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

O’Malley, Lucy; Worthington, Helen V; Donaldson, Michael; O'Neil, Ciaran; Birch, Stephen; Noble, Solveig; Killough, Seamus; Murphy, Lynn; Greer, Margaret; Brodison, Julie; Verghis, Rejina; Tickle, Martin

doi:10.1111/cdoe.12357

Cited by 11 publications

(14 citation statements)

References 22 publications

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“…Some authors state that triangulation assumes that the data from different research methods are comparable. In particular, each data set being of equal weight in the research inquiry [43][44][45][46]. In light of these concerns and recommendations [44,47], we have acknowledged this, and taken the following steps: The data of dental team members and parents were analysed separately, then, the similarities between the interviews and self-reported diaries were identified.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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

et al. 2021

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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).

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Section: Strengths and Limitationsmentioning

confidence: 99%

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

et al. 2021

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“…7 In this study, the parallel qualitative study added real value and helped the researchers to understand the factors that sustained and/or moderated the effects of the complex intervention in NHS practices. 8 It also helped them to provide a meaningful interpretation of the results of the trial for dental policymakers. If we are to increase the value of information that trials provide, we need to ensure that the incorporation of qualitative methods undertaken in parallel, forms part of a gold standard, with the registered trial protocol specifying how and in what way qualitative methods will contribute to understanding contextual knowledge and how the 'system' operates.…”

Section: The E Viden Ce-ba S Ed Par Ad I G Mmentioning

confidence: 99%

Context and the evidence‐based paradigm: The potential for participatory research and systems thinking in oral health

Brocklehurst

Baker

Langley

2020

Comm Dent Oral Epid

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“…In a national survey of Taiwan in 2011, the prevalence of caries in 5-year-old children was more than 79.3%, which is higher than that of many other countries [ 1 ]. Early childhood is a critical stage for the prevention of caries [ 2 ]. The most valid predictive factor for experiencing caries in the permanent dentition is experiencing caries in the primary dentition [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Comparing individual-, family-, and community-level effects on the oral health of preschool children: a multilevel analysis of national survey data

et al. 2023

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Background Early childhood is a critical stage for the prevention of dental caries. The prevalence of caries in preschool children is still high in Taiwan, where National Health Insurance covers 99% of the population. The effort to improve the oral health of preschool children should be based on conceptual model that encompasses more than individual-level factors. This study input nationwide survey data in a conceptual model to evaluate the effects of comprehensive factors related to the high prevalence of caries in preschool children. Methods This observation study examined factors related to the oral health of preschool children by employing a comprehensive multilevel model to analyse nationally representative data from the Taiwan Oral Health Survey of Preschool Children (TOHPC) 2017–2018. Individual-level, family-level and community-level contextual effects were evaluated through multilevel analysis in this study. The proportional change in variance (PCV) was used to compare the multilevel model with the null model and individual-level, family-level, and community-level context effects. Results The estimated deft index for preschool children was 1.34 (1.22–1.47) at age 3, 2.20 (2.08–2.32) at age 4, and 3.05 (2.93–3.18) at age 5. The overall prevalence of caries in preschool children in Taiwan was 34.27% (30.76%, 37.78%) at age 3, 51.67% (48.99%, 54.35%) at age 4, and 62.05% (59.66%, 64.44%) at age 5. The model that included the individual-, family-, and community-context levels exhibited the highest reduction of variance (PCV = 53.98%). The PCV was further reduced to 35.61% when only the level of accessibility to dental services for individuals, families, and the community was considered. For the model in which no community-context cofactors were considered and the model considering only the individual level, the PCVs were 20.37% and 5.52%, respectively. Conclusions Our findings indicate the key components that affect oral health in preschool children and can serve as a reference for policy makers. The most notable finding of this study is that to improve the oral health of preschool children, community-level factors should be targeted. To rely solely on dentists for leading oral health education programs for children is impractical and inefficient. Training more professional oral health educators to provide additional community-based oral health promotion campaigns is critical. We suggest training more professional oral health educators to provide more community-based oral health promotion campaigns.

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

Cited by 11 publications

References 22 publications

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

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

Context and the evidence‐based paradigm: The potential for participatory research and systems thinking in oral health

Comparing individual-, family-, and community-level effects on the oral health of preschool children: a multilevel analysis of national survey data

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