Meldrum AM, Walsh L.<br />

Looking forward to the future: Directions and Innovations.<br />

In: Tsang TKL (ed.) Oral Health Therapy Programs in Australia<br />

and New Zealand <strong>–</strong>Emergence and Development. Knowledge<br />

Books and S<strong>of</strong>tware Publishing, Queensland (2010).

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