HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention
Objectives To 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.Design A mixed-methods, early-phase, non-controlled, feasibili...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/10/e059665.full |
| _version_ | 1811250371026223104 |
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| author | Robert M West Sue Pavitt Rosemary McEachan Faye Wray Jenny Owen Kara A Gray-Burrows Erin Giles Ieva Eskyte Amrit Bhatti Tim Zoltie Z Marshman Peter F Day |
| author_facet | Robert M West Sue Pavitt Rosemary McEachan Faye Wray Jenny Owen Kara A Gray-Burrows Erin Giles Ieva Eskyte Amrit Bhatti Tim Zoltie Z Marshman Peter F Day |
| author_sort | Robert M West |
| collection | DOAJ |
| description | Objectives To 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.Design A mixed-methods, early-phase, non-controlled, feasibility study.Participants Recruitment 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).Setting Bradford, West Yorkshire, UK.Intervention A 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 measures Recruitment, 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.Results HABIT 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.Conclusion This 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 number ISRCTN55332414. |
| first_indexed | 2024-04-12T16:02:45Z |
| format | Article |
| id | doaj.art-cddb71abb87e46bbb6ba1abdd52af896 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-12T16:02:45Z |
| publishDate | 2022-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-cddb71abb87e46bbb6ba1abdd52af8962022-12-22T03:26:09ZengBMJ Publishing GroupBMJ Open2044-60552022-10-01121010.1136/bmjopen-2021-059665HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health interventionRobert M West0Sue Pavitt1Rosemary McEachan2Faye Wray3Jenny Owen4Kara A Gray-Burrows5Erin Giles6Ieva Eskyte7Amrit Bhatti8Tim Zoltie9Z Marshman10Peter F Day11Leeds Institute of Health Sciences, University of Leeds, Leeds, UKSchool of Dentistry, University of Leeds, Leeds, UKBorn in Bradford, Bradford Institute of Health Research, Bradford, UKLeeds Institute of Health Sciences, University of Leeds, Leeds, UKSchool of Dentistry, University of Leeds, Leeds, UKSchool of Dentistry, University of Leeds, Leeds, UKSchool of Dentistry, University of Leeds, Leeds, UKSchool of Law, University of Leeds, Leeds, UKSchool of Dentistry, University of Leeds, Leeds, UKSchool of Dentistry, University of Leeds, Leeds, UKUniversity of Sheffield Faculty of Medicine Dentistry and Health, Sheffield, UKSchool of Dentistry, University of Leeds, Leeds, UKObjectives To 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.Design A mixed-methods, early-phase, non-controlled, feasibility study.Participants Recruitment 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).Setting Bradford, West Yorkshire, UK.Intervention A 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 measures Recruitment, 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.Results HABIT 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.Conclusion This 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 number ISRCTN55332414.https://bmjopen.bmj.com/content/12/10/e059665.full |
| spellingShingle | Robert M West Sue Pavitt Rosemary McEachan Faye Wray Jenny Owen Kara A Gray-Burrows Erin Giles Ieva Eskyte Amrit Bhatti Tim Zoltie Z Marshman Peter F Day HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention BMJ Open |
| title | HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention |
| title_full | HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention |
| title_fullStr | HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention |
| title_full_unstemmed | HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention |
| title_short | HABIT: Health visitors delivering Advice in Britain on Infant Toothbrushing – an early-phase feasibility study of a complex oral health intervention |
| title_sort | habit health visitors delivering advice in britain on infant toothbrushing an early phase feasibility study of a complex oral health intervention |
| url | https://bmjopen.bmj.com/content/12/10/e059665.full |
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