None listed
Conditions
Brief summary
Infant2Child is a prospective observational study that seeks to understand early life influences on child health on dental health at 4 years. The study will recruit families enrolled in an existing study, Infant to Scale (ACTRN12620000670976), which will recruit and follow 500 children from 3 to 18 months to evaluate the implementation of the INFANT program in Victoria. The study will also recruit approximately 2000 participants through early childcare sites in Victoria. Infant2Child will seek to recruit a total of approximately 3000 participants at 18-24months. Participants will be assessed at 2 key stages, 2 years and 4 years of age, in order to evaluate the effect of early life influences on diet, toothbrushing, the oral microbiome and dental health in early childhood and develop additional strategies to identify and prevent dental caries in high risk children.
Interventions
One part of this study involves a follow-up of an existing early life intervention study, Infant to Scale (ACTRN12620000670976). The INFANT program provides early life health promotion through face-to-face group sessions and the My Baby Now app. The program includes four 1.5 - 2hour face-to-face sessions at infant age 3, 6, 9, 12 months, delivered by trained service providers (typically MCH nurses or dietitians) in local government areas delivering INFANT. Sessions focus on anticipatory guidance to enhance parental knowledge, skills, and social support around infant feeding, diet, active play, and sedentary behaviours to encourage healthy habits from the very start of life. The smart-phone app/website (My Baby Now) has been developed to complement face-to-face delivery by providing ‘around the clock’, high-quality information and personalised/tailored support. The app provides guidance on breastfeeding, best practice formula feeding and sleep as well as early oral health habits such as toothbrushing and timely dental check-ups. The oral health promotion is not in addition to the INFANT program - it refers to information/messaging that is provided as part of the My Baby Now App. A second cohort of children will be recruited from Early Childcare Centres in Victoria. The study will not be providing participants in this cohort any intervention. Additional measures will be collected from this cohort to measure household level disadvantage. All participants will be evaluated at two time points: 2 and 4 years of age. At 2 years of age, participants will collect an at-home plaque microbiome sample and complete 2 questionnaires (general medical and dental and parent reported quality of life, food frequency). At 4 years of age participants will be measured for height and weight, complete an additional 2 questionnaires (general medical and dental and parent reported quality of life, food frequency) and attend a dental examination where an oral health practitioner will also collect an additional plaque microbiome swab.
Sponsors
Eligibility
Inclusion criteria
Each participant must meet all of the following criteria to be enrolled in this study: • Children at least 18 months of age • Completed the online informed consent form and has a legally acceptable representative capable of understanding the informed consent document and providing consent on the participant’s behalf
Exclusion criteria
Participants meeting any of the following criteria will be excluded from this study: • Children or parent/guardian with intellectual impairment who cannot give informed consent • Families whose level of English precludes adequate understanding to be able to give informed consent without the use of an interpreter