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. 2016 Sep 15;2016(9):CD009837. doi: 10.1002/14651858.CD009837.pub2

Macpherson 2013

Methods Study design: interrupted time series
Conducted in: Scotland
Unit of randomisation: school
Unit of analysis: individual
Setting: nurseries participating in national toothbrushing programme
Funded by: "Childsmile is funded by the Scottish Government. Data collections were funded by the National Health Service (NHS)"
Participants Inclusion criteria: not applicable
Exclusion criteria: not applicable
Age at baseline: 5 years
Total number of participants: 99,071 (multiple cross‐sectional dental epidemiological surveys of 5‐year‐old children in Scotland between 1987 and 2009)
Recruitment: through nurseries participating in national toothbrushing programme
Gender: not reported
Interventions Intervention: daily supervised toothbrushing in nurseries. Distribution of fluoridate toothpaste through nurseries to encourage home toothbrushing
Control: N/A
Duration of intervention: 6 years (annual cross‐sectional surveys)
Outcomes Caries (d3mft)
Implementation related factors Theoretical basis: national policy
Resources for implementation: not published
Who delivered the intervention: nursery staff
PROGRESS categories assessed at baseline: SES
PROGRESS categories analysed at outcome: SES
Outcomes related to harms/unintended effects: not reported
Intervention included strategies to address diversity or disadvantage: no. Study authors resent findings based on deprivation categories, using Castairs Socio‐economic Deprivation Score (DepCat ‐ DepCAT 1 was the most affluent, and DepCAT 7 the least affluent). In the post‐intervention period for DepCat 6‐7, children’s mean d3mft decreased from 4.48 in the reference period to 2.77 in the period between year 10 and year 12, whereas for DepCat 1‐2, the decrease was less profound – from 1.52 to 1.10
Economic evaluation: not reported
Notes See Table 10 for Risk of bias table