Title: 0803 - Brushing RemInder 4 Good Oral HealTh: RCT Protocol of SMS-texts


Nicola Innes (Presenter)
University of Dundee

Hannah Ainsworth, York University
Ivor Chestnutt, Cardiff University
Peter Day, University of Leeds
Donna Dey, University of Dundee
Louise Elliot, York University
Caroline Fairhurst, York University
Fiona Gilchrist, University of Sheffield
Catherine Hewitt, York University
Claire Jones, University of Dundee
Ian Kellar, University of Leeds
Sue Pavitt, University of Leeds
Mark Robertson, University of Dundee
Sarwat Shah, York University
Katherine Stevens, University of Sheffield
David Torgerson, York University
Zoe Marshman, University of Sheffield


Objectives: The mobile phone has been used as a vehicle for health behaviour change with Short Messaging Service (SMS) interventions the most widely studied. Little research has been conducted about the potential for SMS interventions to improve toothbrushing behaviour and reduce caries rates. The Brushing RemInder 4 Good oral HealTh (BRIGHT) trial will establish the clinical and cost-effectiveness of an SMS programme with a classroom-based lesson to improve the oral health of school children living in deprived areas.

Methods: BRIGHT is a multi-centre, school based, assessor-blinded, two-arm cluster-randomised controlled trial with an internal pilot trial. Participants are 5,760 young people (11-13 years) attending 48 schools with above average percentage of pupils claiming Free School Meals across Great Britain with three-year follow-up. The intervention is a curriculum-embedded classroom-based lesson with follow-up SMS compared to routine education and no SMS.

Results: The internal pilot investigates recruitment, data collection and possible contamination between year groups, allowing refinement of process and sample size for the main trial.

Primary Outcome: Carious lesions’ incidence in permanent teeth at 3 years, measured using the International Caries Detection and Assessment System levels 4-6.

Secondary Outcomes: 1) frequency of twice-daily tooth brushing (self-report at 0, 3, 6 months, 1, 2, 3 years) confirmed by plaque levels and gingival bleeding scores (clinically assessed at 0, 2, 3 years); 2) Incidence of carious lesions in permanent teeth at 2 years; 3) Child health-related quality of life, oral health-related quality of life (Child Health Utility-9D and CARIES-QC - 0, 1, 2, 3 years) and cost effectiveness (at 3 years).

Conclusions: The trial is currently recruiting young people to the pilot with baseline measurements being recorded. Evidence from BRIGHT will inform public health policy around the effectiveness of an embedded lesson with follow-up SMS texts to prevent dental caries in high caries-risk young people.

This abstract is based on research that was funded entirely or partially by an outside source:
NIHR HTA 15/166/08

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE