March 2013

Volume 30, Issue 1

Attitudes towards establishing a daily supervised school-based toothbrushing programme - determined by Q-sort methodology

Authors: I.G. Chestnutt
doi: 10.1922/CDH_3044Trubey07


Objectives: This study used Q-sort methodology to determine the views of staff involved in a national school-based daily toothbrushing programme. Methods: Q-methodology is a mixed-method approach in which participants are asked to sort a collection of statements according to degree of agreement with them. Factor analysis identified subgroups of like-minded participants and revealed areas of consensus and disagreement. 24 Community Dental Service staff managing or delivering the toothbrushing programme were asked to rank 49 statements derived from previous qualitative interviews. Results: Varimax rotation produced a three-factor solution with five/six participants loading significantly into each group. Groups divided largely according to staff role: Factor 1, mainly Support Workers (assistants with no oral-health background); Factor 2, managers; and Factor 3, Oral Health Educators (dental nurses with teaching qualifications). As staff new to the area of oral-health, the views of Support Workers were of particular interest. Unlike others, this group saw Designed to Smile as a unique health promotion scheme and wanted to involve as many children as possible, regardless of oral-disease risk. Managers’ perceptions of issues affecting the establishment of the programme differed from those staff in day-to-day contact with the 515 schools in which the toothbrushing took place. Conclusions: This study used a long established but little used technique to ascertain the commonality of views of staff. These data may be of value not only in managing the current programme, but for anyone who may be considering developing such a toothbrushing scheme. Key words: oral health; health promotion; toothbrushing; school dentistry; q-sort; workforce


Other articles in this issue

Article Pages Access
Editorial - The British Association for the Study of Community Dentistry at forty: our professional project 2-4 Download
Acknowledgement of Referees 5-5 Download
Dental Public Health in Action - Challenges encountered when conducting a dental health needs assessment of older people resident in care homes: experience from England 6-9 Download
Rare diseases with oral components: care course and quality of life 10-14 Download
Fluoridation and dental caries severity in young children treated under general anaesthesia: an analysis of treatment records in a 10-year case series 15-18 Download
Measuring determinants of oral health behaviour in parents of preschool children 19-25 Download
The self-reported oral health status and dental attendance of smokers and non-smokers 26-29 Download
Attitudes towards the use of fluorides for oral health among Islamic clerics in Kelantan Province, Malaysia 30-33 Download
The views of examiners on the use of intra-oral photographs to detect dental caries in epidemiological studies 34-38 Download
Caries experience and treatment need in adults with intellectual disabilities in two German regions 39-44 Download
Attitudes towards establishing a daily supervised school-based toothbrushing programme - determined by Q-sort methodology 45-51 Download
Oral health literacy comparisons between Indigenous Australians and American Indians 52-57 Download
Associations between oral health and height in an Indigenous Australian birth cohort 58-64 Download


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