Background
Methods
Study design
Development of the interview schedule
Preamble |
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Introduction of interviewer |
Confirmation of interviewees name |
Confirmation that interviewee is happy for interview to be taped |
Explanation of research |
Confirmation of interview confidentiality and anonymity in reporting the data |
Confirmation of the interview length |
Questions
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I'd like to start by asking you your feelings about oral health being promoted as part of an intervention like Healthy Schools? |
Prompts:
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What do you see as the relationship between oral health and general health?
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Who do you think should have responsibility for promoting oral health in schools?
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Are there any oral health promoting activities that you think could be incorporated within a Healthy Schools programme? |
Prompts:
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What are the differences between what would be appropriate or possible in a primary or a secondary school?
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Are you aware whether oral health is covered in the curriculum?
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Are you aware whether staff receive training to teach oral health?
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Do you know whether oral disease is a particular problem in the local area covered by your Healthy Schools scheme? |
Prompt:
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What is the extent of this problem?
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Are there any members of your team who include oral health within their remit? |
Prompts:
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Who are they and what is their role?
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Have you or they any particular experience in any aspects of oral health promotion?
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Does your local area have its own Healthy Schools manual? If so, is oral health explicitly or implicitly discussed within it? |
Prompts:
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Where and how is it discussed?
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Are you aware of any local directives that support the promotion of oral health in Healthy Schools?
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Are you aware of any national directives that support the promotion of oral health in Healthy Schools?
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Do you have any local partners that have a role in supporting oral health promotion within schools? |
Prompts:
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What is the current activity of these partners?
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Is this activity carried out in all schools or selected schools? If selected schools, how are these selected?
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Are parents or the wider community involved in any school oral health initiatives?
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Are you aware of any oral health promotion programmes for school staff?
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Are you aware of any schools-based oral health promotion that takes place outside the Healthy Schools umbrella in your area? |
Prompt:
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Perhaps carried out by the Community Dental Service in schools that are not involved with the Healthy Schools scheme? |
Does consideration of the safety of the physical environment of the school environment form part of the local Healthy Schools programme? |
Prompt:
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Would schools have a policy that covers the safety of the school environment?
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Is the local Healthy Schools scheme promoting the use of cycle helmets and mouthguards for sports? |
Prompt:
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Would schools have a trauma and emergency care policy?
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Are you aware of any schools that have an oral health policy or an oral health education policy? |
Prompt:
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Or would these be covered by more general policies?
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In your opinion, what influences how and whether local Healthy Schools schemes engage with oral health promotion? |
I now want to ask you some more about the activities that are perhaps more integral to the national Healthy Schools scheme and that could promote oral health. |
Are schools involved with the local Healthy Schools programme expected to have a healthy eating policy? |
Prompts
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Are they expected to follow this through by having healthy foods and drinks available?
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What about sugar-free foods and drinks?
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And drinking water?
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Would they be expected to try and control outside vendors?
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Do schools or the local area have a SNAG (School Nutrition Action Group)
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What sort of involvement with anti-smoking initiatives are Healthy Schools expected to have? |
Prompts:
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What about school smoking and tobacco policy?
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Or school antismoking programmes?
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How about involvement with alcohol programmes? |
Prompts:
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Would schools have an alcohol policy?
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And alcohol programmes?
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To what extent is student participation a part of the local Healthy Schools scheme? |
Could I ask finally about the numbers of schools in your area involved with the Healthy Schools programme? |
Prompts:
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What percentage of these has achieved Healthy School status?
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What percentage of these are primary schools?
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What percentage of these are secondary schools?
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Concluding comments
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Would it be useful for you to have a copy of the report and recommendations from this study? |
Thank you for your time. If I find that I need further clarification on any of the issues that we have talked about today, would it be OK to contact you again? |
Procedure
Data analysis
Theme A: The concept of promoting oral health as part of Healthy Schools |
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Codes:
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i. The appropriateness of promoting oral health as part of Healthy Schools |
ii. The relationship between oral and general health |
iii. Responsibility for oral health promotion in Healthy Schools |
Theme B: The delivery of oral health promotion in Healthy Schools
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Codes:
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iv. Main areas of NHSP |
v. The whole school approach |
vi. Organisation |
vii. Challenges |
Theme C: Drivers for oral health to be promoted in Healthy Schools
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Codes:
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viii. Levels of oral disease in the local area |
ix. Local and national directives |
x. Historical ways of working |