{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T21:17:50Z","timestamp":1792358270659,"version":"4.4.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,4,26]],"date-time":"2016-04-26T00:00:00Z","timestamp":1461628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JDR Clinical &amp; Translational Research"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:p>Globally, dental caries is one of the most prevalent diseases and is more common in children living in deprived areas. Dental caries is preventable, and guidance in the United Kingdom recommends parental supervised brushing (PSB): a collection of behaviors\u2014including twice-daily toothbrushing with fluoridated toothpaste\u2014that should begin upon eruption of the first tooth (approximately 6 to 12 mo of age) and for which children need to be helped or supervised by an adult until at least 7 y of age. The aim of this study was to explore parents\u2019 experiences of toothbrushing with their young children and to establish barriers and facilitators to PSB at individual, interpersonal, and environmental levels according to the theoretical domains framework. Qualitative semistructured interviews guided by the framework were conducted with 27 parents of young children (&lt;7 y) in 2 deprived areas of the United Kingdom. Framework analysis was used. Parents were not aware of national guidance concerning their active involvement in toothbrushing; however, they did have detailed knowledge of toothbrushing practices for children, and their intentions were to brush their children\u2019s teeth themselves twice every day as part of a family routine. Nonetheless, parents\u2019 difficulties experienced in managing their children\u2019s challenging behavior and the environmental context of their stressful lives meant that many parents adopted a role of simply reminding their children to brush or watching them brush. As such, the main barriers to PSB among parents living in deprived areas were skills in managing their children\u2019s behavior and environmental influences on family life. The results of our study have clear implications for the development of appropriate interventions to address the modifiable barriers to improve parental adoption of PSB.<\/jats:p>\n                  <jats:p>Knowledge Transfer Statement: The results of this study will be used to develop a behavior change intervention to encourage parental supervised brushing. The intervention\u2014which is likely to be delivered through health practitioners rather than dental teams\u2014will be developed to reduce dental caries among young children and will require evaluation in terms of its clinical and cost effectiveness.<\/jats:p>","DOI":"10.1177\/2380084416647727","type":"journal-article","created":{"date-parts":[[2016,4,27]],"date-time":"2016-04-27T00:54:37Z","timestamp":1461718477000},"page":"122-130","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["Parents\u2019 Experiences of Toothbrushing with Children"],"prefix":"10.1177","volume":"1","author":[{"given":"Z.","family":"Marshman","sequence":"first","affiliation":[{"name":"School of Clinical Dentistry, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.M.","family":"Ahern","sequence":"additional","affiliation":[{"name":"Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.R.C.","family":"McEachan","sequence":"additional","affiliation":[{"name":"Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.J.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Paediatric Dentistry, Charles Clifford Dental Hospital, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.A.","family":"Gray-Burrows","sequence":"additional","affiliation":[{"name":"School of Dentistry, University of Leeds, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.F.","family":"Day","sequence":"additional","affiliation":[{"name":"School of Dentistry, University of Leeds, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,4,26]]},"reference":[{"key":"bibr1-2380084416647727","first-page":"15","volume":"37","author":"American Academy on Pediatric Dentistry","year":"2014","journal-title":"Pediatr Dent"},{"key":"bibr2-2380084416647727","doi-asserted-by":"publisher","DOI":"10.1177\/1049732308327243"},{"issue":"3","key":"bibr3-2380084416647727","first-page":"130","volume":"27","author":"Bonetti D","year":"2010","journal-title":"Community Dent Health"},{"key":"bibr4-2380084416647727","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12175"},{"issue":"3","key":"bibr5-2380084416647727","first-page":"161","volume":"24","author":"Conway DI","year":"2007","journal-title":"Community Dent Health"},{"key":"bibr6-2380084416647727","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.3857"},{"key":"bibr7-2380084416647727","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.06.031"},{"key":"bibr8-2380084416647727","unstructured":"Department of Health. 2012. 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