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 Recommendations for delivering oral health advice: a qualitative supplementary analysis of dental teams, parents’ and children’s experiences

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amrit Bhatti ◽  
Karen Vinall-Collier ◽  
Raginie Duara ◽  
Jenny Owen ◽  
Kara A. Gray-Burrows ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Care Services ◽  
Research Question ◽  
Health Behaviours ◽  
Structured Interview ◽  
Northern Region ◽  
Health Intervention ◽  
Tooth Decay ◽  
Parents And Children ◽  
Health Advice

AbstractBackgroundTooth 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.AimTo 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.MethodThe 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.ResultsThree 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.ConclusionUnderstanding the context and triangulating the experiences of stakeholders involved in preventive oral health conversations for young children is an essential step in co-designing a complex oral health intervention. This study has provided recommendations for dental practices and wider paediatric health care services. Furthermore, the findings have informed the design of a complex oral health intervention called "Strong Teeth".

scholarly journals Oral health behaviours of parents and young children in a practice-based caries prevention trial in Northern Ireland

2017 ◽  
Vol 46 (3) ◽  
pp. 251-257 ◽  
Author(s):  
Lucy O'Malley ◽  
Helen V. Worthington ◽  
Michael Donaldson ◽  
Ciaran O'Neil ◽  
Stephen Birch ◽  
...  
Keyword(s):  
Oral Health ◽  
Northern Ireland ◽  
Young Children ◽  
Health Behaviours ◽  
Caries Prevention ◽  
Prevention Trial ◽  
Oral Health Behaviours

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 "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 Early Life Professional and Layperson Support Reduce Poor Oral Hygiene Habits in Toddlers—A Prospective Birth Cohort Study

2018 ◽  
Vol 6 (4) ◽  
pp. 56 ◽  
Author(s):  
Diep Ha ◽  
Loc Do
Keyword(s):  
Cohort Study ◽  
Oral Health ◽  
Young Children ◽  
Birth Cohort ◽  
Early Life ◽  
Health Behaviours ◽  
Birth Cohort Study ◽  
Dental Visit ◽  
Oral Health Behaviours ◽  
Multivariable Regression Models

Oral health behaviours of children are formulated from a very young age. Formation of those behaviours among very young children is dependent on their mothers/caregivers who may themselves require support from the health profession or laypersons. The study aimed to investigate if early life visits for check-up and dental advice and perceived support improved oral health behaviours as practiced by mothers of toddlers aged 24–30 months old. Data from a population-base birth cohort study in South Australia was used. The study recruited and followed mothers of newborn children from birth to age 24–30 months. Parental questionnaires collected information about socioeconomic factors, dental visiting patterns, and oral health behaviours as practiced by the mothers for their child. Self-reported putting a child to bed with a bottle and brushing a child’s teeth were the outcome variables. The two main exposures of this study were (1) early visiting for a dental advice, and (2) layperson support that a mother received in the first two years of having the child. Data were analysed progressively from bivariate to multivariable regression models. A total of 1183 mother/child dyads had complete data. The retained sample was representative of the population. Approximately 36% of mothers put their child to bed with a bottle and 26% of mothers did not brush their child’s teeth the night before. Around 29% of children had a visit for dental check-up and 80% of mothers reported having lay support. There were gradients in the outcome variables by socioeconomic factors and the main exposures. Multivariable regression models reported that having no dental visit for advice and having no lay support were associated with 1.30 and 1.21 imes higher rates of putting a child to bed with a bottle, respectively. Having no dental visit for advice was associated with a 1.37-times higher rate of not brushing a child’s teeth, controlling for other factors. This population-based birth cohort study confirmed importance of early life dental visit for check-up and support for mothers of young children in establishing oral health behaviours of young children.

scholarly journals Organizational Barriers to Oral Health Conversations Between Health Visitors and Parents of Children Aged 9–12 Months Old

2021 ◽  
Vol 9 ◽  
Author(s):  
Ieva Eskytė ◽  
Kara A. Gray-Burrows ◽  
Jenny Owen ◽  
Bianca Sykes-Muskett ◽  
Sue H. Pavitt ◽  
...  
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Young Children ◽  
Healthy Child ◽  
Health Knowledge ◽  
Home Visits ◽  
Organizational Factors ◽  
Interaction Patterns ◽  
Health Visitors ◽  
Health Advice

Background: Dental caries is the most prevalent preventable childhood disease and a major public health priority. Local authorities in England have a statutory responsibility to improve child health, including oral health, through the “Healthy Child Programme.” The “Healthy Child Programme,” which includes the provision of oral health advice is delivered by health visitors to parents of young children. To date, research has mainly concentrated on individual interactions between health visitors and parents, with less attention given to the broader context in which these oral health conversations between health visitor and parents take place.Objective: Our study explored the organizational factors that obstruct health visitors from engaging in meaningful conversations with parents about young children's oral health.Methods: Qualitative interviews and focus groups were held with health visiting teams (n = 18) conducting home visits with parents of 9–12-month olds in a deprived, urban area in England.Results: The study revealed the wide variation in what and how oral health advice is delivered to parents at home visits. Several barriers were identified and grouped into four key themes: (1) Priority of topics discussed in the home visits; (2) Finance cuts and limited resources; (3) Oral health knowledge and skills; and (4) Collaborative working with other professionals. It was evident that organizational factors in current public health policy and service provision play an important role in shaping oral health practices and opportunities for behavior change.Conclusion: Organizational practices and procedures play an important role in creating interaction patterns between health visiting teams and parents of young children. They often limit effective engagement with and positive change in oral health. For future oral health interventions to be effective, awareness of these barriers is essential alongside them being founded on evidence-based advice and underpinned by appropriate theory.

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