Optimising an oral health intervention delivered by health visitors and establishing robust outcomes to measure its impact
Lead Research Organisation:
University of Leeds
Department Name: School of Dentistry
Abstract
Tooth decay in young children is very common. It affects a quarter of children aged 5 years, increasing to nearly 40 in every 100 children living in deprived areas. These young children with tooth decay suffer from toothache, sleep loss, problems eating and absence from school and nursery. In England, the most common reason why children have a general anaesthetic is for the removal of multiple decayed teeth. Treating tooth decay accounts for a large proportion of the £3.4 billion spent each year by the NHS on dentistry.
Tooth decay can be prevented. One of the best ways is to encourage "Parental Supervised Tootbrushing", this involves establishing a good routine with parents brushing their infant's teeth twice a day with fluoride toothpaste as soon as the first tooth appears.
Our earlier research found that "Parental Supervised Toothbrushing" can be a difficult routine to start and even harder to keep going. Parents are aware it is important to brush, but struggle for many different reasons. Health visitors can play a key role in supporting parents to adopt good oral health practices, such as Parental Supervised Toothbrushing. In England, health visitors carry out a home visit to all families when infants are aged 12 months and this includes a discussion about good oral health habits. Our interviews with health visitors have shown there is a wide variation in what they cover and discuss with families. Many do not feel confident discussing oral health. Health visitors receive minimal training and guidance on how to encourage good oral health habits. Our study will test if we can improve how health visitors support parents to adopt good toothbrushing routines, namely Parental Supervised Toothbrushing.
AIMS: (A) With health visitors and parents we will produce resources and training to support the habit of Parental Supervised Toothbrushing. (B) We will then test if the way to support Parental Supervised Toothbrushing delivered by health visitors is acceptable and practical. (C) We will study different ways of checking whether parents are performing Parental Supervised Toothbrushing.
DESIGN: In a deprived area, we will recruit 30 parents of infants aged 12 months who are about to receive their home visit from a health visitor. Before this, our research team will visit their home and assess how they care for their infant's teeth. Parents will then receive their 12 month home visit which will include the health visitor delivering support for Parental Supervised Toothbrushing.
At 2 weeks and 3 months after the health visitor's home visit, our research team will visit the parents again to collect further records of how parents are caring for their infant's teeth. We will ask parents how acceptable they found both the Parental Supervised Toothbrushing support and the collection of information about their infant's toothbrushing. We will also ask health visitors how acceptable and practical the Parental Supervised Toothbrushing support was to deliver. Finally we will compare the different ways of checking whether parents are performing Parental Supervised Toothbrushing.
COMMUNITY INVOLVEMENT: We have worked closely with many different members of the local community at each stage of our research. They suggested incorporating the Parental Supervised Toothbrushing support into the health visitor home visits. They will help with the development of the resources to support Parental Supervised Toothbrushing and with writing a lay report at the end of the study.
OUTCOME: This early phase study will ensure the support for Parental Supervised Toothbrushing is suitable for health visitors to deliver and acceptable to parents. We will find out which way is the best to check that Parental Supervised Toothbrushing is taking place. We will use the results to design a larger study to test whether the Parental Supervised Toothbrushing intervention can prevent decay (effectiveness) and save the NHS money.
Tooth decay can be prevented. One of the best ways is to encourage "Parental Supervised Tootbrushing", this involves establishing a good routine with parents brushing their infant's teeth twice a day with fluoride toothpaste as soon as the first tooth appears.
Our earlier research found that "Parental Supervised Toothbrushing" can be a difficult routine to start and even harder to keep going. Parents are aware it is important to brush, but struggle for many different reasons. Health visitors can play a key role in supporting parents to adopt good oral health practices, such as Parental Supervised Toothbrushing. In England, health visitors carry out a home visit to all families when infants are aged 12 months and this includes a discussion about good oral health habits. Our interviews with health visitors have shown there is a wide variation in what they cover and discuss with families. Many do not feel confident discussing oral health. Health visitors receive minimal training and guidance on how to encourage good oral health habits. Our study will test if we can improve how health visitors support parents to adopt good toothbrushing routines, namely Parental Supervised Toothbrushing.
AIMS: (A) With health visitors and parents we will produce resources and training to support the habit of Parental Supervised Toothbrushing. (B) We will then test if the way to support Parental Supervised Toothbrushing delivered by health visitors is acceptable and practical. (C) We will study different ways of checking whether parents are performing Parental Supervised Toothbrushing.
DESIGN: In a deprived area, we will recruit 30 parents of infants aged 12 months who are about to receive their home visit from a health visitor. Before this, our research team will visit their home and assess how they care for their infant's teeth. Parents will then receive their 12 month home visit which will include the health visitor delivering support for Parental Supervised Toothbrushing.
At 2 weeks and 3 months after the health visitor's home visit, our research team will visit the parents again to collect further records of how parents are caring for their infant's teeth. We will ask parents how acceptable they found both the Parental Supervised Toothbrushing support and the collection of information about their infant's toothbrushing. We will also ask health visitors how acceptable and practical the Parental Supervised Toothbrushing support was to deliver. Finally we will compare the different ways of checking whether parents are performing Parental Supervised Toothbrushing.
COMMUNITY INVOLVEMENT: We have worked closely with many different members of the local community at each stage of our research. They suggested incorporating the Parental Supervised Toothbrushing support into the health visitor home visits. They will help with the development of the resources to support Parental Supervised Toothbrushing and with writing a lay report at the end of the study.
OUTCOME: This early phase study will ensure the support for Parental Supervised Toothbrushing is suitable for health visitors to deliver and acceptable to parents. We will find out which way is the best to check that Parental Supervised Toothbrushing is taking place. We will use the results to design a larger study to test whether the Parental Supervised Toothbrushing intervention can prevent decay (effectiveness) and save the NHS money.
Technical Summary
Preventing dental caries is a key public health priority. UK guidance strongly supports Parental Supervised Toothbrushing (PSB) using fluoride toothpaste twice-daily from first tooth eruption (around 6 months). Infrequent brushing is associated with higher caries prevalence in young children especially those living in deprived areas.
We have identified many barriers to PSB and, using MRC guidance, developed a complex intervention to maximize PSB adoption by parents.
The Healthy Child Programme with universal home visits by health visitors mandates a discussion of oral health behaviours with parents of infants. There is limited evidence to support the effectiveness of this discussion and significant variation in practice. There are no standard materials or frameworks for this discussion and inconsistent training for health visitors.
Work Package A- AIM:(1)To co-produce training and materials with health visitors and parents to maximise PSB adoption. METHOD: Detailed specification of the PSB intervention will be developed through an iterative process with mixed groups of health visitors and parents.
Work Package B- AIMS:(1)To explore acceptability and feasibility of the PSB intervention to health visitors and parents of infants; (2)To develop an objective measure(s) of PSB adoption. METHOD: 30 parents of infants aged 12 months will be recruited. The research team will collect self-reported and objectives measures of PSB at baseline. Parents will then receive their health visitor home visit including the PSB intervention. The research team will then collect further PSB adoption data at 2 weeks and 3 months. ACCEPTABILITY of the PSB intervention and measurement of PSB adoption will be explored with parents through qualitative interviews. ACCEPTABILITY and FEASIBILTY of delivering the PSB intervention will be examined with health visitors through focus groups. UTILITY of 3 objective PSB measures will be compared with each other and with parental-self reports.
We have identified many barriers to PSB and, using MRC guidance, developed a complex intervention to maximize PSB adoption by parents.
The Healthy Child Programme with universal home visits by health visitors mandates a discussion of oral health behaviours with parents of infants. There is limited evidence to support the effectiveness of this discussion and significant variation in practice. There are no standard materials or frameworks for this discussion and inconsistent training for health visitors.
Work Package A- AIM:(1)To co-produce training and materials with health visitors and parents to maximise PSB adoption. METHOD: Detailed specification of the PSB intervention will be developed through an iterative process with mixed groups of health visitors and parents.
Work Package B- AIMS:(1)To explore acceptability and feasibility of the PSB intervention to health visitors and parents of infants; (2)To develop an objective measure(s) of PSB adoption. METHOD: 30 parents of infants aged 12 months will be recruited. The research team will collect self-reported and objectives measures of PSB at baseline. Parents will then receive their health visitor home visit including the PSB intervention. The research team will then collect further PSB adoption data at 2 weeks and 3 months. ACCEPTABILITY of the PSB intervention and measurement of PSB adoption will be explored with parents through qualitative interviews. ACCEPTABILITY and FEASIBILTY of delivering the PSB intervention will be examined with health visitors through focus groups. UTILITY of 3 objective PSB measures will be compared with each other and with parental-self reports.
Organisations
- University of Leeds (Lead Research Organisation)
- Bradford Institute for Health Research (BIHR) (Collaboration)
- Dental Health Services Victoria (Collaboration)
- Nottinghamshire Healthcare NHS Trust (Collaboration)
- PUBLIC HEALTH ENGLAND (Collaboration)
- Bradford District Care NHS Foundation Trust (Collaboration)
- Derbyshire Community Health Services NHS Trust (Collaboration)
- STOKE-ON-TRENT CITY COUNCIL (Collaboration)
- LEICESTER CITY COUNCIL (Collaboration)
- National Institute for Health Research (Collaboration)
- NORTH YORKSHIRE COUNTY COUNCIL (Collaboration)
- Blackpool Centre for Early Child Development (Collaboration)
Publications
Eskyte I
(2018)
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.
in Pilot and feasibility studies
Eskyte I
(2021)
Organizational Barriers to Oral Health Conversations Between Health Visitors and Parents of Children Aged 9-12 Months Old.
in Frontiers in public health
Owen J
(2022)
Co-design of an oral health intervention (HABIT) delivered by health visitors for parents of children aged 9-12 months.
in BMC public health
| Title | HABIT leaflet and website |
| Description | Oral Health leaflet for parents of infants aged 9-12 months - this summarises the key oral health messages. The messages are divided into the wider barriers for parental supervised toothbrushing and healthy eating and drinking. The leaflet signposts parents to the HABIT website and is used by Health Visitors during their mandatory home visits. The HABIT website provides a home for the different oral health resources including the HABIT leaflet, the six videos and supporting text. |
| Type Of Art | Artwork |
| Year Produced | 2017 |
| Impact | None as yet |
| URL | https://www.toothbrushinghabit.com/copy-3-of-no-second-chance |
| Title | HABIT video - Diet know-how |
| Description | The video aimed at parents of infants aged 9-12 months. It has been developed together with public health professionals and parents of infants aged 9-24 months. The video covers topics such as drinks that are safe for young children's teeth, sugars in baby foods and drinks, healthy consumption of sweet foods, etc. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2017 |
| Impact | Not known yet. |
| URL | https://www.toothbrushinghabit.com/copy-3-of-no-second-chance |
| Title | HABIT video - Making toothbrushing easier |
| Description | The video has been developed by the HABIT multidisciplinary team working together with health visitors and their wider teams and parents of infants aged 9-24 months. The video is aimed at parents of infants aged 9-12 months. It provides practical tips to parents how to manage babies' behaviour during brushing, make the process stress-free and effective. It also sheds light on distraction and positive reward techniques as well as normalises challenges experienced by parents while brushing. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2017 |
| Impact | So far some parents reported changes in their brushing practices. As an example, one mother noted that she is talking to her child while brushing and aims to make the experience more social and fun by inviting older children to the bathroom. |
| URL | https://www.toothbrushinghabit.com/copy-of-no-second-chance |
| Title | HABIT video - Managing the wider social environment |
| Description | The video is aimed at parents of infants aged 9-12 months, especially if they share their baby's care with other adults. The video covers topics such as challenges in managing other adults' behaviour, techniques of communicating importance of children oral health, as well as strategies to ensure that other adults brush infant's teeth and consider healthy diet. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2017 |
| Impact | Not known yet. |
| URL | https://www.toothbrushinghabit.com/copy-2-of-no-second-chance |
| Title | HABIT video - No second chance |
| Description | The video explains the importance of baby teeth and Parent Supervised Toothbrushing, as well as short and long term negative impact of tooth decay.The video is aimed at public health professionals (health visitors and nursery nurses) and parents of infants aged 9-12 months. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2017 |
| Impact | HABIT trained health visitors found the video useful for their professional activities and identified it as expanding their knowledge about tooth decay and its negative impact on baby teeth. |
| URL | https://www.toothbrushinghabit.com/copy-of-toothbrushing-knowledge |
| Title | HABIT video - Toothbrushing knowledge |
| Description | The video provides key information about toothbrushing. It cover areas such as initiation and duration of Parent Supervised Toothbrushing, toothbrushing frequency, amount and strength of toothpaste, etc. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2017 |
| Impact | The video has expanded health visitors and parents' knowledge about toothbrushing. To illustrate, in the HABIT training event health visitors noted that the video is accessible and it is easy to understand how to apply theoretical knowledge into practice.The study has already demonstrated that some of the HABIT trained health visitors adjusted their past practice and incorporated the knowledge into advice provided to parents at 9-12 month universal home visits |
| URL | https://www.toothbrushinghabit.com/copy-of-toothbrushing-skills |
| Title | HABIT video - Toothbrushing tips |
| Description | The video provides practical advice to health visitors and parents on children's toothbrushing. The video has been developed by a multidisciplinary HABIT team working together with health visitors and their wider teams and parents of infants aged 9-24 moths. The video provides parents with practical advice and techniques on how to take care of their child's teeth and oral health. |
| Type Of Art | Film/Video/Animation |
| Year Produced | 2017 |
| Impact | So far research fieldwork suggested some changes in parents' toothbrushing practices. As an example, some parents reported using the right amount of toothpaste (smear instead of pea-size) and not rinsing baby's mouth after brushing. |
| URL | https://www.toothbrushinghabit.com/toothbrushing-skills |
| Description | HABIT oral health training for health visitors |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Influenced training of practitioners or researchers |
| Description | Interview with the Economist Intelligence Unit |
| Geographic Reach | Europe |
| Policy Influence Type | Contribution to a national consultation/review |
| Description | Invitation to join the Bradford Better Start programme management group |
| Geographic Reach | Local/Municipal/Regional |
| Policy Influence Type | Participation in a guidance/advisory committee |
| Description | Presentation to the PHE led - Children Oral Health Improvement Programme Board |
| Geographic Reach | National |
| Policy Influence Type | Participation in a guidance/advisory committee |
| URL | https://www.gov.uk/government/news/launch-of-the-childrens-oral-health-improvement-programme-board |
| Description | Better Start Bradford Innovation Fund |
| Amount | £109,038 (GBP) |
| Organisation | Better Start Bradford |
| Sector | Charity/Non Profit |
| Country | United Kingdom |
| Start | 04/2020 |
| End | 12/2021 |
| Description | Supporting Dental Teams to undertake effective behaviour change conversations with parents of young children. |
| Amount | £35,000 (GBP) |
| Funding ID | HEE Admin Ref: J2018-O-59 |
| Organisation | Health Education England |
| Sector | Public |
| Country | United Kingdom |
| Start | 10/2018 |
| End | 05/2019 |
| Description | Supporting dental teams to undertake effective behaviour change conversations with parents of young children |
| Amount | £19,950 (GBP) |
| Organisation | Health Education England |
| Department | Health Education Yorkshire and Humber |
| Sector | Public |
| Country | United Kingdom |
| Start | 03/2018 |
| End | 09/2018 |
| Description | 0-19 Research Network |
| Organisation | National Institute for Health Research |
| Department | Clinical Research Network: Yorkshire and Humber |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | HABIT research team were invited to a training event organised by 0-19 Research Network Yorkshire and Humber. The event allowed the research team to discuss the HABIT research project and this engagement helped to inform the co-design of the HABIT oral health intervention. |
| Collaborator Contribution | Health Visitor and Nursery Nurses who attended the event shared their experiences of delivering home visits to parents of infants aged 9-12 months. They provided their clinical insight into current oral health resources and professional practice. These discussions helped to inform the design and production of the HABIT oral health intervention. |
| Impact | The collaboration is multi-disciplinary. It involves professionals from public health, dentistry and social sciences. The collaboration has contributed to preparing for the qualitative study of the project and developing HABIT resources (leaflet and videos). |
| Start Year | 2017 |
| Description | Better Start Bradford |
| Organisation | Bradford Institute for Health Research (BIHR) |
| Department | Born in Bradford |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | We have met with Better Start Bradford on several occasions over the HABIT project. We have discussed our progress and asked them for help and guidance with certain aspects of the project. |
| Collaborator Contribution | The partner contributed to the resource development by identifying suitable playgroups and parents to participate in HABIT video production. Better Start Bradford work very closely with the local community and have helped shape our dissemination strategy. |
| Impact | HABIT videos |
| Start Year | 2017 |
| Description | Blackpool Centre for Early Child Development - Resource Collection |
| Organisation | Blackpool Centre for Early Child Development |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | We met with this research partner and discussed current Health Visiting practices around oral health. We will invite this partner to attend HABIT findings dissemination event (2018). |
| Collaborator Contribution | The partner shared oral health resources available to health visitors in their area. These were used in a qualitative study of our project to facilitate discussions with health visitors and parents of infants aged 9-24 months. These discussions helped to inform the design and co-production of the HABIT oral health intervention. |
| Impact | The partnership is multi-disciplinary. It involves representatives of public health, dentistry and social sciences. The partnership has indirectly contributed to developing HABIT leaflet and videos for parents of infants aged 9-12 months. |
| Start Year | 2017 |
| Description | Bradford District Care Foundation Trust (BDCFT) |
| Organisation | Bradford District Care NHS Foundation Trust |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | The research team have worked closely with Health Visitors and other colleagues from BDCFT to co-design and co-produce the HABIT oral health intervention and resources |
| Collaborator Contribution | The partner shared oral health resources available to health visitors in the area. These were used in a qualitative study of the project to facilitate discussions with health visitors and parents of infants aged 9-24 months. Colleagues from BDCFT will be invited to attend the dissemination event at the end of the HABIT project (2018). |
| Impact | The partnership is multi-disciplinary. It involves representatives of public health, dentistry and social sciences. The partnership has directly contributed to developing HABIT leaflet and videos for parents of infants aged 9-12 months. |
| Start Year | 2017 |
| Description | Derbyshire Community Health Services NHS Trust - Resources for a qualitative study |
| Organisation | Derbyshire Community Health Services NHS Trust |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | We met with this research partner and discussed current Health Visiting practices around oral health. We will invite this partner to attend HABIT findings dissemination event (2018). |
| Collaborator Contribution | The partner shared oral health resources available to health visitors in their area. These were used in a qualitative study of our project to facilitate discussions with health visitors and parents of infants aged 9-24 months. These discussions helped to inform the design and co-production of the HABIT oral health intervention. |
| Impact | The partnership is multi-disciplinary. It involves representatives of public health, dentistry and social sciences. The partnership has indirectly contributed to developing HABIT leaflet and videos for parents of infants aged 9-12 months. |
| Start Year | 2017 |
| Description | Nottinghamshire Healthcare NHS Foundation Trust - Resource collection |
| Organisation | Nottinghamshire Healthcare NHS Trust |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | We met with this research partner and discussed current Health Visiting practices around oral health. We will invite this partner to attend HABIT findings dissemination event (2018). |
| Collaborator Contribution | The partner shared oral health resources available to health visitors in their area. These were used in a qualitative study of our project to facilitate discussions with health visitors and parents of infants aged 9-24 months. These discussions helped to inform the design and co-production of the HABIT oral health intervention. |
| Impact | The partnership is multi-disciplinary. It involves representatives of public health, dentistry and social sciences. The partnership has indirectly contributed to developing HABIT leaflet and videos for parents of infants aged 9-12 months. |
| Start Year | 2017 |
| Description | Public Health England - Resource collection, discussion of current practice and feedback on HABIT resources |
| Organisation | Public Health England |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | We have met with the national Public Health lead for Oral Health promotion (Dr Jenny Godson and her team) on several occasions. On each occasion, we discussed our progress with the project to ensure the oral health resources conform with wider public health policy and guidance. |
| Collaborator Contribution | The collaboration with Public Health England (PHE) was two-staged. First, PHE provided HABIT research team with oral health resources available to health visitors across the UK and shared some insight into the process of the resource development and current health visiting practice. Second, the partner provided feedback on the HABIT resources for parents and health visitors. Specifically, on wording and compliance with national standards and guidance. |
| Impact | The collaboration is multidisciplinary. It involves professionals from public health, dentistry and social sciences. The collaboration has indirectly contributed to the HABIT resources, specifically to wording and compliance with national standards. |
| Start Year | 2017 |
| Description | Public Health and Adult Social care, City of Stoke-on-Trent - Resource collection |
| Organisation | Stoke-on-Trent City Council |
| Country | United Kingdom |
| Sector | Private |
| PI Contribution | We met with this research partner and discussed current Health Visiting practices around oral health. We will invite this partner to attend HABIT findings dissemination event (2018). |
| Collaborator Contribution | The partner shared oral health resources available to health visitors in their area. These were used in a qualitative study of our project to facilitate discussions with health visitors and parents of infants aged 9-24 months. These discussions helped to inform the design and co-production of the HABIT oral health intervention. |
| Impact | The partnership is multi-disciplinary. It involves representatives of public health, dentistry and social sciences. The partnership has indirectly contributed to developing HABIT leaflet and videos for parents of infants aged 9-12 months. |
| Start Year | 2017 |
| Description | Public Health and Health Improvement Leicester City Council - Resource collection |
| Organisation | Leicester City Council |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | We met with this research partner and discussed current Health Visiting practices around oral health. We will invite this partner to attend HABIT findings dissemination event (2018). |
| Collaborator Contribution | The partner shared oral health resources available to health visitors in their area. These were used in a qualitative study of our project to facilitate discussions with health visitors and parents of infants aged 9-24 months. These discussions helped to inform the design and co-production of the HABIT oral health intervention. |
| Impact | The partnership is multi-disciplinary. It involves representatives of public health, dentistry and social sciences. The partnership has indirectly contributed to developing HABIT leaflet and videos for parents of infants aged 9-12 months. |
| Start Year | 2017 |
| Description | Request from Australia to use our HABIT resources |
| Organisation | Dental Health Services Victoria |
| Country | Australia |
| Sector | Charity/Non Profit |
| PI Contribution | A request was made to the team enquiring for more information on our HABIT intervention and permission to model their own materials on ours. |
| Collaborator Contribution | They will develop materials based on our HABIT resources |
| Impact | Resources to promote children's oral health based on our work will be used in Australia |
| Start Year | 2019 |
| Description | Request to use HABIT resources in North Yorkshire |
| Organisation | North Yorkshire County Council |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | We have started very early discussions with North Yorkshire - Dr Dora Machaira about potentially using the HABIT resources. |
| Collaborator Contribution | None as yet |
| Impact | No outputs as yet |
| Start Year | 2020 |
| Title | Capture and production of HABIT Videos |
| Description | Development and production of 6 short educational films depicting oral health promotion and prevention for parents of infants age 9-12 months. |
| IP Reference | |
| Protection | Copyrighted (e.g. software) |
| Year Protection Granted | 2017 |
| Licensed | Commercial In Confidence |
| Impact | We are working with a commercial partner (subject to a confidentially contract) who is keen to use these videos. |
| Title | HABIT oral health resources for parents of young children |
| Description | The HABIT oral health leaflet is aimed at parents of young children (9-12 months). It was co-designed with health visitors and parents of children aged 9-24 months. The structure and content of the leaflet reflects barriers to home-based oral health behaviours and provides key messages. It covers the following topics: importance of toothbrushing, toothbrushing knowledge, toothbrushing tips, managing baby's behaviour, managing the wider social environment, knowledge on diet. |
| IP Reference | |
| Protection | Copyrighted (e.g. software) |
| Year Protection Granted | 2017 |
| Licensed | No |
| Impact | N/A |
| Title | HABIT Intervention |
| Description | The HABIT intervention has been co-designed with health visitors and parents of infants aged 9-24 months. Currently the HABIT intervention is being delivered to and tested with a small number of research participants, including 6 Health Visitors and 30 parents. |
| Type | Preventative Intervention - Behavioural risk modification |
| Current Stage Of Development | Small-scale adoption |
| Year Development Stage Completed | 2017 |
| Development Status | Under active development/distribution |
| Impact | The development of the HABIT videos has led to significant interest from Public Health England, NHS England (specifically the Starting Well project which targets the 13 local authorities with the poorest oral health, the Chief Dental Officer and industry. We are currently reconsenting parents who appear in these videos for possible use with these wider partners. This will enable wider dissemination and uptake of these resources. |
| URL | https://www.toothbrushinghabit.com |
| Description | 'Stop the Rot' |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Asked to contribute to a local oral health campaign run by the South Bradford Member for Parliament - Judith Cummings and the local paper - Telegraph & Argus - I have been briefly interviewed and have a follow up interview planned for the summer 2018. The campaign was initiated last week (9.3.2018) and so it is very difficult to gauge the impact at this point. |
| Year(s) Of Engagement Activity | 2018 |
| URL | http://www.thetelegraphandargus.co.uk/news/16074382.T_A_starts_new_campaign_as_Bradford_s_oral_healt... |
| Description | 1. Improving oral health conversations between health visitors and families |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | BSPD Ridings Branch presentation evening. Presentation title: Improving oral health conversations between health visitors and families. |
| Year(s) Of Engagement Activity | 2022 |
| Description | BASCD conference presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Poster presentation on the concept of co-design and how it was used to develop the HABIT intervention. |
| Year(s) Of Engagement Activity | 2020 |
| Description | BSB Newsletter article |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Newsletter article for Better Start Bradford who has funded some of our research and is where some of our research is undertaken. |
| Year(s) Of Engagement Activity | 2021 |
| Description | BSPD Ridings Branch Webinar: What is new in Paediatric Dentistry? Updates from the research front |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | A BSPD webinar presenting: What is new in Paediatric Dentistry? Updates from the research front. This involved discussing 3 research projects, including HABIT and toothPASTE |
| Year(s) Of Engagement Activity | 2023 |
| Description | Bradford LDC article |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Article on HABIT project produced for Bradford LDC to be disseminated via newsletter and email. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Conference presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Oral presentation at the International Association of Dental Research - London - July 2018 Has led to development of two international research collaborations |
| Year(s) Of Engagement Activity | 2018 |
| Description | Discussion at a Children's centre in Bradford |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Five parents of infants aged 9-24 months and two representatives from a commercial company attended a discussion on HABIT resources. The event was held at a Children's centre in Bradford. The HABIT videos were shown and discussed and the attendees reported the activity as educational, interesting and encouraging to change or adjust some of their current oral health behavious. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Discussion on HABIT resources with parents across Yorkshire |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Approximately 40 parents of young children and two representatives from a commercial company attended a series of discussions on HABIT oral health resources. The events (x8) were held at number of venues across Yorkshire. The HABIT videos were shown and discussed, and the attendees reported the resources to be useful and important for changing or improving their oral health practices and behaviours. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Dissemination of HABIT findings to Public Health Consultants |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | An email to all the Public Health Consultants in the Yorkshire and Humber area about the aims and findings of the HABIT study. This information will be used to help consultants decide whether they wish to implement the intervention in their own area. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Event with dental professionals |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Thirty dental professionals and two representatives from a commercial company attended a series of discussion on HABIT resources. The events were held across a number of venues (x4) in Yorkshire and Lancashire. The HABIT videos were shown and discussed, and the attendees identified the activity as useful and providing clear insight into the type of resources needed to engage parents of young families. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Feedback on HABIT Dissemination event |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Positive feedback from a Consultant in Dental Public Health, Yorkshire and the Humber Centre, Public Health England - "I just wanted to say that I thought yesterday was fantastic, well done to you all." |
| Year(s) Of Engagement Activity | 2019 |
| Description | HABIT Dissemination Event |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Study participants or study members |
| Results and Impact | A dissemination event for the HABIT study was held on Thursday 10th January 2019. The event was attended by 66 delegates including dental professionals, health visitors, early years practitioners, researchers, representatives from Public Health England and parent representatives. The event presented findings from the research, including the organisational barriers to delivering information about oral health experienced by health visitors, the co-production of the HABIT intervention and the feasibility/acceptability of the approach. Delegates also participated in two interactive sessions which facilitated discussion and feedback on the resources and intervention which had been developed. Delegates were asked to evaluate the event and gave positive feedback e.g. "Liked the model. We could roll out in other areas if the resources were available", "The multimedia resources will be very useful", "[Enjoyed] being able to feedback and have some potential input into the resources.". |
| Year(s) Of Engagement Activity | 2019 |
| Description | Healthy Children Healthy Families Programmme |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation for the NIHR CLAHRC Yorkshire and Humber Healthy Children Healthy Families Programmme. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Invited online presentation to the Royal College of Surgeons of Edinburgh |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited presentation to professional audience (paediatric dentists) about effective behaviour change conversations. HABIT resources were discussed as were the results of the early-phase study. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Invited presentation to British Society of Paediatric Dentistry annual conference - Birmingham |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited presentation to professional audience (paediatric dentists) about effective behaviour change conversations. HABIT resources were discussed as were the results of the early-phase study. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Invited presentation to the annual conference of Royal College of Paediatrics and Child Health |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Invited presentation to professional audience (paediatricians) about effective behaviour change conversations. HABIT resources were discussed as were the results of the early-phase study. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Jenny - 4 tutors in Dental Hygiene and Therapy |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Four tutors in Dental Hygiene & Therapy attended the discussion on the HABIT resources, which encouraged them to use more accessible language in their everyday professional practice when interacting with parents and children. |
| Year(s) Of Engagement Activity | 2017 |
| Description | Key message campaign for Better Start Bradford (BSB) |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Request from Better Start Bradford to use the HABIT leaflet in their key messages campaign during National Smile Week, Press release published in local newspaper, Telegraph & Argus. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Key messages campaign for Better Start Bradford (BSB) |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Request from Better Start Bradford to use the HABIT leaflet in their key messages campaign during National Smile Week - used within social media messaging. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Key messages for Better Start Bradford (BSB) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | Request from Better Start Bradford to use the HABIT leaflet in their key messages campaign during National Smile Week in family focussed groups. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Materials created and disseminated for 50 things before 5 |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Information disseminated about the HABIT project as part of the 50 things before 5 |
| Year(s) Of Engagement Activity | 2021 |
| Description | Materials created and disseminated for National Smile Month |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Information regarding the HABIT project was disseminated through social media, including fun activities for families to try out at home. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Oral presentation at the British Society of Oral and Dental Research - HABIT: An Oral Health Intervention for Infants- Qualitative Findings |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Formal oral presentation at conference to dental researchers from the UK |
| Year(s) Of Engagement Activity | 2019 |
| Description | Poster presentation at iHV conference |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Poster presentation on "Enhancing the HABIT: Exploring the fidelity of oral health conversations between health visitors and families" delivered virtually at the Institute of Health Visiting (iHV) conference 2021.We received excellent feedback and praise for the presentation, and this has led to further discussions with the iHV, and some plans for collaboration have already been put in place. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Presentation to Royal College of Paediatricians and Chief Dental Officer |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | I was asked to present at this event with the title of my presentation - "Supporting Health Professionals with oral health behaviour change conversations" - As part of this presentation I discussed and showcased the resources developed for HABIT as an exemplar. The resources and HABIT videos were well received. |
| Year(s) Of Engagement Activity | 2018 |
| URL | http://www.rcpch.ac.uk/insights-oral |
| Description | Public Health Nursing Conference |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation on HABIT at Public Health Nursing Conference. |
| Year(s) Of Engagement Activity | 2018 |
| Description | UKSBM 2018 Conference presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Oral presentation at the UK Society for Behavioural Medicine (UKSBM) 14th Annual Scientific Meeting at Edgbaston Cricket Ground, Birmingham on 13th December 2018 titled "Barriers to oral health conversations between health visitors and parents." |
| Year(s) Of Engagement Activity | 2018 |
| Description | Use of HABIT findings by BDCT |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Request to use HABIT intervention packs at 3-4 months health visitor visit as well as 9-12 month developmental review visit, which led to the promotion of the dental packs being circulated at the 3-4 month contact. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Use of HABIT findings in PhD project |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Request for more information about the HABIT study after interest sparked from reading HABITprotocol publication in Pilot and Feasibility Studies journal as part literature review by a first year PhD student at the University of York/dentist working on the feasibility of developing a behavioural intervention aimed at mothers for oral health promotion in children applied through community health workers in Pakistan. |
| Year(s) Of Engagement Activity | 2018 |
| Description | Webinar presentation for PHPH network members for Stop the Rot for review |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Webinar presentation aimed at NWPHPN network members, but open to anyone concerned to address the need for increased prevention and innovation in a public health context. This webinar will be of particular interest to school and community nurses, midwives and health visitors, as well as people working with children and adolescents more generally. It will provide insights for anyone concerned about health inequalities and how to up the game of prevention and protection. |
| Year(s) Of Engagement Activity | 2021 |
| Description | iHV newsletter article |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Requested by Institute of Health Visiting (iHV) to produce an article on the HABIT project for the iHV newsletter. |
| Year(s) Of Engagement Activity | 2021 |
| Description | iHV presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | A presentation at the Institute for Health Visiting annual Evidence Based Conference. Presentation title: HABIT (Health visitors delivering Advice in Britain on Infant Toothbrushing): Improving the accessibility of parent-facing oral health resources for parents with limited English living in the Better Start area of Bradford. |
| Year(s) Of Engagement Activity | 2022 |
| Description | xxxx |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | xxxx |
| Year(s) Of Engagement Activity | 2019 |
| URL | https://twitter.com/brushing_habit?lang=en-gb |