Objective: To use a model of health learning to examine the role of health-learning capacity and the effect of a school-based oral health education intervention (Winning Smiles) on the health outcome, child oral health-related quality of life (COHRQoL). Setting: Primary schools, high social deprivation, Ireland/Northern Ireland. Design: Cluster…

This paper illustrates an approach for Direct Instruction (DI) practitioners and researchers for enhancing the value of DI implementations beyond that obtained through student test performance alone. The importance of such enhancements is based on perspectives from scale-up research linking intervention value with sustainability. In this study,…