IADR Abstract Archives

Brushing RemInder 4 Good Oral HealTh Trial (BRIGHT) SMS Responses

Objectives: The BRIGHT trial is investigating clinical and cost-effectiveness of a two-part complex behaviour change intervention for UK school pupils (11-14 years-old), to increase toothbrushing frequency and reduce caries experience:
1) A classroom-based lesson (CBL) provided by teachers in 42 secondary schools; and
2) SMS (text messages) sent to participants’ mobile phones.
Following the CBL, SMS messages were sent twice daily through secure data management services by University of Dundee’s Health Informatics Centre. Participants ended and restarted reminders by texting “STOP” and “START”. Messages were sent explaining the number was, however, not monitored and there would be no reply. Despite this, some participants still sent other replies. Aim: To analyse text message responses (other than STOP/START) and identify data trends.
Methods: The East of Scotland Research Ethics Committee (17/ES/0096); https://www.fundingawards.nihr.ac.uk/award/15/166/08. Data were collated and analysed in Microsoft Excel. Data items (responses) were categorised and placed into nine themes, thematic analysis completed and trends identified.
Results: Of 2,260 participants sent text messages, there were 8461 responses from 1388 participants (61%). Between one (n=360) and 585 (n=1) SMS text responses per participant were received (mean=6.1; median=3; mode=1) with 1289 “STOP” and 48 “START” messages, leaving 7,124 non-START/STOP responses. Three participants were responsible for 929 responses (585, 192, 152), all of which were affirmative; “OK”, “yes” etc.
59.6% of non-START/STOP responses (4252/7,124) indicated agreement to brush teeth or already brushed. There were almost three times as many “positive” messages (n=454) than “negative” messages (n=175) and 152 questions relating to toothbrushing or the trial process (1.7% of responses).
Conclusions: Although there was no requirement to reply to the brushing reminder texts and no response sent back, young people in the trial felt compelled to affirm their intention or positive action. Most text responses (66%) were positive or indicating agreement that participants would brush/had brushed their teeth.

2022 Pan European Region Oral Health Congress (Marseille, France)
Marseille, France
2022
O001
Behavioral, Epidemiologic and Health Services Research
  • Rowles, Kathryn  ( Cardiff University , Cardiff , United Kingdom )
  • Whiteside, Katie  ( University of York , York , United Kingdom )
  • Innes, Nicola  ( Cardiff University , Cardiff , United Kingdom )
  • Ainsworth, Hannah  ( University of York , York , United Kingdom )
  • Marshman, Zoe  ( University of Sheffield , Sheffield , United Kingdom )
  • El-yousfi, Sarab  ( University of Sheffield , Sheffield , United Kingdom )
  • Fairhurst, Caroline  ( University of York , York , United Kingdom )
  • Jones, Claire  ( University of Dundee , Dundee , United Kingdom )
  • Kellar, Ian  ( University of Leeds , Leeds , United Kingdom )
  • Robertson, Mark  ( University of Dundee , Dundee , United Kingdom )
  • Turner, Emma  ( University of York , York , United Kingdom )
  • NONE
    NIHR-HTA 15/166/08
    Oral Session
    Health Service Research
    Thursday, 09/15/2022 , 08:30AM - 10:00AM
    Participants' text reply themes
    Reply ThemeCount of Responses
    Indicating agreement (“done,” “I know,” “OK,” “yes”)4252
    Other (messages not relevant or nonsensical)1485
    Positive message (“thanks”, “hello”, “bye,” other)454
    Indicating disagreement (“no,” “forgot” etc.)435
    Negative (negative, expletive)175
    Questions (process queries, questions about brushing etc.)152
    Who is sending texts?72
    Change of phone number request53
    Change timing of messages request46
    Total7124