Evidence map›Paper›PMID 26897029›Full record

Trial reportTrials2016

The BBaRTS Healthy Teeth Behaviour Change Programme for preventing dental caries in primary school children: study protocol for a cluster randomised controlled trial.

Cynthia Pine, Pauline Adair, Louise Robinson, Girvan Burnside, Paula Moynihan, William Wade, James Kistler, Morag Curnow, Mary Henderson

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06523712 (A Scalable, Equity-focused, Teacher-delivered, School-based Oral Health Intervention for Pakistani Lower Secondary Schoolchildren), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06523712 nacompletednot on this mapstarted 2024, after this paper: background citation

A Scalable, Equity-focused, Teacher-delivered, School-based Oral Health Intervention for Pakistani Lower Secondary Schoolchildren: a Pragmatic Cluster-randomized Effectiveness-implementation Trial (Smile Smarts-PK)

TypeinterventionalSponsorUniversiti Putra MalaysiaRan2024 to 2025Enrolled4,055ConditionsDental Plaque, Cluster Randomized Trial, Adolescent, Oral Hygiene, Oral HealthArmsSmile Smarts
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Cynthia PineInstitute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Whitechapel, London, E1 2BA, United Kingdom. c.m.pine@qmul.ac.uk.
Pauline AdairHealth Psychology and Behavioural Medicine Research Group, School of Psychological Sciences and Health, University of Strathclyde, 40 George Street, Glasgow, G1 1QE, United Kingdom. pauline.adair@strath.ac.uk.
Louise RobinsonR&D Department, Salford Royal NHS Foundation Trust, Mayo Building, 3rd Floor, Stott Lane, Salford, M6 8HD, United Kingdom. louise.robinson@srft.nhs.uk.
Girvan BurnsideDepartment of Biostatistics, University of Liverpool, Institute of Translational Medicine, Crown Street, Liverpool, L69 3BX, United Kingdom. g.burnside@liverpool.ac.uk.
Paula MoynihanCentre for Oral Health Research, Institute of Health and Society, Newcastle University, Framington Place, Newcastle upon Tyne, NE24BW, United Kingdom. paula.moynihan@ncl.ac.uk.
William WadeCentre for Immunobiology, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 4 Newark Street, London, E1 2AT, United Kingdom. w.wade@qmul.ac.uk.
James KistlerCentre for Immunobiology, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 4 Newark Street, London, E1 2AT, United Kingdom. j.kistler@qmul.ac.uk.
Morag CurnowNHS Tayside, Tweed Place, Perth, PH1 1TJ, United Kingdom. Morag.curnow@nhs.net.
Mary HendersonKent Community Health NHS Foundation Trust, Capital House, Jubilee Way, Faversham, Kent, ME 13 8GD, United Kingdom. Mary.henderson3@nhs.net.
Queen Mary University of London · GBKent Community Health NHS Foundation Trust · GBNewcastle University · GBNHS Tayside · GBSalford Royal NHS Foundation Trust · GBUniversity of Liverpool · GBUniversity of Strathclyde · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral health behaviours such as establishing twice-daily toothbrushing and sugar control intake need parental self-efficacy (PSE) to prevent the development of childhood dental caries. A previous study has shown that behaviour change techniques (BCTs) delivered via a storybook can improve parental self-efficacy to undertake twice-daily toothbrushing.

objectiveto determine whether an intervention (BBaRTS, Bedtime Brush and Read Together to Sleep), designed to increase PSE; delivered through storybooks with embedded BCTs, parenting skills and oral health messages, can improve child oral health compared to (1) an exactly similar intervention containing no behaviour change techniques, and (2) the BBaRTS intervention supplemented with home supply of fluoride toothpaste and supervised toothbrushing on schooldays. METHODS/

designA 2-year, three-arm, multicentre, cluster randomised controlled trial.

participantschildren (estimated 2000-2600) aged 5-7 years and their families from 60 UK primary schools.

interventionTest group 1: a series of eight children's storybooks developed by a psychologist, public health dentist, science educator, children's author and illustrators, with guidance from the Department for Education (England). The books feature animal characters and contain embedded dental health messages, parenting skills and BCTs to promote good oral health routines focused on controlling sugar intake and toothbrushing, as well as reading at bedtime. Books are given out over 2 years. Test group 2: as Test group 1 plus home supplies of fluoride toothpaste (1000 ppmF), and daily supervised toothbrushing in school on schooldays. Active Control group: series of eight books with exactly the same stories, characters and illustrations, but without BCTs, dental health messages or parenting skills. Annual child dental examinations and parental questionnaires will be undertaken. A sub-set of participants will be invited to join an embedded study of the child's diet and salivary microbiota composition. PRIMARY OUTCOME MEASURE: dental caries experience in permanent teeth at age 7-8 years. DISCUSSION: A multi-disciplinary team was established to develop the BBaRTS Children's Healthy Teeth Programme. The books were developed in partnership with the Department for Education (England), informed by a series of focus groups with children, teachers and parents.

trial registrationISRCTN21461006 (date of registration 23 September 2015).

Indexed as

Books, IllustratedChild BehaviorHealth BehaviorHealth Knowledge, Attitudes, PracticeSchoolsAge FactorsChildChild, PreschoolClinical ProtocolsDental CariesDietary SucroseFeeding BehaviorFemaleHumansMaleOral HealthDietary SucroseToothpastes

Identifiers

PMID26897029
PMCPMC4761186
OpenAlexW2283659031

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.