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Work Package 1

Inclusivity and engagement of families in research and intervention development

General aim

  • Enhancement of inclusivity & engagement of families (to be) living in vulnerable conditions, where children are ‘at higher risk of developing oral disease (caries/gingivitis) and overweight’.
  • Shared understanding of the system around oral disease (caries/gingivitis) and overweight of families (to be) living in vulnerable conditions.
  • Identification of leverage points for change to create conditions in society and stimulate household practices that make healthy choices the norm.

Active period: Year 1-5

Members of WP1

Monique van der Veen
Leader WP1
Coosje Dijkstra
Gerlieke Veltkamp
Bich Chau
Carla F. Rodrigues
Soely Mandrone
Christian Bröer

Applicants

ACTA, VU, AUMC, UvA-FMG, Inholland, AUAS.

 

Cooperation partners/co-funders

GGD, Sarphati Amsterdam Food4Smiles, PHAROS, Voedingscentrum, Gezonde en Kansrijke start, JGZ, NJi, NCJ, NVD, Coop, MRN&CN, EVAA, Smallsteps/Partou, PANEL, Ivoren kruis, NVvK.

 

Progress

Updated March 2025:

The work on inclusivity and engagement (aim 1) hinges on two approaches: Understanding barriers and  facilitating factors for parent/child and care professional (inclusive) engagement. This is done via the collection of stories on best practices and observations of such interactions at the well-baby clinic and a scoping review. This work has been on hold due to illness of the PhD student. Data collection via collecting stories and observations is now back on track. At the well-baby clinics youth nurses and physicians are being observed during their consultations of young children and their parents. Both health care professionals and parents are interviewed afterwards to reflect on the observations and how they perceived the communication during consults. The scoping review of the literature on citizens inclusion in research using a micro-sociological critical approach is planned to be written from August 2025.

Results aiding to a more diverse inclusion into the AIMS cohort from WP1 were not feasible due to both the nature of inclusion activities and the deadline for last inclusion (child must be born December 31 , 2024 the latest). To increase representation of vocationally trained participants in the Sarphati Ethnography and AIMS cohorts by approaching pregnant women at vaccination sites for the whooping cough in low SEP areas of Amsterdam (concluded per November 2024).

To map the system around oral disease and overweight (aim 2) we focus on Amsterdam North (study protocol approved ACTA-ETC 2023-26790). Contacts have been made with neighborhood organizations (DOCK, Road of Hope, Single Super Moms, Voedselbank (sociale markt; OKT). Key figures in the local community have been identified via neighborhood-tables for residents. The PhD student has started interviewing parents.

Also, oral hygiene students have asked families from the neighborhood how they perceive the role of the living environment on their lifestyle related choices regarding food and physical activity (Bergen, F, Gökkaya, I, Imaç, D, Mienstra, I, Munster, S, Poelstra, M (2024) Parents’ perspectives regarding the influence of the living environment in Amsterdam North on their food choices. Bachelor Thesis, Inholland). This has resulted in a bachelor thesis and an abstract was presented at the Dutch Dental Science Days (13 -14 June 2024, Lunteren, the Netherlands) and at the ORCA congress (July 3-6, 2024, Crete, Greece). A scoping review regarding indicators for lack of access to care or avoidance of care is under way.

One Group model building session was held together with professionals from formal and informal organizations such as dentists, dieticians, GPs, child health care professionals, social and/or community workers and community centre managers, and parents. Due to illness of the PhD the second GMP is postponed.

The health care professionals from the well-baby clinics have asked for a training program regarding the oral health during the first 1000 days. Training to the health nurses and physicians was provided. On request of the OKT’s in Amsterdam -North, a master student is investigating the child friendliness of oral health clinics in Amsterdam North to create a referral map (and protocol) to be used by the well-baby clinics.

Progress PhD Soely Madrone

See page of Soely

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