An investigation of non-participation in health promotion interventions and its impact on population level outcome

Davies, Gill; Boothman, Nicola; Duxbury, J T; Davies, Robin; Blinkhorn, Anthony

doi:10.1080/14635240.2008.10708137

Cited by 5 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 The King's Fund 24 reported a higher level of dissatisfaction with NHS services amongst ethnic minority groups, but factors such as health and socio-economic deprivation did not fully account for the differences in access to care. A review of adherence to treatment 25 highlights patients' health beliefs as being important in influencing their decisions regarding compliance.…”

Section: Discussionmentioning

confidence: 99%

Uptake, referral and attendance: results from an inner city school based vision screening programme

Bruce¹,

Outhwaite

2012

British and Irish Orthoptic Journal

View full text Add to dashboard Cite

Aim: To review the children's school vision screening service in order to investigate the uptake, referral pattern and follow-up attendance. Methods: The children were screened in school. The vision screening results of the children screened in the academic year 2011-2012 were reviewed for both uptake of screening and subsequent attendance for the follow-up assessment. Attendance outcomes from children referred to an optometrist of their choice and also those children referred to the Hospital Eye Service (HES) were reviewed. Results: Of the 5786 children eligible for vision screening in school 5409 were screened (96.7%). A total of 866 (16%) of children were referred for further investigation; 534 (9.87%) were referred to an optometrist of their choice and 332 (6%) were referred to the Hospital Eye Service (HES). 479 (55.3%) attended the first appointment sent. 114 (34.4%) failed to attend (FTA) the HES and 257 (48.13%) failed to attend their local optometrist. Recall appointments for the HES yielded a 10.54% increase in coverage and recall appointments sent to attend local optometrists yielded a 14.23% increase in coverage. Conclusions: Vision screening in school provides the opportunity for universal coverage. However, the failure to attend for follow-up both in the community and in the Hospital Eye Service (HES) suggests that a high proportion of children fail to benefit from appropriate treatment. Further research is required to provide an insight into the reasons for failing to attend that subsequently limit access.

show abstract

Section: Discussionmentioning

confidence: 99%

Uptake, referral and attendance: results from an inner city school based vision screening programme

Bruce¹,

Outhwaite

2012

British and Irish Orthoptic Journal

View full text Add to dashboard Cite

show abstract

“…Therefore, CHWs provided toothpaste and toothbrushes free of charge to all members living in an enrolled family's household. Prior studies distributing free oral hygiene supplies have yielded significant improvements in oral health outcomes in the absence of intervention at the level of intensity employed in MSB (e.g., minimal education, counseling, or hygiene instruction; Sgan-Cohen et al 2001;Davies et al 2002;Joury et al 2016;Davies et al 2021). Thus, providing oral hygiene supplies alone may have served to prioritize toothbrushing behaviors in this study, contributing to the positive changes observed.…”

Section: Discussionmentioning

confidence: 71%

Behavioral Outcomes of a Pragmatic Early Childhood Caries Management Trial

Lumsden

Leu

et al. 2023

JDR Clinical & Translational Research

View full text Add to dashboard Cite

Objectives: To evaluate a preventative behavioral intervention for managing early childhood caries (ECC) in a cohort of high-risk children. Methods: This pragmatic trial of the MySmileBuddy Program (MSB) evaluated preventive behavioral outcomes in a 1-y community health worker–delivered intervention to prevent ECC progression. Pre-/postintervention surveys assessed parent-reported child engagement in therapeutic toothbrushing (i.e., adult-assisted brushing with fluoridated toothpaste twice daily) and caries-related dietary behaviors and barriers. Generalized linear model with identity link for continuous variables and logit link for dichotomous outcomes evaluated pre-/postintervention comparisons and generalized estimating equations accounted for within-participant correlation (α = 0.05). Results: Among 1,130 children with postintervention data, the average age was 3.97 y, 99% were Medicaid insured, and 88% were Hispanic. Most parents (95%) were mothers/grandmothers, married or in a committed partnership (75%), unemployed (62%), and with modest education (80% high school degree or less). The odds of reported therapeutic brushing nearly doubled ( n = 864; odds ratio [OR] = 1.79, 95% confidence interval [CI] = 1.46, 2.20, P < 0.001); day and night bottle/sippy cup frequencies dropped 0.29 units ( n = 871; 95% CI = −0.37, −0.33, P < 0.001) and 0.22 units ( n = 1,130; 95% CI = −0.30, −0.15, P < 0.001); nighttime breastfeeding reduced 0.15 units ( n = 870; 95% CI = −0.21, −0.10, P < 0.001); sharing utensils reduced 0.30 units ( n = 572; 95% CI = −0.39, −0.21, P < 0.001); not using sugary foods to calm child improved 0.37 units ( n = 664; 95% CI = 0.31, 0.44, P < 0.001); odds of eating meals and snacks at a table increased ( n = 572; OR = 1.57, 95% CI = 1.28, 1.93, P < 0.001; n = 572; OR = 1.80, 95% CI = 1.50, 2.15, P < 0.001) respectively; and reducing barriers to behaviors improved 0.38 units for toothbrushing ( n = 666; 95% CI = 0.31, 0.44, P < 0.001) and 0.33 units for diet ( n = 668; 95% CI = 0.29, 0.38, P < 0.001). Conclusion: Despite limitations inherent to pragmatic trials, significant behavioral changes suggest that MSB yielded an important salutary impact. Forthcoming mediation analyses will explore causal pathways. Findings support integration of MSB’s behavior change program in caries management initiatives. Knowledge Transfer Statement: The results of this study can be used by clinicians, public health leaders, and researchers to inform the development and implementation of community-based, preventative behaviorally focused early childhood caries prevention programs. Study findings may enhance the understanding of the impact of behavioral interventions that engage parents of young children and could lead to more effective prevention for populations at high-risk of caries.

show abstract

“…A reduced number of examined eighteen-year-olds is due to failure to respond to timely dental examination at the health center and/or visit to private dental office. It is possible that the incidence of orthodontic anomalies and caries is much higher among unscreened children of this age [15]. Such high percentage of children with untreated orthodontic problems can be reduced only by improving preventive work at an earlier age [16]; otherwise, the treatment of orthodontic anomalies is going to be more complicated and more expensive.…”

Section: Discussionmentioning

confidence: 99%

Monitoring the quality of oral health among the population of schoolchildren

Vasiljević

Cvetkovic

2017

Med pregl

View full text Add to dashboard Cite

Introduction. Improvement of the quality of dental care is necessary for efficient prevention of oral diseases. The aim of this study was to analyze: the efficiency of the recommended work quality parameters in the Dental Health Care Service of the Health Center Zemun in 2014 and 2015; compare 7-and 12-year-olds in terms of having all healthy teeth and topical application of fluoride; presence of orthodontic anomalies in 12-and 14-year-olds, and assess the caries index (decayed-missing-filled teeth) in 12-year-old children. Material and Methods. The retrospective study included 7-, 12-, 14-, and 18-yearolds and assessed their oral health in 2014 (n = 4.317) and 2015 (n = 6.575). Results. A higher percentage of examinees kept their dental appointments in 2015 than in 2014 (82% and 60%, respectively). Out of 3.723 seven-year-olds, 36.6% had all healthy teeth, as well as 43.69% out of 3.170 of 12-year-olds. Out of 3.723 seven-year-olds, 65.26% had topical application of fluoride, as well as 78.73% out of 3.170 of twelve-year-olds. High percentages of orthodontic anomalies were found in both fourteen and eighteen-year-olds in 2015 (p<0.05). The average decayed-missing-filled teeth index in twelve-year-olds was 1.30 in 2014 and 1.68 in 2015. Conclusion. A higher percentage of all healthy teeth, and of topical application of fluoride in twelveyear-olds compared to the seven-year-olds, indicates that seven-yearolds keep their dental appointments more regularly, and consequently the prevention of oral diseases is more successful. Since the presence of orthodontic anomalies is high in both fourteen and eighteenyear-olds, and fewer children of both age groups respond to regular dental checkups, an intensified prevention of oral diseases is necessary in children.

show abstract

An investigation of non-participation in health promotion interventions and its impact on population level outcome

Abstract: Background

Cited by 5 publications

References 3 publications

Uptake, referral and attendance: results from an inner city school based vision screening programme

Uptake, referral and attendance: results from an inner city school based vision screening programme

Behavioral Outcomes of a Pragmatic Early Childhood Caries Management Trial

Monitoring the quality of oral health among the population of schoolchildren

Contact Info

Product

Resources

About