Topic: Oral and Gastrointestinal
Conditions
Interventions
Current interventions as of 08/07/2014:
Parents/guardians of children aged between 5 and 7 years who are booked for an extraction for tooth decay, will be invited to take part. All par
reducing frequency of sugary foods and drinks
attending for preventive rather than symptomatic dental care. At the end of the appointment the ASDN will assis
Sponsors
Salford Royal NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. The population of children defined as eligible to participate in this study will be any child, male and female, aged 5 and 7 years (past their 5th birthday and not attained their 8th birthday) who is scheduled to have one or more primary teeth extracted for dental caries under general anaesthesia, relative analgesia (inhalation sedation) or local anaesthetic at a secondary care centre 2. The parent/ guardian will have consented to join the study
Exclusion criteria
Exclusion criteria: 1. Any child who is scheduled to have all of their first permanent molar teeth extracted 2. Children who are currently participating in any other trial or have done so in the previous 3 months 3. Any child who is severely disabled
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dental caries experience after 2 years,; Timepoint(s): 2 years post extraction | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 22/10/2015: 1. Parental readiness to change and beliefs about caring for their children’s teeth. Measured by the modified Contemplation Ladder 2. Parental self-efficacy in relation to the implementation of dental-health related behaviours for the study children. Measured by the Child Oral Health Behaviours Questionnaire and Parenting Self Efficacy Scale 3. Oral cleanliness by plaque assessment of anterior teeth at dental examinations 4. Use of dental services; child oral health behaviours including dietary behaviours. Measured by the Child Oral Health Behaviours Questionnaire 5. NHS costs will be measured: from a public sector, multi-agency perspective, we will: 5.1. Fully cost the community-based DR-BNI and prevention in dental practice programme (as compared with costs of usual dental care) 5.2. Record study participant dental service use, primary and secondary care health service use, social care and special educational service use (using aCSRI, costed using national unit costs) 5.3. Conduct a primary cost-effectiveness analysis (using dental caries rates as our measure of effectiveness) 5.4. Conduct a secondary cost-consequences study relating costs to a range of consequences spanning measures of: dental decay in participating child, regular dental attendance, parent participation in better oral health behaviours (e.g., sugar-free bedtime routine) and school attendance, and where appropriate, potential child neglect Previous secondary outcome measures: 1. Parental beliefs about caring for their children's teeth. Measured by The Readiness Assessment of Parent's Concerning Infant Dental Decay (RAPIDD) 2. Parental self-efficacy in relation to the implementation of dental-health related behaviours for the study children. Measured by th | — |
Countries
England, United Kingdom
Outcome results
None listed