HABIT—an early phase study to explore an oral health intervention delivered by health visitors to parents with young children aged 9–12 months: study protocol

Eskytė, Ieva; Gray-Burrows, Kara; Owen, Jenny; Sykes-Muskett, Bianca; Zoltie, Timothy; Gill, Susanne; Smith, Victoria M.; McEachan, Rosemary; Marshman, Zoe; West, Robert; Pavitt, Sue; Day, Peter

doi:10.1186/s40814-018-0261-0

Cited by 9 publications

(25 citation statements)

References 27 publications

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“…In conjunction with our HABIT early phase study exploring the feasibility and acceptability of an oral health intervention delivered by health visitors to parents of children aged 9-12 months old in the UK [12]; this study will continue the important work in addressing the lack of objective measures of PSB adoption. Whilst there are robust measures of dental caries, these require long-term follow-up (a minimum of 3 years) and are consequently more expensive and at high risk of attrition.…”

Section: Discussionmentioning

confidence: 99%

“…Qualitative and quantitative data will be used to explore intervention mechanisms with questionnaires and interview topic guides being explicitly developed including questions mapped onto the Theoretical Domains Framework [31], considerate of wider family and community context, as tested and refined through our previous work [11, 12, 17, 21]. The intervention mechanism (i.e.…”

Section: Design/methodsmentioning

confidence: 99%

“…The same model was used for our HABIT early-phase study and can be seen in Fig. 1 [12]. Other measures of toothbrushing behaviour (such as duration of brushing, amount and strength of fluoride toothpaste used and spitting out toothpaste residue after brushing) will be considered for inclusion in the model.…”

Section: Design/methodsmentioning

confidence: 99%

“…1The measurement (top model) and growth (bottom model) models for the three proxy objective measures of parental supervised toothbrushing (PSB). Published with permission from Eskyte et al [12]…”

Section: Design/methodsmentioning

confidence: 99%

“…Following the development of our generic complex oral health intervention [11], our research group have adapted the intervention for different health and early years professionals. One such example is the HABIT intervention, which is focused on the universal developmental review undertaken by health visitors [12]. This home visit with parents of children aged 9–12 months covers a wide range of general health topics including a short conversation around oral health.…”

Section: Introductionmentioning

confidence: 99%

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“Strong Teeth”—a study protocol for an early-phase feasibility trial of a complex oral health intervention delivered by dental teams to parents of young children

Tull

Gray-Burrows

Bhatti

et al. 2019

Pilot Feasibility Stud

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Background Dental attendance provides an important opportunity for dental teams to explore with parents the oral health behaviours they undertake for their young children (0–5 years old). For these discussions to be effective, dental professionals need to be skilled in behaviour change conversations. The current evidence suggests that dental teams need further support, training and resources in this area. Therefore, the University of Leeds and Oral-B (Procter & Gamble Company) have worked with the local community and dental professionals to co-develop “Strong Teeth” (an oral health intervention), which is delivered in a general dental practice setting by the whole dental team. The protocol for this early phase study will explore the feasibility and acceptability of the Strong Teeth intervention to parents and the dental team, as well as explore short-term changes in oral health behaviour. Methods Forty parents (20 of children aged 0–2 years old, and 20 of children aged 3–5 years old) who are about to attend the dentist for their child’s regular dental check-up will be recruited to the study. Parents and children will be recruited from 4 to 8 different dental practices. In the home setting, consent and baseline oral health behaviour data will be collected. The researchers will ask parents questions about their child’s oral health behaviours, including toothbrushing and diet. Three different proxy objective measures of toothbrushing will be collected and compared with self-report measures of parental supervised toothbrushing (PSB). Discussion The parent and child will then attend their dental visit and receive the Strong Teeth intervention, delivered by the dental team. This intervention should take 5–15 min to be delivered, in addition to the routine dental check-up. Furthermore, children aged 0–2 years old will receive an Oral-B manual children’s toothbrush, and children aged 3–5 years old will receive an Oral-B electric rechargeable children’s toothbrush. At 2 weeks and 2–3 months following the Strong Teeth intervention, further self-report and objective measures will be collected in the parent/child’s home. This data will be supplemented with purposively sampled qualitative interviews with parents (approximately 3 months following the intervention) and dental team members (following delivery of the intervention). Trial registration ISRCTN Register, ( ISRCTN10709150 ) Electronic supplementary material The online version of this article (10.1186/s40814-019-0483-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Design/methodsmentioning

confidence: 99%

Section: Design/methodsmentioning

confidence: 99%

Section: Design/methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

“Strong Teeth”—a study protocol for an early-phase feasibility trial of a complex oral health intervention delivered by dental teams to parents of young children

Tull

Gray-Burrows

Bhatti

et al. 2019

Pilot Feasibility Stud

Self Cite

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HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention

et al. 2022

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ObjectivesTo conduct an early-phase feasibility study of an oral health intervention, Health visitors delivering Advice on Britain on Infant Toothbrushing (HABIT), delivered by Health Visitors to parents of children aged 9–12 months old.DesignA mixed-methods, early-phase, non-controlled, feasibility study.ParticipantsRecruitment consisted of Group A—HABIT-trained Health Visitors (n=11) and Group B—parents of children aged 9–12 months old about to receive their universal health check (n=35).SettingBradford, West Yorkshire, UK.InterventionA multidisciplinary team co-developed digital and paper-based training resources with health visitors and parents of young children. The intervention comprised of two components: (A) training for health visitors to deliver the HABIT intervention and (B) HABIT resources for parents, including a website, videos, toothbrushing demonstration and a paper-based leaflet with an oral health action plan.Primary and secondary outcome measuresRecruitment, retention and intervention delivery were analysed as key process outcomes for Groups A and B. Group B demographics, self-reported toothbrushing behaviours, dietary habits and three objective measures of toothbrushing including plaque scores were collected at baseline, 2 weeks and 3 months post intervention.ResultsHABIT intervention delivery was feasible. Although the intended sample size was recruited (Group A=11 and Group B=35) it was more challenging than anticipated. Retention of Group B participants to final data collection was satisfactory (n=26). Total compliance with toothbrushing guidelines at baseline was low (30%), but significantly improved and was maintained 3 months after the intervention (68%). Plaque scores improved post intervention and participants found video recording of toothbrushing acceptable. Dietary habits remained largely unchanged.ConclusionThis feasibility study has demonstrated that HABIT is an appropriate oral health intervention. Adaptions to the study design are recommended to maximise recruitment and data collection in a definitive study. These quantitative findings have demonstrated an early signal of impact for improved oral health behaviours for young children at high risk of decay.Trial registration numberISRCTN55332414.

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HABIT (Health visitors delivering Advice in Britain on Infant Toothbrushing): a qualitative exploration of the acceptability of a complex oral health intervention

Bhatti

Wray²,

Eskytė

et al. 2022

BMC Prim. Care

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Background To explore the acceptability of the oral health intervention, HABIT (Health visitors delivering Advice in Britain on Infant Toothbrushing) to parents with young children aged 9–12 months and health visitors. Methods Following the delivery of the universal oral health intervention called HABIT, qualitative semi-structured interviews with parents and focus groups with health visitors were undertaken. Interviews were audio-recorded and transcribed. Health visitors completed self-reported diaries after delivering the HABIT intervention with parents. The qualitative data was analysed using framework analysis (guided by a theoretical framework of acceptability). Results Seventeen parents were interviewed, and five health visitors and three nursery nurses participated in two focus groups. Parents reported health visitors to be ‘trusted’ and valued the reassurance provided during the HABIT visit. Health visitors found the HABIT training and resources useful and valued the consistency and increased confidence in undertaking oral health conversations. There were, however, challenges in changing behaviour where families faced competing demands on time and resources. Both health visitors and parents described the importance of the intervention's timing and suggested that multiple visits may be needed to support optimal oral health habits. Conclusion The HABIT intervention was acceptable to parents and health visitors. Health visitors would welcome a further refinement to enhance intervention delivery that specifically achieves a balance between using a guided script and retaining the flexibility to adapt the conversation to suit the needs of individual families. This, in turn, will maximise impact and enable parents of young children to adopt and maintain optimal home-based oral health behaviours for their child.

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HABIT—an early phase study to explore an oral health intervention delivered by health visitors to parents with young children aged 9–12 months: study protocol

Cited by 9 publications

References 27 publications

“Strong Teeth”—a study protocol for an early-phase feasibility trial of a complex oral health intervention delivered by dental teams to parents of young children

“Strong Teeth”—a study protocol for an early-phase feasibility trial of a complex oral health intervention delivered by dental teams to parents of young children

HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention

HABIT (Health visitors delivering Advice in Britain on Infant Toothbrushing): a qualitative exploration of the acceptability of a complex oral health intervention

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