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Co-Designing an Antiracist Dental Health System: Protocol for an Aboriginal and Torres Strait Islander-Led Mixed
Brianna Poirier1, Joanne Hedges1, Dandara Haag1
1Australian Research Centre for Population Oral Health, Adelaide Dental School, University of Adelaide, Adelaide, Australia.
JMIR Research Protocols
|May 15, 2025
Summary
This project develops an antiracist dental curriculum, workforce strategies, and training to address health inequities for Aboriginal and Torres Strait Islander Peoples in Australia. These initiatives aim to improve oral health and support self-determination.
Area of Science:
- Public Health
- Health Equity
- Indigenous Health
Background:
- Racism, stemming from colonization, perpetuates health inequities for Aboriginal and Torres Strait Islander Peoples in Australia.
- Australia's health system, including dentistry, largely upholds colonial and biomedical agendas, contributing to racialized health disparities.
- Dentistry has been slow to adopt antiracism principles, with racism only recently recognized as an oral health determinant.
Purpose of the Study:
- To co-design strategies for an antiracist Australian dental health system.
- Objectives include developing an antiracist dental curriculum, creating workforce strategies for Aboriginal and Torres Strait Islander dental professionals, and implementing oral health promotion training for Aboriginal Health Workers/Practitioners.
Main Methods:
- The project employs decolonizing and Indigenous methodologies, including co-design Yarning sessions.
- Data synthesis involves tabulation and narrative synthesis.
- Evaluation will utilize quantitative and qualitative measures, including inverse probability of treatment weighting, content analysis, and reflexive thematic analysis.
Main Results:
- Ethical approval received in February 2024, funding in June 2024.
- Co-design phases are scheduled from July 2024 to February 2025.
- Curriculum development and delivery are planned for 2025-2026, with workforce strategy development and dissemination in 2025-2026, and training implementation and evaluation in 2024-2025.
Conclusions:
- The research will yield an antiracism dental curriculum, a workforce framework for Aboriginal and Torres Strait Islander dental professionals, and oral health promotion training.
- Outcomes are designed to be scalable and adaptable to various contexts.
- These strategies aim to enhance community-level oral health knowledge and support Indigenous self-determination in oral health.
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