Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial

Zoe Marshman; Hannah Ainsworth; Ivor Gordon Chestnutt; Peter Day; Donna Dey; Sarab El Yousfi; Caroline Fairhurst; Fiona Gilchrist; Catherine Hewitt; Claire Jones; Ian Kellar; Sue Pavitt; Mark Robertson; Sarwat Shah; Katherine Stevens; David Torgerson; Nicola Innes

doi:10.1186/s13063-019-3538-6

Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial

Zoe Marshman, Hannah Ainsworth, Ivor Gordon Chestnutt, Peter Day, Donna Dey, Sarab El Yousfi, Caroline Fairhurst, Fiona Gilchrist, Catherine Hewitt, Claire Jones, Ian Kellar, Sue Pavitt, Mark Robertson (Lead / Corresponding author), Sarwat Shah, Katherine Stevens, David Torgerson, Nicola Innes

Research output: Contribution to journal › Article › peer-review

16 Citations (Scopus)

196 Downloads (Pure)

Abstract

Background: Almost one-half of 12-15 year olds living in deprived areas of the UK have dental caries (tooth decay) with few oral health promotion programmes aimed at children of this age. Mobile phone-based interventions such as short messaging service (SMS) interventions have been found effective at changing certain behaviours and improving health outcomes. This protocol describes the BRIGHT Trial, investigating the clinical and cost-effectiveness of a behaviour change intervention - classroom-based session (CBS) embedded in the curriculum and a series of SMS delivered to participants twice daily to remind them to brush their teeth, compared to usual curriculum and no SMS - to reduce the prevalence of dental caries in young people from deprived areas. Objectives: To investigate the clinical and cost-effectiveness of a complex intervention to improve the oral health of young people living in deprived areas. Methods/design: This is a school-based, assessor-blinded, two-arm cluster-randomised controlled trial with an internal pilot trial. Overall, the trial will involve approximately 5040 11-13 year olds in 42 schools with a 3-year follow-up. The trial will take place in secondary schools in England, Scotland and Wales. The primary outcome is the presence of carious lesions in permanent teeth at 3 years. Secondary outcomes are: number of carious teeth, frequency of twice-daily toothbrushing, plaque levels, gingivitis, child health-related quality of life and oral health-related quality of life. A cost-utility analysis will be conducted. Discussion: The findings of the trial have implications for embedding oral health interventions into school curricula guidance produced by national bodies, including departments for education and dental public health and guideline-development organisations.

Original language	English
Article number	452
Pages (from-to)	1-12
Number of pages	12
Journal	Trials
Volume	20
Issue number	1
DOIs	https://doi.org/10.1186/s13063-019-3538-6
Publication status	Published - 23 Jul 2019

Keywords

Behaviour change
Caries prevention
Child dental health
Dental caries
Prevention
Randomised controlled trial
Short messaging service
mHealth

ASJC Scopus subject areas

Medicine (miscellaneous)
Pharmacology (medical)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1186/s13063-019-3538-6Licence: CC BY

Final Published VersionFinal published version, 919 KBLicence: CC BY

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BRIGHT Trial: Brushing Reminder 4 Good oral HealTh: the Clinical and Cost-effectiveness of a Short Messaging Service Behaviour Change Programme to Improve the Oral Health of Young People Living in Deprived Areas (joint with Universities of Sheffield,Cardiff, York and Leeds)
Dey, D. (Investigator), Innes, N. (Investigator) & Robertson, M. (Investigator)
4/01/17 → 3/08/22
Project: Research

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Marshman, Z., Ainsworth, H., Chestnutt, I. G., Day, P., Dey, D., El Yousfi, S., Fairhurst, C., Gilchrist, F., Hewitt, C., Jones, C., Kellar, I., Pavitt, S., Robertson, M., Shah, S., Stevens, K., Torgerson, D., & Innes, N. (2019). Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial. Trials, 20(1), 1-12. Article 452. https://doi.org/10.1186/s13063-019-3538-6

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title = "Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial",

abstract = "Background: Almost one-half of 12-15 year olds living in deprived areas of the UK have dental caries (tooth decay) with few oral health promotion programmes aimed at children of this age. Mobile phone-based interventions such as short messaging service (SMS) interventions have been found effective at changing certain behaviours and improving health outcomes. This protocol describes the BRIGHT Trial, investigating the clinical and cost-effectiveness of a behaviour change intervention - classroom-based session (CBS) embedded in the curriculum and a series of SMS delivered to participants twice daily to remind them to brush their teeth, compared to usual curriculum and no SMS - to reduce the prevalence of dental caries in young people from deprived areas. Objectives: To investigate the clinical and cost-effectiveness of a complex intervention to improve the oral health of young people living in deprived areas. Methods/design: This is a school-based, assessor-blinded, two-arm cluster-randomised controlled trial with an internal pilot trial. Overall, the trial will involve approximately 5040 11-13 year olds in 42 schools with a 3-year follow-up. The trial will take place in secondary schools in England, Scotland and Wales. The primary outcome is the presence of carious lesions in permanent teeth at 3 years. Secondary outcomes are: number of carious teeth, frequency of twice-daily toothbrushing, plaque levels, gingivitis, child health-related quality of life and oral health-related quality of life. A cost-utility analysis will be conducted. Discussion: The findings of the trial have implications for embedding oral health interventions into school curricula guidance produced by national bodies, including departments for education and dental public health and guideline-development organisations.",

keywords = "Behaviour change, Caries prevention, Child dental health, Dental caries, Prevention, Randomised controlled trial, Short messaging service, mHealth",

author = "Zoe Marshman and Hannah Ainsworth and Chestnutt, {Ivor Gordon} and Peter Day and Donna Dey and {El Yousfi}, Sarab and Caroline Fairhurst and Fiona Gilchrist and Catherine Hewitt and Claire Jones and Ian Kellar and Sue Pavitt and Mark Robertson and Sarwat Shah and Katherine Stevens and David Torgerson and Nicola Innes",

note = "This study has been funded by the National Institute for Health Research (NIHR), Health Technology Assessment (HTA) Programme. Project number 15/166/08 Interventions to Improve Oral Health in Deprived Young People.",

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doi = "10.1186/s13063-019-3538-6",

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Marshman, Z, Ainsworth, H, Chestnutt, IG, Day, P, Dey, D, El Yousfi, S, Fairhurst, C, Gilchrist, F, Hewitt, C, Jones, C, Kellar, I, Pavitt, S, Robertson, M, Shah, S, Stevens, K, Torgerson, D & Innes, N 2019, 'Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial', Trials, vol. 20, no. 1, 452, pp. 1-12. https://doi.org/10.1186/s13063-019-3538-6

Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial. / Marshman, Zoe; Ainsworth, Hannah; Chestnutt, Ivor Gordon et al.
In: Trials, Vol. 20, No. 1, 452, 23.07.2019, p. 1-12.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Brushing RemInder 4 Good oral HealTh (BRIGHT) trial

T2 - does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial

AU - Marshman, Zoe

AU - Ainsworth, Hannah

AU - Chestnutt, Ivor Gordon

AU - Day, Peter

AU - Dey, Donna

AU - El Yousfi, Sarab

AU - Fairhurst, Caroline

AU - Gilchrist, Fiona

AU - Hewitt, Catherine

AU - Jones, Claire

AU - Kellar, Ian

AU - Pavitt, Sue

AU - Robertson, Mark

AU - Shah, Sarwat

AU - Stevens, Katherine

AU - Torgerson, David

AU - Innes, Nicola

N1 - This study has been funded by the National Institute for Health Research (NIHR), Health Technology Assessment (HTA) Programme. Project number 15/166/08 Interventions to Improve Oral Health in Deprived Young People.

PY - 2019/7/23

Y1 - 2019/7/23

N2 - Background: Almost one-half of 12-15 year olds living in deprived areas of the UK have dental caries (tooth decay) with few oral health promotion programmes aimed at children of this age. Mobile phone-based interventions such as short messaging service (SMS) interventions have been found effective at changing certain behaviours and improving health outcomes. This protocol describes the BRIGHT Trial, investigating the clinical and cost-effectiveness of a behaviour change intervention - classroom-based session (CBS) embedded in the curriculum and a series of SMS delivered to participants twice daily to remind them to brush their teeth, compared to usual curriculum and no SMS - to reduce the prevalence of dental caries in young people from deprived areas. Objectives: To investigate the clinical and cost-effectiveness of a complex intervention to improve the oral health of young people living in deprived areas. Methods/design: This is a school-based, assessor-blinded, two-arm cluster-randomised controlled trial with an internal pilot trial. Overall, the trial will involve approximately 5040 11-13 year olds in 42 schools with a 3-year follow-up. The trial will take place in secondary schools in England, Scotland and Wales. The primary outcome is the presence of carious lesions in permanent teeth at 3 years. Secondary outcomes are: number of carious teeth, frequency of twice-daily toothbrushing, plaque levels, gingivitis, child health-related quality of life and oral health-related quality of life. A cost-utility analysis will be conducted. Discussion: The findings of the trial have implications for embedding oral health interventions into school curricula guidance produced by national bodies, including departments for education and dental public health and guideline-development organisations.

AB - Background: Almost one-half of 12-15 year olds living in deprived areas of the UK have dental caries (tooth decay) with few oral health promotion programmes aimed at children of this age. Mobile phone-based interventions such as short messaging service (SMS) interventions have been found effective at changing certain behaviours and improving health outcomes. This protocol describes the BRIGHT Trial, investigating the clinical and cost-effectiveness of a behaviour change intervention - classroom-based session (CBS) embedded in the curriculum and a series of SMS delivered to participants twice daily to remind them to brush their teeth, compared to usual curriculum and no SMS - to reduce the prevalence of dental caries in young people from deprived areas. Objectives: To investigate the clinical and cost-effectiveness of a complex intervention to improve the oral health of young people living in deprived areas. Methods/design: This is a school-based, assessor-blinded, two-arm cluster-randomised controlled trial with an internal pilot trial. Overall, the trial will involve approximately 5040 11-13 year olds in 42 schools with a 3-year follow-up. The trial will take place in secondary schools in England, Scotland and Wales. The primary outcome is the presence of carious lesions in permanent teeth at 3 years. Secondary outcomes are: number of carious teeth, frequency of twice-daily toothbrushing, plaque levels, gingivitis, child health-related quality of life and oral health-related quality of life. A cost-utility analysis will be conducted. Discussion: The findings of the trial have implications for embedding oral health interventions into school curricula guidance produced by national bodies, including departments for education and dental public health and guideline-development organisations.

KW - Behaviour change

KW - Caries prevention

KW - Child dental health

KW - Dental caries

KW - Prevention

KW - Randomised controlled trial

KW - Short messaging service

KW - mHealth

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DO - 10.1186/s13063-019-3538-6

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SN - 1745-6215

VL - 20

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JO - Trials

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Marshman Z, Ainsworth H, Chestnutt IG, Day P, Dey D, El Yousfi S et al. Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial. Trials. 2019 Jul 23;20(1):1-12. 452. doi: 10.1186/s13063-019-3538-6

Brushing RemInder 4 Good oral HealTh (BRIGHT) trial: does an SMS behaviour change programme with a classroom-based session improve the oral health of young people living in deprived areas? A study protocol of a randomised controlled trial

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Projects

BRIGHT Trial: Brushing Reminder 4 Good oral HealTh: the Clinical and Cost-effectiveness of a Short Messaging Service Behaviour Change Programme to Improve the Oral Health of Young People Living in Deprived Areas (joint with Universities of Sheffield,Cardiff, York and Leeds)

Cite this