title: A model of roles and responsibilities in oral health promotion based on perspectives of a community-based initiative for pre-school children in the U.K.
abstract: OBJECTIVE
  (i) To explore dental, school and family perspectives of an oral health promotion (OHP) initiative to improve access for pre-school children in deprived communities; (ii) to develop a model of roles and responsibilities for OHP in community settings.
  
  
  METHODS
  Semi-structured focus groups (n = 6) with dental practice staff (n = 24), and semi-structured interviews with school staff (n = 9) and parents and children (n = 4) who were involved in an OHP initiative for pre-school children. Framework analysis was applied to identify themes. Themes were used to develop a model of roles and responsibilities for OHP, based on the WHO Planning and evaluating health promotion model.
  
  
  RESULTS
  Respondents subscribed to a community-based approach to improving access to dental services for pre-school children in deprived areas, with an emphasis on shared responsibility and communication. In addition to macro-level actions in directing health policy and services, commissioners were held responsible for investing in micro-level actions, such as funding OHP training and involving parents, and meso-level actions such as reducing barriers to access.
  
  
  CONCLUSIONS
  The model we have developed builds on WHO recommendations on health promotion to identify the key roles and responsibilities that should be incorporated into further initiatives in OHP.
authors.affiliation: Evaluation, Research and Development Unit, Durham University, School of Medicine, Pharmacy and Health, Wolfson Research Institute for Health and Wellbeing, Stockton-on-Tees, TS17 6BH.
authors.forename: E
authors.initials: E
authors.lastname: Henderson
authors.affiliation: Evaluation, Research and Development Unit, Durham University, School of Medicine, Pharmacy and Health, Wolfson Research Institute for Health and Wellbeing, Stockton-on-Tees, TS17 6BH.
authors.forename: G
authors.initials: G
authors.lastname: Rubin
mesh_terms: D002675:Child, Preschool; D003153:Community Health Services / Q000379:methods / Q000458:organization & administration*; D019140:Dental Care for Children / Q000379:methods / Q000458:organization & administration*; D017144:Focus Groups; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D017146:Models, Organizational; D009909:Oral Health; D010290:Parents; D012380:Role; D012572:School Health Services / Q000458:organization & administration; D006113:United Kingdom