{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T04:17:32Z","timestamp":1743221852450,"version":"3.40.3"},"reference-count":4,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Evid Based Dent"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Design<\/jats:title>\n            <jats:p>The Brushing RemInder 4 Good oral HealTh (BRIGHT) multi-centre randomized controlled trial was based in state-funded secondary schools in England, Wales and Scotland. It had two arms, aiming to assess the clinical and cost effectiveness of a 50\u2009min education session and twice daily brush reminder text messages on toothbrushing and caries rates, compared to the normal education curriculum and no SMS. Outcomes were assessed at intervals over 2.5\u2009years and were assessor-blinded.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case selection<\/jats:title>\n            <jats:p>Pupils aged 11-13 were recruited from participating schools, and in each school randomised via year group to either the intervention or control group following baseline assessments by calibrated dental professionals. Exclusion criteria included not having a functioning mobile phone.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Data analysis<\/jats:title>\n            <jats:p>The primary outcome, D<jats:sub>4\u20136<\/jats:sub> MFT (Decayed, Missing and Filled Teeth), was analysed using mixed-effect logistic regression and sensitivity analyses were conducted. A cost-utility analysis was also undertaken.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>In total 42 schools, containing 84 year groups were randomised, and 4680 pupils were in the final sample. 663 pupils withdrew from follow up. At 6\u2009months, there was evidence that intervention group pupils were more likely to report brushing at least twice per day However, by 2.5\u2009years this effect was no longer evident. 2383 participants had a valid dental assessment at both baseline and 2.5\u2009years, with 514 children in the intervention and 529 children in the control group presenting with obvious decay experience in at least one permanent tooth after 2.5\u2009years. The intervention was estimated to have a 7% chance of being cost-effective. Over the 2.5-year follow-up, there were no significant differences in QALYs and costs between groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The findings from the BRIGHT trial indicate no evidence of a statistically significant difference between the intervention and control groups for the prevalence of caries after 2.5-years. The behaviour change intervention did not translate into a reduction in caries rates.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1038\/s41432-024-01066-8","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T13:58:33Z","timestamp":1726754313000},"page":"34-35","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can a behaviour change toothbrushing intervention prevent dental caries in 11\u201313-year-olds?"],"prefix":"10.1038","volume":"26","author":[{"given":"Darshini","family":"Ramasubbu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Lewney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,18]]},"reference":[{"key":"1066_CR1","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1111\/cdoe.12940","volume":"52","author":"N Innes","year":"2024","unstructured":"Innes N, Fairhurst C, Whiteside K, Ainsworth H, Sykes D, El Yousfi S, et al. Behaviour change intervention for toothbrushing (lesson and text messages) to prevent dental caries in secondary school pupils: the BRIGHT randomized control trial. Community Dent Oral Epidemiol. 2024;52:469\u201378. https:\/\/doi.org\/10.1111\/cdoe.12940","journal-title":"Community Dent Oral Epidemiol"},{"key":"1066_CR2","doi-asserted-by":"publisher","first-page":"CD002278","DOI":"10.1002\/14651858.CD002278","volume":"2003","author":"VC Marinho","year":"2003","unstructured":"Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database of Syst Rev. 2003;2003:CD002278 https:\/\/doi.org\/10.1002\/14651858.CD002278","journal-title":"Cochrane Database of Syst Rev"},{"key":"1066_CR3","unstructured":"Public Health England. Local authorities improving oral health: commissioning better oral health for children and young people: an evidence-informed toolkit for local authorities. 2024. Available from: https:\/\/assets.publishing.service.gov.uk\/media\/5a7d6f6bed915d269ba8aa6a\/CBOHMaindocumentJUNE2014.pdf"},{"key":"1066_CR4","doi-asserted-by":"publisher","first-page":"1716","DOI":"10.1111\/1471-0528.15199","volume":"125","author":"E Hariton","year":"2018","unstructured":"Hariton E, Locascio JJ. Randomised controlled trials\u2014the gold standard for effectiveness research: study design: randomised controlled trials. BJOG: Int J Obstetr Gynaecol. 2018;125:1716 https:\/\/doi.org\/10.1111\/1471-0528.15199","journal-title":"BJOG: Int J Obstetr Gynaecol"}],"container-title":["Evidence-Based Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41432-024-01066-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41432-024-01066-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41432-024-01066-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T02:20:00Z","timestamp":1743214800000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41432-024-01066-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,18]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["1066"],"URL":"https:\/\/doi.org\/10.1038\/s41432-024-01066-8","relation":{},"ISSN":["1462-0049","1476-5446"],"issn-type":[{"type":"print","value":"1462-0049"},{"type":"electronic","value":"1476-5446"}],"subject":[],"published":{"date-parts":[[2024,9,18]]},"assertion":[{"value":"20 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 August 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}