scholarly journals "Strong Teeth": an early-phase study to assess the feasibility of an oral health intervention delivered by dental teams to parents of young children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erin Giles ◽  
K. A. Gray-Burrows ◽  
A. Bhatti ◽  
L. Rutter ◽  
J. Purdy ◽  
...  
Keyword(s):  
Oral Health ◽  
Young Children ◽  
Behaviour Change ◽  
Early Phase ◽  
Dietary Habits ◽  
Health Intervention ◽  
Caries Experience ◽  
Dental Practice ◽  
Home Setting ◽  
Intervention Delivery

Abstract Background Tooth decay (caries) is a significant health burden in young children. There is strong evidence for the benefits of establishing appropriate home-based oral health behaviours in early childhood. Dental teams are well placed to provide this information and there is clear advice on what oral health information should be given to parents. However, research has shown that there is limited guidance, training and resources on how dental teams should deliver this advice. "Strong Teeth" is a complex oral health intervention, using evidence-based resources and training underpinned by behaviour change psychology, to support behaviour change conversations in dental practice. This early phase evaluation aims to assess the feasibility of this intervention, prior to a full-scale trial. Methods The study recruited 15 parents of children aged 0–2-years-old and 21 parents of children aged 3–5 years old, from five NHS dental practices across West Yorkshire. Participant demographics, self-reported brushing behaviours, dietary habits, a dental examination and three objective measures of toothbrushing were collected in a home-setting at baseline, then at 2-weeks and 2-months post-intervention. Recruitment, retention and intervention delivery were analysed as key process outcomes. Brushing habits were compared to national toothbrushing guidelines – the Delivering Better Oral Health toolkit (Public Health England). Results Strong Teeth was feasible to deliver in a General Dental Practice setting in 94% of cases. Feasibility of recruitment (37%) exceeded progression criterion, however retention of participants (75%) was below the progression criterion for the 0–2 age group. More than half of children recruited aged 3–5-years had caries experience (52%). Total compliance to toothbrushing guidance at baseline was low (28%) and increased after the intervention (52%), an improvement that was statistically significant. Dietary habits remained largely unchanged. Plaque scores significantly decreased in the 3–5-year-olds and toothbrushing duration increased in all age groups. Conclusion "Strong Teeth" intervention delivery and data collection in the home setting was feasible. There was a positive indication of impact on reported toothbrushing behaviours. Some amendments to study design, particularly relating to the inclusion of the 0–2-year-old group, should be considered before progression to a full trial. Trial registration ISRCTN Register: ISRCTN10709150. Registered retrospectively 24/7/2019.

scholarly journals "Strong Teeth" – an Early-phase Study to Assess the Feasibility of an Oral Health Intervention Delivered by Dental Teams to Parents of Young Children

2020 ◽  
Author(s):  
Erin Giles ◽  
Kara Gray-Burrows ◽  
Amrit Bhatti ◽  
Lucy Rutter ◽  
Jayne Purdy ◽  
...  
Keyword(s):  
Oral Health ◽  
Young Children ◽  
Behaviour Change ◽  
Early Phase ◽  
Dietary Habits ◽  
Health Intervention ◽  
Caries Experience ◽  
Dental Practice ◽  
Home Setting ◽  
Intervention Delivery

Abstract Background: Tooth decay (caries) is a significant health burden in young children. There is strong evidence for the benefits of establishing appropriate home-based oral health behaviours in early childhood. Dental teams are well placed to provide this information and there is clear advice on what oral health information should be given to parents. However, research has shown that there is limited guidance, training and resources on how dental teams should deliver this advice. "Strong Teeth" is a complex oral health intervention, using evidence-based resources and training underpinned by behaviour change psychology, to support behaviour change conversations in dental practice. This early phase evaluation aims to assess the feasibility of this intervention, prior to a full-scale trial.Methods: The study recruited 15 parents of children aged 0-2-years-old and 21 parents of children aged 3-5 years old, from five NHS dental practices across West Yorkshire. Participant demographics, self-reported brushing behaviours, dietary habits, a dental examination and three objective measures of toothbrushing were collected in a home-setting at baseline, then at 2-weeks and 2-months post-intervention. Recruitment, retention and intervention delivery were analysed as key process outcomes. Brushing habits were compared to national toothbrushing guidelines – the Delivering Better Oral Health toolkit (Public Health England).Results: Strong Teeth was feasible to deliver in a General Dental Practice setting in 94% of cases. Feasibility of recruitment (37%) exceeded progression criterion, however retention of participants (75%) was below the progression criterion for the 0-2 age group. More than half of children recruited aged 3-5-years had caries experience (52%). Total compliance to toothbrushing guidance at baseline was low (28%) and increased after the intervention (52%), an improvement that was statistically significant. Dietary habits remained largely unchanged. Plaque scores significantly decreased in the 3-5-year-olds and toothbrushing duration increased in all age groups. Conclusion: "Strong Teeth" intervention delivery and data collection in the home setting was feasible. There was a positive indication of impact on reported toothbrushing behaviours. Some amendments to study design, particularly relating to the inclusion of the 0-2-year-old group, should be considered before progression to a full trial. Trial Registration: ISRCTN Register: ISRCTN10709150

scholarly journals “Strong Teeth”: the acceptability of an early-phase feasibility trial of an oral health intervention delivered by dental teams to parents of young children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amrit Bhatti ◽  
Kara A. Gray-Burrows ◽  
Erin Giles ◽  
Lucy Rutter ◽  
Jayne Purdy ◽  
...  
Keyword(s):  
Oral Health ◽  
Young Children ◽  
Focus Groups ◽  
Behaviour Change ◽  
Theoretical Framework ◽  
Health Intervention ◽  
Feasibility Trial ◽  
Team Approach ◽  
Dental Practice ◽  
Electric Toothbrush

Abstract Background Dental caries (tooth decay) in children is a worldwide public health problem. The leading cause of caries is poor oral hygiene behaviours and the frequent consumption of sugary foods and drinks. Changing oral health habits requires effective behaviour change conversations. The dental practice provides an opportunity for dental teams to explore with parents the oral health behaviours they undertake for their young children (0–5 years old). However, evidence suggests that dental teams need further support, training and resources. Therefore, “Strong Teeth” (an oral health intervention) was co-developed to help dental teams undertake these behaviour change conversations. The current paper will explore the acceptability of the “Strong Teeth” intervention with dental teams and parents of children aged 0–5 years old using multiple datasets (interviews, focus groups and dental team member diaries) Methods Following the delivery of the “Strong Teeth” intervention, qualitative interviews with parents and focus groups with dental team members were undertaken. Interviews were audio-recorded, transcribed and analysed using a theoretical framework of acceptability. The self-reported dental team diaries supplemented the interviews and focus groups and were analysed using framework analysis. Results Four themes were developed: (1) integration within the dental practice; (2) incorporating the Oral-B electric toothbrush; (3) facilitating discussions and demonstrations; and (4) the practicality of the Disney Magic Timer app. Overall, the “Strong Teeth” intervention was acceptable to parents and dental teams. Parents felt the Oral-B electric toothbrush was a good motivator; however, the Disney Magic Timer app received mixed feedback on how well it could be used effectively in the home setting. Findings suggest that the intervention was more acceptable as a “whole team approach” when all members of the dental practice willingly participated. Conclusions There are limited studies that use a robust process evaluation to measure the acceptability of an intervention. The use of the theoretical framework of acceptability helped identify aspects of the intervention that were positive and helped identify the interventions areas for enhancement moving forwards. Future modifications include enhanced whole team approach training to optimise acceptability to all those involved. Trial registration ISRCTN Register, (ISRCTN10709150).

scholarly journals Get A Move On: Using intelligent personal systems to promote behaviour change within the home setting – A process evaluation

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Caomhan Logue ◽  
Jonathan Flynn ◽  
Alison Gallagher ◽  
Marie Murphy ◽  
Angela Carlin
Keyword(s):  
Physical Activity ◽  
Process Evaluation ◽  
Behaviour Change ◽  
Feasibility Study ◽  
Dietary Habits ◽  
Secondary Outcome ◽  
Health Promotion Programme ◽  
Home Setting ◽  
Adults And Children ◽  
Recommended Level

AbstractApproximately one quarter of children living in Northern Ireland are overweight or obese. Intelligent personal systems (IPS) such as Amazon Echo and Google Home have become increasingly integrated into the home setting and therefore, may facilitate behaviour change via novel interactions or as an adjunct to conventional interventions. However, little is currently known about their potential role in this context; therefore, the aim of this feasibility study is to assess the effect of a home-based technology intervention (delivered using Amazon Echo) on physical activity (PA) and dietary habits in families attending the Safe Wellbeing Eating & Exercise Together (SWEET) project, a community-based health promotion programme. Recruitment to the study is ongoing with the aim of recruiting up to 16 families. Families are randomly assigned to receive an IPS (n = 8) or assigned to control (n = 8) i.e. attend the SWEET project as usual, for 12 weeks. Individualised prompts and reminders, aligned with the content of the SWEET project, are regularly delivered to families via the IPS and normal interaction with the device is also encouraged. The primary outcome measure is PA, which will be objectively measured using an Actigraph accelerometer, and secondary outcome measures include body mass index (BMI) and family eating and activity habits. Process evaluation data from focus groups and device interaction will be used to determine the feasibility of using IPS to promote healthy behaviours within the home setting. To date, 11 families have been recruited (11 adults, 90.9% F; 16 children, 56.3% F), mean age 40.4 ± 5.5 years and BMI 34.9 ± 6.7 kg/m2 for adults and 8.9 ± 2.1 years and BMI z-score 2.61 ± 1.23 for children. Average moderate-to-vigorous intensity physical activity (MVPA) was dichotomised to determine the percentage of adults and children meeting the UK (2011) PA guidelines for health. In total, 62.5% of adults reached the recommended level of 150 minutes MVPA per week before the intervention (n = 8;191.50 ± 81.10 minutes), with 40% of children reaching the recommended level of 60 minutes MVPA each day of the week (n = 10; M = 52.83 ± 31.07 minutes). Follow-up measurements will be taken at the end of the intervention and acceptability and usability of such devices within the context of promoting healthy behaviours will be assessed. The findings from this feasibility study will demonstrate whether the use of IPS can increase PA in adults and children, as well as provide novel insights into the feasibility of using these devices to facilitate behaviour change.

Maternal-Child Oral Health Behaviors and Caries Experience in the Child

2009 ◽  
Vol 34 (2) ◽  
pp. 135-139 ◽  
Author(s):  
Gurveena Parhar ◽  
Richard Yoon ◽  
Steven Chussid
Keyword(s):  
Oral Health ◽  
Health Behaviors ◽  
Dietary Habits ◽  
Soft Drink ◽  
Caries Experience ◽  
Probit Regression ◽  
Soft Drink Consumption ◽  
Sweetened Beverage ◽  
Oral Health Behaviors ◽  
Child Oral Health

Objective: This study examined maternal and child oral health behaviors and potential risk factors for dental caries in high-risk children. Study Design: Data on oral health practices were collected from surveys of mother/caregivers and the child's dental chart was reviewed. Linear regression and ordered probit regression models were used to examine data. Results: A total of sixty questionnaires were completed. There was a marginally significant relationship (P=.08) between number of times per day a child consumed a sweetened beverage and the dmfs of the child. Mothers who snacked more frequently had a greater probability(24%) that their child snacked 3 times or more. Mothers who drank a sweetened beverage more frequently had a greater probability (40%) that their child drank a sweetened beverage 3 or more times a day. Mothers who brushed their teeth with fluoridated toothpaste had a greater probability (79%) that their child brushed 2 or more times a day with fluoridated toothpaste. Conclusions: Two maternal variables, reported soft drink consumption and dietary habits, appear promising for caries prediction. Implementation of dietary counseling and oral health programs for mothers and research merit further exploration.

scholarly journals Recommendations for Delivering Oral Health Advice: a Qualitative Supplementary Analysis of Dental Teams, Parents’ and Children’s Experiences 

2020 ◽  
Author(s):  
Amrit Bhatti ◽  
Karen A Vinall-Collier ◽  
Raginie Duara ◽  
Jenny C Owen ◽  
Kara Gray-Burrows ◽  
...  
Keyword(s):  
Oral Health ◽  
Young Children ◽  
Research Question ◽  
Health Behaviours ◽  
Structured Interview ◽  
Northern Region ◽  
Health Intervention ◽  
Tooth Decay ◽  
Parents And Children ◽  
Health Advice

Abstract Background: Tooth decay has a significant impact on children, their families and wider society. The dental consultation provides an opportunity to prevent tooth decay by engaging in an effective oral health conversation with parents and children. However, there is limited literature which explores how these oral health conversations are delivered, received, and understood. Aim: To explore the common facilitators of delivering oral health advice from dental teams, parents' and children's experiences, to identify and inform practical recommendations for clinical practice. Method: The current paper used a qualitative supplementary analysis to reanalyse data of existing published studies by applying a different research question. Qualitative focus groups were undertaken following a semi-structured interview guide with 27 dental team members (dentists, dental nurses, practice managers and receptionists), 37 parents and 120 children (aged 7-10 years old) in the northern region of England. Thematic analysis informed the identification of themes and aggregation of findings. Results:Three overarching themes were developed: (1) An engaging and personalised dental visit for parents and children; (2) Dental teams, parents and children working collaboratively to improve oral health habits; and (3) Recommending appropriate oral health products. Many parents and children had little recollection of any preventive oral health conversations when visiting the dentist. Practical solutions were identified by different stakeholders to facilitate three-way, personalised, non-judgemental and supportive oral health conversations. Adopting these innovative approaches will help to enable parents and their children to adopt and maintain appropriate oral health behaviours. Conclusion: Understanding the context and triangulating the experiences of different stakeholders involved in preventive oral health conversations for young children is an essential step in co-designing a complex oral health intervention following Medical Research Council (MRC, UK) guidance. The current study has provided recommendations not only for dental practices, but insights for wider paediatric health care services. Findings from this study have informed the design of a complex oral health intervention called "Strong Teeth", which aims to support dental teams to have effective behaviour change conversations with parents of young children.

scholarly journals Prevalence and determinants of dental caries experience among adolescents in Kazakhstan: a cross-sectional study

2020 ◽  
Author(s):  
Anara Zhumadilova ◽  
Turgan Supiyev ◽  
Sholpan Abralina ◽  
Ardak Yeslyamgaliyeva ◽  
Aizhan Kulmirzayeva ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Parent Education ◽  
Negative Binomial ◽  
Dietary Habits ◽  
Material Deprivation ◽  
Caries Experience ◽  
Dental Attendance ◽  
Attendance Pattern ◽  
The Mean

Abstract Background The information on dental caries experience and its determinants in Central Asia is limited. The aim of the present study was to provide estimates of the mean levels, prevalence and severity of dental caries, and to identify the factors associated with these characteristics in the population of school-aged children from four regions in Kazakhstan.Methods We examined 2149 schoolchildren aged 11–15 years from 4 regions of Kazakhstan. The overall response rate was 68%. Dental caries experience was assessed clinically, and standardized questionnaire was used to gather sociodemographic and oral health behavior information. Caries experience was measured by using DMFT (decayed, missing, and filled teeth) index. Negative binomial hurdle regression model was used to assess the relationship between the caries experience and covariates.Results The overall prevalence of dental caries was 74%, obvious decayed teeth was found in 44% of subjects, while only 6% had missing teeth and 24% had their teeth treated. The mean DMFT index was 2.48 among 12-year-olds and 3.9 among 15-year-olds. There were large differences of dental caries experience between the regions, with all indicators (decayed, missed and filled teeth) being less favourable in Semey region. The caries prevalence experience in the studied population was associated with higher age, geographic region, ethnicity, mother’s education, material deprivation, frequent consumption of sugar-added drinks, age of start brushing the teeth and dental attendance pattern. Age, region, ethnicity, dietary habits and dental attendance pattern were found to be significantly associated with the predicted degree of caries experience among those with caries experience.Conclusions The high prevalence of dental caries and large differences in caries indices between the regions in Kazakhstan might be related to rapid westernization in the Central Asian region and associated nutrition transition. Also, the increasing burden of untreated caries in less advantaged populations was observed. Parent education and material deprivation may be a very important determinants of the oral health among adolescents in Kazakhstan.

scholarly journals Experiencing Financial Strain and Clinically Assessed Caries Experience in Dentate Adults Aged 25–44 Years: An Exploration of Potential Pathways

2020 ◽  
pp. 1-10
Author(s):  
Mariëlle A. Beenackers ◽  
Jan H. Vermaire ◽  
Paula van Dommelen ◽  
Annemarie A. Schuller
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Negative Binomial ◽  
Dietary Habits ◽  
Financial Strain ◽  
Caries Experience ◽  
Socioeconomic Indicators ◽  
Dental Visits ◽  
Health Related ◽  
Preventive Dental

Large socioeconomic inequalities still exist in oral health. It is already known that oral health-related behaviour may contribute to these inequalities, but why people with a lower socioeconomic position behave less healthily is not easily understood. A possible explanation that integrates insights on health behaviour, stress, and financial resources is the pathway of behavioural responses to financial strain. The aim of this study was to assess to what extent financial strain is associated with clinically assessed caries experience in a population-based study of dentate adults, independently of other socioeconomic indicators. Furthermore, the potential mediating pathways of oral health-related behaviours (oral hygiene, dietary habits, preventive dental visits) were explored. Dentate participants, aged 25–44 years, taking part in a survey on oral health and preventive behaviour in the Netherlands in 2013 were clinically examined on – among others – caries experience (DMFS index) and level of oral hygiene (OHI-s index). Financial strain, frequency of tooth brushing, dietary habits, attendance of (preventive) dental visits in the past year, and demographic variables were assessed via questionnaires. Negative binomial hurdle models were used to study the association between financial strain and DMFS and between oral health behavioural indicators and DMFS. Although it was observed that experiencing financial strain did not seem to affect whether there is any caries experience or not, among those having any caries (DMFS >0) suffering from financial strain was associated with a higher caries prevalence, independent of educational level and income. None of the studied potential mediators could explain this association.

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