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Study protocol for First Dental Steps Intervention : feasibility study of a health visitor led infant oral health improvement programme
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Albers, Patricia N., Williams, Joanna G., El-Yousfi, Sarab, Marshman, Zoe, Patel, Reena, Kandiyali, Rebecca, Breheny, Katie, Vocht, Frank de, Metcalfe, Chris, Witton, Robert and Kipping, Ruth (2022) Study protocol for First Dental Steps Intervention : feasibility study of a health visitor led infant oral health improvement programme. Pilot and Feasibility Studies, 8 (1). 245. doi:10.1186/s40814-022-01195-w ISSN 2055-5784.
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WRAP-study-protocol-First-Dental-Steps-Intervention-feasibility-study-health-visitor-led-infant-oral-health-improvement-programme-2023.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (2339Kb) | Preview |
Official URL: https://doi.org/10.1186/s40814-022-01195-w
Abstract
Background:
Dental caries in childhood is a burden on the daily lives of children and their families, and associated with poor oral health in adulthood. In England, dental caries is the most common reason for young children to be admitted to hospital. It is believed that most tooth extractions (due to decay) for children aged 10 years and under, could be avoided with improved prevention and early management. National public health policy recommendations in England include specific oral health initiatives to tackle tooth decay. One of these initiatives is delivered as part of the Healthy Child Programme and includes providing workforce training in oral health, integrating oral health advice into home visits, and the timely provision of fluoride toothpaste. This protocol seeks to assess the delivery of the First Dental Steps intervention and uncertainties related to the acceptability, recruitment, and retention of participants.
Methods:
This study seeks to explore the feasibility and acceptability of the First Dental Steps intervention and research methods. First Dental Steps intervention will be delivered in local authority areas in South West England and includes oral health training for health visitors (or community nursery nurses) working with 0–5-year-olds and their families. Further, for vulnerable families, integrating oral health advice and the provision of an oral health pack (including a free flow cup, an age appropriate toothbrush, and 1450 ppm fluoride toothpaste) during a mandated check by a health visitor. In this study five local authority areas will receive the intervention. Interviews with parents receiving the intervention and health visitors delivering the intervention will be undertaken, along with a range of additional interviews with stakeholders from both intervention and comparison sites (four additional local authority areas).
Discussion:
This protocol was written after the start of the COVID-19 pandemic, as a result, some of the original methods were adjusted specifically to account for disruptions caused by the pandemic. Results of this study will primarily provide evidence on the acceptability and feasibility of both the First Dental Steps intervention and the research methods from the perspective of both families and stakeholders.
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RK Dentistry | |||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Infants -- Dental care, Teeth -- Care and hygiene, Dental caries in children | |||||||||
| Journal or Publication Title: | Pilot and Feasibility Studies | |||||||||
| Publisher: | BioMed Central Ltd. | |||||||||
| ISSN: | 2055-5784 | |||||||||
| Official Date: | 3 December 2022 | |||||||||
| Dates: |
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| Volume: | 8 | |||||||||
| Number: | 1 | |||||||||
| Article Number: | 245 | |||||||||
| DOI: | 10.1186/s40814-022-01195-w | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Reuse Statement (publisher, data, author rights): | Funding Information: The first dental steps intervention is funded by NHS England and NHS Improvement (NHSEI). Funding for this research was obtained through NIHR School for Public Health Research, Public Health Practice Evaluation Scheme (PHPES041). Funding Information: The research team would like to acknowledge the Health Visiting Team Leads who we consulted with while designing the study. Publisher Copyright: © 2022, The Author(s). | |||||||||
| Access rights to Published version: | Open Access (Creative Commons) | |||||||||
| Date of first compliant deposit: | 26 April 2023 | |||||||||
| Date of first compliant Open Access: | 26 April 2023 | |||||||||
| RIOXX Funder/Project Grant: |
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