Table 1 Intervention development using TIDieR checklist [48]
Brief name of intervention | "Strong Teeth" – a complex intervention delivered in general dental practice to the parents of young children |
|---|---|
Why (rationale, theory, goal) | 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 and these benefits persist over the life course. These behaviours include brushing twice a day with fluoride toothpaste and limiting sugary foods and drinks. However, how dental teams effectively support parents to establish these oral health behaviours is uncertain. "Strong Teeth" is a complex oral health intervention, underpinned by behaviour change psychology to support oral health conversations in practice and training in effective behaviour change conversations |
What 1. Materials for intervention and training (access to materials) 2. Procedures (describe activities and support activities) | All dental team members delivering the intervention attended a one-day training course, covering evidence-based techniques for undertaking effective behaviour change conversations and guidance on how to use the "Strong Teeth" resources. The "Strong Teeth" resource ‘pack’ was issued to each dental practice, including an oral health chat sheet, conversational flowchart, motivational laminate, posters and four advice leaflets for toothbrushing, healthy eating, behaviour management and advice for friends and family Parent’s choose an area of their child’s oral health behaviours they want to discuss. The parent’s level of motivation is identified and following the flowchart, the professional then undertakes a supportive behaviour change conversation. Parents explore current barriers to this behaviour and encouraged to identify their own simple and achievable solutions. The 3–5-year-olds were given an Oral B electric toothbrush and parents are shown how to use it. A tailor-made action-plan is developed and agreed upon, to be followed-up at the next appointment. Ongoing support and advice were given to the dental practices via telephone and through regular practice visits by the team liaison |
Who provided (describe expertise, background, specific training) | The prevention is designed for delivery by Dental Care Professionals – dentists, dental care professionals and dental nurses with additional training |
How (modes of delivery, e.g. face to face/individual group) | Face-to-face appointment with the dental professional and parent/child |
Where (types of locations) | In dental practice |
When and how much (how often is intervention delivered, duration) | For purposes of pilot study, the "Strong Teeth" intervention is delivered in a one-off visit, followed-up over 2Â months. However, the intervention has been designed to focus on cyclical, continuous improvement, which could be delivered continually throughout childhood |
Tailoring (how will intervention be individualized) | The oral health conversation is guided by parents self-identified barriers to oral health, and an individualised action-plan is created |
Modifications (any changes during the study) | Reported throughout manuscript |
How well 1. Intervention fidelity assessed by 2. Actual adherence | Recruitment, retention and feasibility of delivery Suggestion of impact in the self-reported and observed measures of parental-supervised toothbrushing |
Brief name of intervention | "Strong Teeth" – a complex intervention delivered in general dental practice to the parents of young children |
Why (rationale, theory, goal) | 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 and these benefits persist over the life course. These behaviours include brushing twice a day with fluoride toothpaste and limiting sugary foods and drinks. However, how dental teams effectively support parents to establish these oral health behaviours is uncertain. "Strong Teeth" is a complex oral health intervention, underpinned by behaviour change psychology to support oral health conversations in practice and training in effective behaviour change conversations |
What 1. Materials for intervention and training (access to materials) 2. Procedures (describe activities and support activities) | All dental team members delivering the intervention attended a one-day training course, covering evidence-based techniques for undertaking effective behaviour change conversations and guidance on how to use the "Strong Teeth" resources. "Strong Teeth" resource ‘pack’ was issued to each dental practice, including a conversational flowchart, motivational laminate, posters and four advice leaflets for toothbrushing, healthy eating, behaviour management and advice for friends and family Parent’s choose an area of their child’s oral health behaviours they want to talk about. Parent’s level of motivation is identified and following the flowchart, the professional then undertakes a supportive behaviour change conversation. Parents are allowed to explore the current barriers to this behaviour and encouraged to identify their own simple and achievable solutions. A tailor-made action-plan is made, to be followed-up at the next appointment. Ongoing support and advice were given to the dental practices via telephone and through regular practice visits by the team liaison |
Who provided (describe expertise, background, specific training) | The prevention is designed for delivery by Dental Care Professionals – dentists, dental care professionals and dental nurses with additional trainings |
How (modes of delivery, e.g. face to face/individual group) | Face-to-face appointment with the dental professional and parent/child |
Where (types of locations) | In dental practice |
When and how much (how often is intervention delivered, duration) | For purposes of pilot study, the "Strong Teeth" intervention is delivered in a one-off visit, followed-up over 2Â months. However, the intervention can be delivered at regular dental reviews, throughout childhood, to encourage continuous improvement and maintenance of any positive behaviour change |
Tailoring (how will intervention be individualized) | Conversation is guided by parents self-identified barriers to oral health. Individualised action-plan created |
Modifications (any changes during the study) | Reported throughout manuscript |
How well 1. Intervention fidelity assessed by 2. Actual adherence | Recruitment, retention and feasibility of delivery Suggestion of impact in the self-reported and observed measures of parental-supervised toothbrushing |