202 Chapter 6 the decision-making process in this research. Additionally, it was presumed that this approach did not have any influence on the outcomes. This research was focused on developing and refining a tool. Although numerous professionals and specialists participated in this study, financial experts were not included; but, had they been, they might have provided valuable advice regarding the cost implications. In our feasibility test, costs were discussed; however, the depth of this discussion was limited due to a lack of expertise in this area. Consequently, it is not clear whether this might have biased the results, which means that cost could be considered in future steps building on this research. All participants expressed enthusiasm for the topic of oral health and promptly responded to the invitation to participate. However, until now, their engagement with the subject has been limited. It is therefore possible that we did not include participants who are not interested in engaging with the topic. This study was conducted among a sample of MHNs and experts by experience distributed throughout the northern and eastern parts of the Netherlands. While the number of semi-structured interviews in the third phase was modest (n = 19), we were confident that we reached data saturation as no new information was retrieved in the last four interviews. Conclusions This study shows the importance of starting with increasing sensitisation among MHNs and providing them with the knowledge necessary to recognise oral health problems in patients with psychotic disorders. MHNs need a toolkit with a combination of different interventions. To start, a brochure with an awareness screener was developed. The brochure is an accessible tool that was developed in collaboration between MHNs and experts by experience and it is immediately applicable in practical settings. The content of the brochure is tailor-made and demonstrates what MHNs require, and it matches the most relevant stages of readiness for behavioural change in MHNs. Future steps to build upon this research, with the aim of further refining and optimising the process by which oral health tools are to be
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