Evidence map›Paper›PMID 41673620›Full record

ArticleBMC oral health2026

From ambivalence to agency: parents' conceptions of a theory-based behavioural intervention to prevent dental caries in their preschool children - a qualitative study.

Sara Björns, Marlene Makenzius, Peter Lingström, Eva-Karin Bergström

Abstract read
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Sara BjörnsDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Box 450, Gothenburg, SE-405 30, Sweden. sara.bjorns@vgregion.se.
Marlene MakenziusDepartment of Health Sciences, Mid Sweden University, Östersund, Sweden.
Peter LingströmDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Box 450, Gothenburg, SE-405 30, Sweden.
Eva-Karin BergströmDepartment of Cariology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Box 450, Gothenburg, SE-405 30, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDental caries remains one of the most prevalent chronic conditions in preschool children and disproportionately affects families in socioeconomically vulnerable contexts, despite publicly funded preventive dental care. In Region Västra Götaland, Sweden, a theory-based behavioural intervention delivered by health promoters was introduced to support families of children at elevated caries risk. The aim of this study was to describe the different ways in which parents conceive a health-promoter-led, theory-based behavioural intervention to prevent dental caries in their preschool-aged children.

methodsA qualitative study using individual, semi-structured interviews were conducted in ten public dental clinics in Region Västra Götaland, Sweden (March 2023–July 2024). Interviews were analysed using phenomenographic analysis to capture variation in parental conceptions. Ten parents (eight women, two men) of three-to-six-year-old children at elevated caries risk completed two or more counselling sessions with university-trained health promoters. Interviews (30–60 min) were audio-recorded, transcribed verbatim and analysed inductively to capture variation in parental perceptions. Flexible delivery (digital/in-clinic) and interpreter support were made available.

resultsThree themes were identified: (1) an invitation met by ambivalence and fear of judgement, (2) empowered alliance through personalised support and (3) active choices through parental agency. These themes coalesced into the overarching theme ‘from ambivalence to agency: embracing health-promoting behaviour’.

conclusionsParents conceived the health-promoter-led, theory-based behavioural intervention as non-judgemental, culturally responsive and practically useful. By fostering relational safety and providing actionable tools, the intervention appeared to strengthen parental self-efficacy and catalyse family-level behavioural change. This shift, while modest in scale, may represent a necessary step towards equitable and sustainable oral-health promotion.

Indexed as

Dental CariesHealth PromotionParentsAdultChildChild, PreschoolFemaleHumansMaleQualitative ResearchSwedenDental cariesEmpowermentFamily healthHealth promotionPublic health dentistryQualitative researchSelf-efficacy

Identifiers

PMID41673620
PMCPMC12955309

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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.