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Table 2 Operational model for the RETURN intervention (post-feasibility)

From: Developing intervention fidelity strategies for a behaviour change intervention delivered in primary care dental practices: the RETURN fidelity strategy

Resources

Activities

Outputs

Outcomes

Impact

• Dental nurses with capacity for research activities (including training time)

• Dental nurses with the competency to deliver the intervention (achieved through training)

• Dental practices with eligible participants

• Appropriate physical space within dental practices to deliver interventions

• IT infrastructure to support the intervention delivery session (tablet PC for video viewing and Wi-Fi connection)

• 1:1 discussion with participants about barriers to dental visiting

• Application of MI inspired communication style

• Showing a relevant intervention barrier video

• Going through a relevant intervention barrier booklet

• Goal setting and action planning using SMART principles

• Setting intentions for future behaviours through discussion

• Provision of the “Patient pack”

• Increased motivation around routine dental visiting

• Increased self-efficacy around round dental visiting

• Reduction in feelings of worry around dental visiting

• Increased knowledge around routine dental visiting

• A tangible goal and action plan to refer to

• Participants use intervention pack outside of the setting to support dental visiting

Attendance at a routine dental appointment within 18 months of the intervention delivery

• Reduction in oral health and routine dental visiting inequalities

• Improved oral health outcomes