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Enhancing the HABIT

2020 - 2022

The University of Leeds received funding to improve oral health for 0-3s to deliver their ‘Enhancing the HABIT’ oral health intervention with the area’s Health Visitors.

HABIT (Health visitors delivering Advice in Britain on Infant Toothbrushing) is a Medical Research Council funded research intervention that supports Health Visitors to have effective conversations around baby and young children’s oral health with families.

They set out to adapt and refine the HABIT intervention and resources to improve accessibility for families in Bradford, in preparation for implementation in the Better Start Bradford area. They set up focus groups with Health Visitors, nursery practitioners and parents/carers with limited English from the local community to undertake this work.

HABIT was subsequently embedded within our MECSH (Maternal Early Childhood Sustained Home-visiting) programme.

Why this project was developed

In Bradford, around two in every five children have tooth decay by the age of five, and the district’s South Asian and Eastern European families with Limited English Proficiency face higher risks of childhood tooth decay.

Feedback

“My child is very stubborn about having his teeth brushed. The video the nursery nurse showed me helped me to realise it wasn’t only me having this problem. It made me feel better and gave me some ideas.”

“A mum commented that toothbrushing was a battle ‘a two-man job.’ The nursery nurse used the HABIT resources to help her to set a plan to make it more fun. She commented that it was a really good idea to brush her own teeth at the same time as her child so she would set him a good example.”

“A staff nurse used the teeth model for a family who were not fluent in English and no interpreter was present. They liked the visual demonstration.”

“At first, I was a bit nervous... I always thought I was hurting him when I was brushing his teeth. After speaking to my Health Visitor in quite a bit of detail they showed me how to try different ways until you find one that works well. So, what we do is, I brush his teeth then I let him do it and then I go back over them at the end.”

Background, impact and findings

Further reading

HABIT Webinar

This webinar from November 2024 looks at the oral health picture for under 5s in Bradford, the development of the HABIT programme: method, results and evaluation and how this was applied to the MECSH programme.

News / 9th February 2021
Supporting healthy oral habits from the start

Dr. Amrit Bhatti, a Research Assistant, School of Dentistry, University of Leeds, shares how the team have been consulting with local families through WhatsApp to shape their oral health materials for Health Visitors

News / 16th June 2020
University of Leeds to work with Better Start Bradford to improve oral health in 0-3s

University of Leeds to improve oral health for 0-3s in Bowling, Barkerend, Bradford Moor and Little Horton by delivering their "Enhancing the HABIT project.

HABIT - A guide to looking after your baby's teeth

An online resource with lots of hints, tips, fun activities and advice to support good oral health in 0-5s.

Better Start Brushing

Better Start Brushing is an educational campaign to help improve the oral health of 0-3s in the Better Start Bradford area.