Dr Lisa Jamieson
|Position||Professor Director Indigenous Oral Health Uni|
|Telephone||+61 8 8313 4611|
Adelaide Health and Medical Sciences
Lisa Jamieson is an NHMRC Associate Professor at ARCPOH, University of Adelaide. She has established four research interventions among Indigenous Australians and was involved in establishing the dental component of Wave-3 of the Aboriginal Birth Cohort. Lisa is recognised as a leading researcher in Indigenous oral health. In this role she has been contributor of information to national Indigenous oral health and dental services policy in Australia. She has published widely and been an invited presenter at numerous international research meetings involving Indigenous oral health. She is on the Editorial Board of BMC Public Health and has served on several recent NHMRC working parties.
NHMRC Career Development Fellow, School of Dentistry
Director of the Indigenous Oral Health Unit
Convenor, Animal Ethics Committee (Medical)
President, International Association of Dental Research’s Behavioural, Epidemiologic and Health Services Research group
Indigenous Oral Health Unit
Director: Associate Professor Lisa Jamieson, NHMRC Career Development Fellow
Deputy Director (research): Dr Kostas Kapellas, Post-doctoral Fellow
Deputy Director (education): Dr Eleanor Parker, Senior Lecturer
Senior Aboriginal Research Officer: Ms Joanne Hedges
Aboriginal Research Officer: Ms Keryn Wiseman
Aboriginal Research Officer: Ms Jacqui Doolan
Aboriginal Research Officer: Ms Kaylene O’Loughlin
Aboriginal Researcher: Dr Kelly Jones
International Indigenous consultant: Professor Kamilla Venner (Alaskan Native)
Non-Aboriginal research officer: Ms Jacki Aldis
Non-Aboriginal research officer: Ms Helen Mills
Non-Aboriginal researcher: Dr Najith Amarasena
Non-Aboriginal researcher: Dr Diep Ha
Non-Aboriginal researcher: Dr Xiangqun Ju
PhD student: Dr Eleanor Parker
Honours students: Ms Reshika Chand, Ms Julia Bradshaw, Ms Thuy Tran
Administrative assistants: Mr David Harley, Ms Teresa Phung, Ms Nikkita Dodds
Conference and workshop organisation:
- Joint co-ordinator of Epi-forum, Behavioural, Epidemiologic, Health Services Research group, International Association of Dental Research, 2014 & 2015
- Head of the Program Organising Committee for the 2014 International Indigenous Oral Health Conference
- Co-ordinator of 2014 International Indigenous Oral Health Conference special issue in Journal of Health Care for Poor and Underserved
- Organiser of 2011 National Indigenous Oral Health Workshop and Report
- Member of local organising committee for 2007 regional International Association of Dental Research meeting
Past Activities for National Health and Medical Research Council of Australia (NHMRC)
- Member of NHMRC Grant Review Panels (2008, 2009, 2010, 2012, 2014).
Past Editorial Activities
- Editorial Board member BMC Public Health (2010- 2014).
- PhD, University of Otago School of Dentistry, New Zealand. Research Project: Oral Health Disparities among Pacific and New Zealand children.
- Master of Community Dentistry (with Distinction), University of Otago School of Dentistry, New Zealand. Research Project: Adult dental health and use of services in a Dunedin population sample.
- Bachelor of Dental Science, University of Otago School of Dentistry, New Zealand.
Awards & Achievements
- 2012 Career Development Fellowship NHMRC
- 2010 Finalist South Australian Science Excellence Awards; Excellence in Research for Public Good
- 2008 Career Development Fellowship NHMRC
- 1995 Early Career Fellowship NHMRC
Oral health is an integral component of overall health and wellbeing. Oral diseases are not only major causes of infection and tooth loss, but may cause debilitating pain, difficulties with eating and may limit social interactions. The impact of oral disease is not confined to the mouth, with proven associations between chronic oral infections and heart and lung diseases, diabetes, stroke and pre-term low birth weight. Indigenous Australians experience marked disparities in oral health relative to their non-Indigenous counterparts. Conducting innovative quality research that may directly influence Indigenous oral health-related policies and service provision is critical. Our over-arching goals are to reduce the burden of oral disease experienced by Aboriginal populations, both in Australia and at an international level, through better characterisation of oral disease prevalence and incidence, detailed modelling and evaluation of national-level data sets, and culturally-appropriate interventions. Our Unit has a world-class reputation of producing innovative and scientifically robust research.
Past and Present Research Projects
1. Periodontal disease and chronic kidney disease among Aboriginal adults; an RCT (NHMRC APP1078077; $1M over 4 years)
Chronic Kidney Disease (CKD) is a growing public health concern in Australia, especially among Aboriginal populations. It is associated with progression to End Stage Kidney Disease (ESKD) requiring dialysis, cardiovascular disease (CVD) burden and high mortality. In spite of the unacceptably high social, medical and financial costs caused by CKD, there have been few randomised controlled trials (RCT) that explore the relationship between key factors, such as periodontal disease, related to CKD/ESKD, CKD progression and CVD risk. As a consequence, the management armamentarium currently available to slow the CKD progression and reduce CVD risk is extremely limited and only partially effective. There is demonstrated plausibility that periodontal disease has some association with CKD, with sufficient evidence to justify a RCT of periodontal therapy among Aboriginal people with CKD. The study will be the first and largest RCT evaluating the effect of periodontal therapy on progression of CKD and CVD events among Aboriginal patients with CKD. The study will investigate a novel use for a widely available public health service with which every health professional is familiar. This innovative study will provide critical information regarding the progression of renal disease and rates of cardiovascular events among those with CKD, with endpoints used previously by many highly cited RCTs that are international standards used in everyday clinical practice. Demonstration of a significant attenuation of CKD progression and CVD events has the potential to inform clinicians of an important, new and widely available strategy for reducing CKD progression and CVD events for Australia’s most disadvantaged population.
2. Reducing disease burden and health inequalities arising from chronic dental disease among Indigenous children: an early childhood caries intervention (NHMRC APP627350; $1.4M over 5 years)
There is evidence of four ways in which Early Childhood Caries (ECC) can be successfully prevented: provision of dental care to mother during pregnancy; fluoride varnish application to teeth of children; anticipatory guidance and motivational interviewing. Anticipatory guidance is a developmentally-based counselling technique that focuses on the needs of a child at a particular life stage, while motivational interviewing focuses on strategies to move carers from inaction to action. Funded through an International Collaborative Indigenous Health Research Partnership grant, with collaborators in New Zealand and Canada, the goal of this study is to determine if implementation of a culturally-appropriate ECC intervention, that employs a tailored approach and draws on a range of Indigenous-relevant contexts including oral health knowledge, oral self-care, dental service utilisation, oral health-related self-efficacy and oral health literacy, reduces dental disease burden and oral health inequalities among pre-school Indigenous children in South Australia.
3. Associations between periodontal disease and cardiovascular surrogate endpoints among Indigenous adults (NHMRC APP627100; $1.3M over 3 years)
The relationship between periodontal disease and cardiovascular surrogate endpoints, both of which are high among the Indigenous Australian population, is established. This study sought to explore the prevalence of cardiovascular surrogate endpoints among this population with periodontal disease, and to determine if implementation of a periodontal intervention led to improved cardiovascular risk outcomes. There may be benefit in applying this model to other areas of Indigenous health research. Considering that, at the very least, periodontal therapy would improve oral health, that periodontal therapy becomes an integral component of preventive cardiology treatment is worthy of further study.
This was a delayed intervention study, with all participants receiving the periodontal intervention benefits. The study was important in three main ways:
(1) It was the first investigation examining the effectiveness of periodontal therapy in changing cardiovascular surrogate endpoint levels in an Indigenous Australian population.
(2) It was the first investigation to monitor changes in cardiovascular surrogate endpoints following periodontal intervention at both 3 and 12 months.
(3) The findings are being used to develop a generalisable oral health policy/practice protocol for Indigenous community members with poor cardiovascular health.
4. An oral health literacy intervention among Port Augusta Aboriginal adults to better improve knowledge and use of dental services (NHMRC APP627101; $0.6M over 3 years)
We are proud of our close working relationship with Indigenous community members of Port Augusta (300km north of Adelaide; 20 percent of population Indigenous), established in 2004. Our background work demonstrated that those with poorer oral health literacy engage in more harmful oral health literacy-related knowledge and behaviours and that, after adjusting for confounding, poor oral health literacy-related outcomes are risk indicators for poor self-rated oral health. The goal of this study was to determine if implementation of a functional, context-specific oral health literacy intervention improves oral health literacy-related outcomes, as measured by oral health knowledge, oral health self-care, utilisation of dental services and oral health-related self-efficacy, among Aboriginal adults residing in Port Augusta and surrounds. The study employed a delayed intervention design, with all participants receiving the oral health literacy intervention benefits. The findings indicate that an intense, interactive oral health literacy intervention improves oral health literacy-related outcomes, and is tangible evidence of the benefit in having Aboriginal health workers employed in an oral health promotion/literacy capacity in Aboriginal medical centres. Outcomes of the initiative are also useful for Aboriginal medical centres when negotiating with funding bodies such as the South Australian Dental Service in regards to oral health program continuation.
5. Monitoring and surveillance of Indigenous oral health
The research centre in which we are housed (Australian Research Centre for Population Oral Health) conducts regular national-level oral health surveys such as the National Dental Telephone Interview Surveys, the National Survey of Adult Oral Health, the National Child Oral Health Survey and the Child Dental Health Survey. We also have access to the Longitudinal Study of Indigenous Children. Reporting Indigenous statistics from these data is considered a priority in the latest National Oral Health Plan. Through appropriate modelling techniques and standardisation, we to compare Indigenous and non-Indigenous oral health outcomes both for individual jurisdictions and collectively, taking into account water fluoridation status, area-level disadvantage, location, time-effects and age and sex. Regular monitoring and surveillance of the oral health trends and inequalities among Indigenous and non-Indigenous populations enables snapshot reports to be generated reasonably quickly for policy makers at both a Federal and State/Territory level. This, for example, can lead to evidence-based decision making regarding increased access to dental care for some disadvantaged Indigenous groups, or possible fee waivers.
Publications and citation metrics as listed on
§ Organiser, Special Issue: International Indigenous Oral Health. Journal of Health Care for Poor and Underserved. In Press
§ Organiser, Special Issue: Motivational Interviewing in an Oral Health Context. Social Science and Dentistry. 2013.
§ Organiser, Special Issue: The Oral Health of Indigenous Populations. International Dental Journal. 2010.
Selected contemporary publications from over 120 in the peer-reviewed literature
1. K Jones, EJ Parker, LM Jamieson. Access, literacy and behavioural correlates of poor self-rated oral health amongst an indigenous south Australian population. Community dental health. 2014 Sept;31(3):167-71.
2. Kapellas K, Skilton MR, Maple-Brown LJ, Do LG, Bartold PM, O'Dea K, Brown A, Celermajer DS, Jamieson LM. Periodontal disease and dental caries among Indigenous Australians living in the Northern Territory, Australia. Aust Dent J. 2014 Mar;59(1):93-9.
3. Mejia G, Armfield JM, Jamieson LM. Self-rated oral health and oral health-related factors: the role of social inequality. Aust Dent J. 2014 Jun;59(2):226-33.
4. Jamieson LM, Parker EJ, Roberts-Thomson KF, Lawrence HP, Broughton J. Self-efficacy and self-rated oral health among pregnant aboriginal Australian women. BMC Oral Health. 2014 Apr 2;14:29.
5. Amarasena N, Kapellas K, Skilton M, Maple-Brown L, Brown A, Bartold PM, O'Dea K, Celermajer D, Slade G, Jamieson LM. Oral health behaviours and perceptions reported by Indigenous Australians living in Darwin, Northern Territory. Community Dent Health. 2014 Mar;31(1):57-61.
8. Ben J, Paradies Y, Priest N, Parker EJ, Roberts-Thomson KF, Lawrence HP, Broughton J, Jamieson LM. Self-reported racism and experience of toothache among pregnant Aboriginal Australians: the role of perceived stress, sense of control, and social support. J Public Health Dent. 2014 Jul 2.
12. Broughton JR, Maipi JT, Person M, Thomson WM, Morgaine KC, Tiakiwai SJ, Kilgour J, Berryman K, Lawrence HP, Jamieson LM. Reducing disease burden and health inequalities arising from chronic disease among indigenous children: an early childhood caries intervention in Aotearoa/New Zealand. BMC Public Health. 2013 Dec 13;13:1177.
17. Kapellas K, Do LG, Bartold PM, Skilton MR, Maple-Brown LJ, O'Dea K, Brown A, Celermajer DS, Slade GD, Jamieson LM. Effects of full-mouth scaling on the periodontal health of Indigenous Australians: a randomized controlled trial. J Clin Periodontol. 2013 Nov;40(11):1016-24.
18. Venner K, Jamieson LM. Assessing fidelity in Motivational Interviewing interventions; an overview. Soc Sci Dent. 2013.
19. Newton T, Jamieson LM. Challenges in testing fidelity in Motivational Interviewing oral health interventions. Soc Sci Dent. 2013.
20. Ismail A, Ondersma S, Naar-King S, Jamieson LM. Testing fidelity in Motivational Interviewing oral health interventions; an example. Soc Sci Dent. 2013.
- Lisa M Jamieson photo - LJamieson3.jpg [56.1K] (image/jpeg)
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Entry last updated: Thursday, 9 Aug 2018
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