BRIGHT for academics

A behaviour change intervention to prevent dental caries in secondary school pupils: the BRIGHT trial.

Illustration of a child with tooth pain pointing at their cheek, next to a journal.
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Problem

Dental caries impacts on children’s daily lives, particularly among those living in deprived areas. However, there is a lack of evidence-based programmes for older children to improve oral health.


Solution

The BRIGHT trial aimed to determine the clinical and cost-effectiveness of a behaviour change intervention promoting toothbrushing for preventing dental caries in secondary-school pupils.

  • 42 secondary schools in Scotland, England and Wales with above the national average proportion of pupils eligible for free school meals (FSM).
  • Participants aged 11-13 years at recruitment, who owned a mobile phone; followed up for 2.5 years.
  • Included health economic and process evaluation.

More details can be found at the .


Findings

Our findings are summarised below.

View our findings


Lesson pack

The lesson pack used in the BRIGHT trial, including resources for teachers and pupils, has been endorsed by the Personal, Social, Health and Economic (PSHE) Association and is freely available from their website.


Funding

This study was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment (HTA) Programme.

The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.

The funding was based on a commissioned call.


Publications

Ainsworth, H., Marshman, Z., Whiteside, K. et al. . Pilot Feasibility Stud 9, 17 (2023).

Elyousfi S, Innes N, Leggett H et al. . BMC Oral Health 22, 44 (2022)

Innes N, Fairhurst C, Whiteside K, et al.  Community Dent Oral Epidemiol. 2024; 00: 1-10

Marshman, Z., Fairhurst, C., El Yousfi, S. et al.  Br Dent J (2023). 

Marshman Z, Ainsworth H, Chestnutt IG, Day P, Dey D, El Yousfi S et al. . BMC Trials. 2019 Jul 23;20(1):1-12. 452.

Marshman Z, El-Yousfi S, Kellar I, Dey D, Robertson M, Day P, Chestnutt I, Pavitt S, Araujo M, Innes N. BMC Oral Health 21, 546 (2021).

Marshman, Z., Ainsworth, H. R., Chestnutt, I. G., Day, P., Dey, D., El Yousfi, S., Fairhurst, C. M., Gilchrist, F., Hewitt, C. E., Jones, C., Kellar, I., Pavitt, S., Robertson, M., Shah, S. K., Stevens, K., Torgerson, D. J., & Innes, N. (2019). Trials, 20(452)

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