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Gray-Burrows, K.A.A. orcid.org/0000-0002-1550-5066, Day, P.F.F., El-Yousfi, S. et al. (3 more authors) (2023) A national survey of supervised toothbrushing programmes in England. British Dental Journal. ISSN 0007-0610
Abstract
Introduction Supervised toothbrushing programmes (STPs) are a cost-effective public health intervention, reducing tooth decay and health inequalities in children. However, the uptake of STPs in England is unknown. This study aimed to establish the current provision of STPs across England and summarise the barriers and facilitators to their implementation.
Methods An online survey was sent to dental public health consultants, local authority (LA) oral health leads, and public health practitioners across England. Quantitative data were analysed using descriptive statistics. Barriers and facilitators were analysed using the Consolidated Framework for Implementation Research.
Results Information was received for 141 LAs across England. Approximately half implemented an STP (n = 68/141). Most STPs were commissioned by LAs (n = 44/68) and adopted a targeted approach (n = 54/68). Barriers to implementation were: 1) acquiring funding; 2) poor communication and engagement between LAs, oral health providers and settings; 3) oral health not a priority; 4) logistically challenging to implement; and 5) lack of capacity. Facilitators were: 1) an integrated and mandated public health approach; 2) collaboration and ongoing support between LAs, oral health providers, and settings; 3) clarity of guidance; 4) flexible approach to delivery; 5) adequate available resources; and 6) ownership and empowerment of setting staff.
Conclusion The current provision of STPs is varied, and although there are challenges to their implementation, there are also areas of good practice where these challenges have been overcome.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2023. This is an open access article under the terms of the Creative Commons Attribution License (CC-BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Paediatric Dentistry (Leeds) |
Funding Information: | Funder Grant number NIHR National Inst Health Research CMH: 111686R (BRUSH) |
Depositing User: | Symplectic Publications |
Date Deposited: | 06 Sep 2023 11:23 |
Last Modified: | 01 Dec 2023 16:15 |
Status: | Published online |
Publisher: | Springer Nature |
Identification Number: | 10.1038/s41415-023-6182-1 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:203099 |
Available Versions of this Item
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A national survey of Supervised Toothbrushing Programmes in England. (deposited 15 Sep 2023 12:03)
- A national survey of supervised toothbrushing programmes in England. (deposited 06 Sep 2023 11:23) [Currently Displayed]