{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T13:02:41Z","timestamp":1786971761092,"version":"build-2736575974"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]},{"name":"National Institute for Health and Care Research (NIHR) School of Public Health Research","award":["PD-SPH-2015"],"award-info":[{"award-number":["PD-SPH-2015"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Oral Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>In England, dental caries is common (22.4% of 5-year-olds, 2024) and the primary reason for hospital admission of children. First Dental Steps (FDS), an intervention in South West England, includes training for health visitors, integrating oral health advice into home visits and provision of oral health packs (a free flow cup, toothbrush and 1450ppm fluoride toothpaste) to vulnerable families at the 1-year developmental check. The aim was to conduct a feasibility study of FDS to support parents to increase infant toothbrushing.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This study explored the feasibility and acceptability of the FDS intervention and research methods in 5 local authority areas in South West England and 4 comparison sites. Data collection (June 2021-February 2022) included baseline and follow-up questionnaires (mean 5 months), semi-structured interviews with parents (<jats:italic>n<\/jats:italic>\u2009=\u200916), health visitors (<jats:italic>n<\/jats:italic>\u2009=\u20097), and stakeholders (<jats:italic>n<\/jats:italic>\u2009=\u200916). Analysis of questionnaires was descriptive, and interviews were analysed using the framework method.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Parents completed baseline (<jats:italic>n<\/jats:italic>\u2009=\u200959) and follow-up questionnaires (<jats:italic>n<\/jats:italic>\u2009=\u200926), with 10 parents (40%) reporting an increase in brushing frequency and 4 families (15%) reported visiting a dentist. From the interview data, five themes were identified 1) acceptability of the intervention, 2) feasibility of the intervention (delivery and implementation), 3) possible benefits of the intervention, 4) acceptability of study methods, and 5) suggested improvements. The FDS intervention was seen to be acceptable and feasible to those who took part, however, challenges with recruitment and retention demonstrate that obtaining data for a full trial would not be feasible.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Parents, health visitors and stakeholders who took part in our study found FDS to be acceptable and feasible. Recruitment, retention and study methods (completing participant flow table) were challenging, and the progression criteria for the research methods were not met to progress to a full trial. Modifications were recommended to improve the intervention and further co-production approaches could be used to ensure it is culturally appropriate in a diverse population.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s12903-025-06154-4","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T16:43:35Z","timestamp":1751561015000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["First Dental Steps intervention: feasibility study of a health visitor led infant oral health improvement programme"],"prefix":"10.1186","volume":"25","author":[{"given":"Joanna G.","family":"Williams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Nicole","family":"Albers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarab","family":"El-Yousfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Marshman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reena","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Porter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"d\u2019Apice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Breheny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"de Vocht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Metcalfe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Witton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Kipping","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"6154_CR1","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/S0140-6736(19)31133-X","volume":"394","author":"RG Watt","year":"2019","unstructured":"Watt RG, Daly B, Allison P, Macpherson LMD, Venturelli R, Listl S, et al. 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Participants were fully informed of the steps involved in the research and that participation was completely voluntary and they could withdraw at any point without giving a reason. Participants were provided with the option to sign an electronic or paper-based consent form. Health visitors explained the study and assisted the families with signing consent, where necessary. Families gave consent to be involved in the study and provided additional consent to complete the telephone interview.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1087"}}