School of Dentistry, University of Leeds, Leeds, UK
Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.
BMJ Open. 2022 Oct 10;12(10):e059665. doi: 10.1136/bmjopen-2021-059665.
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.
A mixed-methods, early-phase, non-controlled, feasibility study.
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).
Bradford, West Yorkshire, UK.
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.
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.
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.
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.
ISRCTN55332414.
对一项口腔健康干预措施，即健康访问者提供关于英国婴儿刷牙的建议（HABIT）进行早期可行性研究，由健康访问者向 9-12 个月大的儿童的父母提供。
混合方法、早期、非对照、可行性研究。
招募包括 A 组-HABIT 培训的健康访问者（n=11）和 B 组-即将接受常规健康检查的 9-12 个月大儿童的父母（n=35）。
英国西约克郡布拉德福德。
一个多学科团队与健康访问者和幼儿的父母共同开发了数字和纸质培训资源。该干预措施包括两个部分：（A）培训健康访问者提供 HABIT 干预措施；（B）HABIT 资源提供给父母，包括一个网站、视频、刷牙示范和一份带有口腔健康行动计划的纸质传单。
对 A 组和 B 组的招募、保留和干预措施的提供进行了分析，作为关键过程结果。在基线、干预后 2 周和 3 个月时，收集了 B 组的人口统计学数据、自我报告的刷牙行为、饮食习惯和三项刷牙的客观指标，包括菌斑评分。
HABIT 干预措施的提供是可行的。尽管招募了预期的样本量（A 组=11，B 组=35），但比预期更具挑战性。B 组参与者的保留率在最终数据收集时令人满意（n=26）。基线时总刷牙指南的依从性很低（30%），但在干预后显著提高并在干预后 3 个月保持（68%）。菌斑评分在干预后改善，参与者认为刷牙视频记录可以接受。饮食习惯基本保持不变。
这项可行性研究表明，HABIT 是一种合适的口腔健康干预措施。建议对研究设计进行调整，以在一项明确的研究中最大限度地提高招募和数据收集。这些定量发现为高患龋风险的幼儿口腔健康行为的改善提供了早期信号。
ISRCTN55332414。
