title: An oral health intervention for people with serious mental illness (Three Shires Early Intervention Dental Trial): study protocol for a randomised controlled trial.
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
  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.
  
  
  BACKGROUND
  Current Controlled Trials ISRCTN63382258.
authors.affiliation: CLAHRC-NDL, Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham NG7 2TU, UK. Hannah.Jones@nottingham.ac.uk
authors.forename: Hannah F
authors.initials: HF
authors.lastname: Jones
authors.forename: Clive E
authors.initials: CE
authors.lastname: Adams
authors.forename: Andrew
authors.initials: A
authors.lastname: Clifton
authors.forename: Jayne
authors.initials: J
authors.lastname: Simpson
authors.forename: Graeme
authors.initials: G
authors.lastname: Tosh
authors.forename: Peter F
authors.initials: PF
authors.lastname: Liddle
authors.forename: Patrick
authors.initials: P
authors.lastname: Callaghan
authors.forename: Min
authors.initials: M
authors.lastname: Yang
authors.forename: Boliang
authors.initials: B
authors.lastname: Guo
authors.forename: Vivek
authors.initials: V
authors.lastname: Furtado
mesh_terms: D001291:Attitude of Health Personnel; D001364:Awareness; D057189:Checklist / Q000191:economics; D003365:Costs and Cost Analysis; D061345:Early Medical Intervention / Q000191:economics / Q000379:methods*; D004739:England; D017048:Health Care Costs; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training / Q000191:economics; D001523:Mental Disorders / Q000150:complications* / Q000191:economics; D009909:Oral Health / Q000191:economics; D013997:Time Factors; D014076:Tooth Diseases / Q000150:complications / Q000175:diagnosis / Q000191:economics / Q000517:prevention & control*; D016896:Treatment Outcome