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Using intervention mapping to develop a home-based parental-supervised toothbrushing intervention for young children.

K A Gray-Burrows1, P F Day2, Z Marshman3

  • 1School of Dentistry, Clarendon Way, Leeds, LS2 9JT, UK. K.Gray-Burrows@leeds.ac.uk.

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|May 8, 2016
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Summary
This summary is machine-generated.

Developing effective interventions for parental-supervised toothbrushing (PSB) is crucial for preventing childhood dental caries. This study used intervention mapping to create two community-based programs addressing barriers to PSB for better oral health outcomes.

Keywords:
ChildrenIntervention mappingParentsToothbrushing

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Area of Science:

  • Public Health
  • Pediatric Dentistry
  • Behavioral Science

Background:

  • Dental caries is a significant public health issue for young children and families.
  • UK national guidance recommends parental supervision of brushing with fluoride toothpaste until age 7.
  • Evidence-based interventions to support this parental practice are lacking.

Purpose of the Study:

  • To develop a home-based intervention to promote parental-supervised toothbrushing (PSB) in young children.
  • To reduce the incidence of dental caries through improved oral hygiene practices.
  • To address barriers preventing consistent PSB.

Main Methods:

  • Intervention Mapping (IM) protocol used, involving needs assessment, barrier identification, and strategy selection.
  • Systematic review, qualitative interviews, and multi-disciplinary group meetings informed development.
  • Theoretical Domains Framework (TDF) mapped psychological determinants of PSB.

Main Results:

  • Key barriers to PSB include parental knowledge, skills, self-efficacy, routine setting, and behavior regulation.
  • Parenting skills, particularly routine establishment and managing reluctant children, are critical.
  • Two intervention pathways developed: a universal, low-cost option and an intensive targeted program.

Conclusions:

  • PSB is a complex behavior influenced by individual, social, and structural factors.
  • Intervention Mapping facilitated the development of community-based universal and targeted intervention pathways.
  • Further research is required to assess the acceptability and sustainability of the developed interventions.