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Children and parents’ perspectives on the acceptability of three management strategies for dental caries in primary teeth within the ‘Filling Children’s Teeth: Indicated or Not’ (FiCTION) randomised controlled trial – a qualitative study

El-Yousfi, Sarab, Innes, Nicola P. T., Holmes, Richard D., Freeman, Ruth, Cunningham, Kathryn B., McColl, Elaine, Maguire, Anne, Douglas, Gail V. A., Clarkson, Janet E. and Marshman, Zoe 2020. Children and parents’ perspectives on the acceptability of three management strategies for dental caries in primary teeth within the ‘Filling Children’s Teeth: Indicated or Not’ (FiCTION) randomised controlled trial – a qualitative study. BMC Oral Health 20 , 69. 10.1186/s12903-020-1060-6

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Abstract

Background: The Filling Children’s Teeth: Indicated Or Not? (FiCTION) randomised controlled trial (RCT) aimed to explore the clinical- and cost-effectiveness of managing dental caries in children’s primary teeth. The trial compared three management strategies: conventional caries management with best practice prevention (C+P), biological management with best practice prevention (B+P) and best practice prevention alone (PA)-based approaches. Recently, the concept of treatment acceptability has gained attention and attempts have been made to provide a conceptual definition, however this has mainly focused on adults. Recognising the importance of evaluating the acceptability of interventions in addition to their effectiveness, particularly for multi-component complex interventions, the trial design included a qualitative component. The aim of this component was to explore the acceptability of the three strategies from the perspectives of the child participants and their parents. Methods: Qualitative exploration, based on the concept of acceptability. Participants were children already taking part in the FiCTION trial and their parents. Children were identified through purposive maximum variation sampling. The sample included children from the three management strategy arms who had been treated and followed up; median (IQR) follow-up was at 33.8 (23.8, 36.7) months. Semi-structured interviews with thirteen child-parent dyads. Interviews were transcribed verbatim and analysed using a framework approach. Results: Data saturation was reached after thirteen interviews. Each child-parent dyad took part in one interview together. The participants were eight girls and five boys aged 5–11years and their parents. The children’s distribution across the trial arms was: C+P n=4;B+Pn=5;PAn=4. Three key factors influenced the acceptability of caries management in primary teeth to children and parents: i) experiences of specific procedures within management strategies; ii) experiences of anticipatory dental anxiety and; iii) perceptions of effectiveness (particularly whether pain was reduced). These factors were underpinned by a fourth key factor: the notion of trust in the dental professionals – this was pervasive across all arms. Conclusions: Overall children and parents found each of the three strategies for the management of dental caries in primary teeth acceptable, with trust in the dental professional playing an important role.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Additional Information: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license
Publisher: BioMed Central
ISSN: 1472-6831
Date of First Compliant Deposit: 26 August 2020
Date of Acceptance: 3 March 2020
Last Modified: 26 Aug 2020 11:30
URI: http://orca.cf.ac.uk/id/eprint/134417

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