Evidence map›Paper›PMID 37116945›Full record

ArticleBMJ open quality2023

Oral health promotion in acute hospital setting: a quality improvement programme.

Grazia Antonacci, Laraib Ahmed, Laura Lennox, Samuel Rigby, Sophie Coronini-Cronberg

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

5 authors at 2 institutions in 1 country.

Grazia AntonacciDepartment of Primary Care and Public Health, National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) Northwest London, Imperial College London, London, UK g.antonacci@imperial.ac.uk.ORCID 0000-0001-7742-8003
Laraib AhmedChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Laura LennoxDepartment of Primary Care and Public Health, National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) Northwest London, Imperial College London, London, UK.
Samuel RigbyChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Sophie Coronini-CronbergDepartment of Primary Care and Public Health, National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) Northwest London, Imperial College London, London, UK.ORCID 0000-0002-7932-8388
Chelsea and Westminster Hospital NHS Foundation Trust · GBNational Institute for Health Research · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tooth extraction is the most common hospital procedure for children aged 6-10 years in England. Tooth decay is almost entirely preventable and is inequitably distributed across the population: it can cause pain, infection, school absences and undermine overall health status.An oral health programme (OHP) was delivered in a hospital setting, comprising: (1) health promotion activities; (2) targeted supervised toothbrushing (STB) and (3) staff training. Outcomes were measured using three key performance indicators (KPI1: percentage of children/families seeing promotional material; KPI2: number of children receiving STB; KPI3: number of staff trained) and relevant qualitative indicators. Data were collected between November 2019 and August 2021 using surveys and data from the online booking platform.OHP delivery was impacted by COVID-19, with interventions interrupted, reduced, eliminated or delivered differently (eg, in-person training moved online). Despite these challenges, progress against all KPIs was made. 93 posters were deployed across the hospital site, along with animated video 41% (233/565) of families recalled seeing OHP materials across the hospital site (KPI1). 737 children received STB (KPI2), averaging 35 children/month during the active project. Following STB, 96% participants stated they learnt something, and 94% committed to behaviour change. Finally, 73 staff members (KPI3) received oral health training. All people providing feedback (32/32) reported learning something new from the training session, with 84% (27/32) reporting that they would do things differently in the future.Results highlight the importance of flexibility and resilience when delivering QI projects under challenging conditions or unforeseen circumstances. While results suggest that hospital-based OHP is potentially an effective and equitable way to improve patient, family and staff knowledge of good oral health practices, future work is needed to understand if and how patients and staff put into practice the desired behaviour change and what impact this may have on oral health outcomes.

Indexed as

COVID-19Health PromotionChildHospitalsHumansOral HealthQuality ImprovementHealth PromotionPDSAQuality improvement

Identifiers

PMID37116945
PMCPMC10151906
OpenAlexW4367309598

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.