Evidence map›Paper›PMID 35197021›Full record

ArticleBMC oral health2022

Acceptability of the Brushing RemInder 4 Good oral HealTh (BRIGHT) trial intervention: a qualitative study of perspectives of young people and school staff.

Sarab Elyousfi, Nicola Innes, Heather Leggett, Hannah Ainsworth, Ivor G Chestnutt, Peter Day, Mark Robertson, Sue Pavitt, Ian Kellar, Donna Dey and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. What are children's perceptions of dental interventions? A qualitative systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Pooled it
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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

11 authors at 6 institutions in 1 country.

Sarab ElyousfiSchool of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK.
Nicola InnesSchool of Dentistry, Cardiff University, Heath Park, Cardiff, CF14 4XY, UK. InnesN@cardiff.ac.uk.
Heather LeggettDepartment of Health Sciences, University of York, York, YO10 5DD, UK.
Hannah AinsworthDepartment of Health Sciences, University of York, York, YO10 5DD, UK.
Ivor G ChestnuttSchool of Dentistry, Cardiff University, Heath Park, Cardiff, CF14 4XY, UK.
Peter DaySchool of Dentistry, University of Leeds, Leeds, LS2 9LU, UK.
Mark RobertsonSchool of Dentistry, University of Dundee, Park Place, Dundee, DD6 8EF, UK.
Sue PavittSchool of Dentistry, University of Leeds, Leeds, LS2 9LU, UK.
Ian KellarSchool of Psychology, University of Leeds, Lifton Place, Leeds, LS2 9JT, UK.
Donna DeySchool of Education and Social Work, University of Dundee, Nethergate, Dundee, DD1 4HN, UK.
Zoe MarshmanSchool of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2TA, UK.
Bradford District Care NHS Foundation Trust · GBCardiff University · GBUniversity of Dundee · GBUniversity of Sheffield · GBUniversity of York · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Brushing RemInder 4 Good oral HealTh (BRIGHT) trial is investigating the clinical and cost-effectiveness of a multi-component behaviour change intervention to reduce the prevalence of dental caries in young people from deprived areas aged 11-13 years. Mobile health has gained popularity in delivering behaviour change interventions for improving oral health. The intervention, based on behaviour change theory, consists of two components; a single classroom-based session embedded in the school curriculum and a series of follow-up text messages (SMS) delivered twice daily to participants. This element of the process evaluation aimed to explore the acceptability of the BRIGHT intervention for pupils and school staff.

methodsQualitative study, based on the concept of acceptability. Focus groups were conducted with 50 pupils, from six secondary schools across the UK, who had received the intervention. Semi-structured interviews were conducted with 12 members of staff. Purposive maximum variation sampling was used. Interviews were transcribed verbatim and analysed using a framework approach.

resultsIn line with the theoretical framework of acceptability, affective attitude, perceived effectiveness, ethicality, burden and self-efficacy were identified as factors that affect the acceptability of the BRIGHT intervention. Pupil participants appreciated learning about the consequences of inadequate brushing particularly the photographs of carious teeth during the classroom-based session. More detailed information on brushing techniques and follow-up lessons on oral health were recommended by pupils. In terms of the SMS, the data suggest that pupil participants found them to be helpful reminders for brushing their teeth. To further improve acceptability, more choice over the timing of the messages and greater interactivity to reduce tedium were suggested. Staff participants recognised the value of the lesson and reported that in general the content was suitable for their pupils. Having the lesson material prepared for them, having the necessary support and whether it was included in the curriculum, were factors that improved acceptability.

conclusionOverall, pupils and staff found the BRIGHT intervention acceptable and made some suggestions which could be adopted in any subsequent implementation of the intervention.

Indexed as

Dental CariesOral HealthAdolescentChildClinical Trials as TopicHumansQualitative ResearchSchoolsToothbrushingBehaviour changeMhealthOral healthText messagesYoung people

Identifiers

PMID35197021
PMCPMC8864777
OpenAlexW4213159809

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.