{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:05:41Z","timestamp":1789578341308,"version":"build-2803163510"},"reference-count":48,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Childhood caries is a widespread global public health issue, with its prevalence closely reflecting underlying health and social inequalities. Planning effective oral health programmes tailored to the needs of the community is of primary importance. The Community Readiness Model (CRM) provides a methodological approach to quantify the degree to which a community is willing to engage with programmes and thus inform adaptations to maximise engagement and impact. This study aimed to apply the CRM to explore the factors influencing community readiness to improve children's oral health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A mixed\u2010methods study was conducted using the CRM across three cities in England. Semi\u2010structured interviews were undertaken with key community stakeholders (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927). Quantitative readiness scores were derived across six domains to classify each city within one of nine readiness stages and allow comparison between localities. Interview transcripts were analysed using framework analysis to contextualise quantitative findings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two cities achieved a mean score of five, corresponding to the \u201cPreparation\u201d stage of community readiness, while one city scored three, indicating \u201cVague awareness\u201d. Although oral health programmes were present in all the cities, differences in readiness were related to three key factors: (1) availability of resources and funding, (2) leadership and partnership working, and (3) community engagement. Participants highlighted perceived barriers relating to access to dental services, competing social priorities, and variability in community knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study is the first to use the CRM to examine community readiness to address children's oral health and provides a valuable framework for understanding community readiness for oral health improvement that can help direct policymakers and community leaders to maximise the impact of oral health programmes. Findings demonstrated that while oral health need was evident, readiness to act varied across settings and was influenced by contextual and systemic factors. Strengthening availability of resources, communication, leadership, and community engagement is vital to enhance readiness and improve programme effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.70111","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:56:13Z","timestamp":1789577773000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Community Readiness for Children's Oral Health Improvement Across Three Cities in England"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1550-5066","authenticated-orcid":false,"given":"Kara A.","family":"Gray\u2010Burrows","sequence":"first","affiliation":[{"name":"School of Dentistry University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Kaczmarczyk","sequence":"additional","affiliation":[{"name":"School of Dentistry The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6909-0855","authenticated-orcid":false,"given":"Sakina","family":"Edwebi","sequence":"additional","affiliation":[{"name":"School of Dentistry University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Crawley","sequence":"additional","affiliation":[{"name":"Child Development Centre York Hospital  York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmen","family":"Elsadek","sequence":"additional","affiliation":[{"name":"School of Dentistry University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahid","family":"Islam","sequence":"additional","affiliation":[{"name":"Centre of Co\u2010Production &amp; Peer Research Bradford Institute for Health Research  Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3015-7768","authenticated-orcid":false,"given":"Rachael H.","family":"Moss","sequence":"additional","affiliation":[{"name":"Born in Bradford Bradford Institute for Health Research  Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0943-9637","authenticated-orcid":false,"given":"Zoe","family":"Marshman","sequence":"additional","affiliation":[{"name":"School of Clinical Dentistry University of Sheffield  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9711-9638","authenticated-orcid":false,"given":"Peter F.","family":"Day","sequence":"additional","affiliation":[{"name":"School of Dentistry University of Leeds  Leeds UK"},{"name":"Community Dental Service Bradford District Care NHS Foundation Trust  Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","author":"World Health Organization","year":"2022"},{"key":"e_1_2_12_3_1","unstructured":"Office for Health Improvement and Disparities \u201cNational Dental Epidemiology Programme (NDEP) for England: Oral Health Survey of 5 Year Old Schoolchildren 2024 \u201dhttps:\/\/www.gov.uk\/government\/statistics\/oral\u2010health\u2010survey\u2010of\u20105\u2010year\u2010old\u2010schoolchildren\u20102024\/national\u2010dental\u2010epidemiology\u2010programme\u2010ndep\u2010for\u2010england\u2010oral\u2010health\u2010survey\u2010of\u20105\u2010year\u2010old\u2010schoolchildren\u20102024."},{"issue":"4","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1038\/s41415-024-7738-4","article-title":"Does Poor Oral Health Impact on Young Children's Development? 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