NCT00464009

Brief Summary

This study aimed to evaluate the effect of three forms of continuing medical education (CME) on provision of preventive dental services to Medicaid-enrolled children by medical personnel in primary care physician offices.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2001

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2001

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2002

Completed
5.1 years until next milestone

First Submitted

Initial submission to the registry

April 19, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 20, 2007

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2007

Completed
Last Updated

January 29, 2010

Status Verified

September 1, 2009

Enrollment Period

1.2 years

First QC Date

April 19, 2007

Last Update Submit

January 28, 2010

Conditions

Early Childhood Dental Caries

Keywords

Early childhood caries - ECCPreventionContinuing medical educationRandomized controlled trial

Outcome Measures

Primary Outcomes (1)

  • Rate of preventive dental services provision per 100 well-child visits.

    One year following initial training.

Secondary Outcomes (1)

  • Percent of practices providing 20 or more preventive dental visits.

    One year following initial training.

Study Arms (3)

A

ACTIVE COMPARATOR

Group A practices (n=39) received didactic training and course materials in oral health screening, referral, counseling and application of fluoride varnish.

Behavioral: Continuing medical education

B

ACTIVE COMPARATOR

Group B practices (n=41) received the same as Group A and were offered weekly conference calls providing advice and support.

Behavioral: Continuing medical education

C

ACTIVE COMPARATOR

Group C practices (n=41) received the same as Group B and were also offered in-office follow-up visits providing hands-on advice and support.

Behavioral: Continuing medical education

Interventions

Continuing medical educationBEHAVIORAL

Group A practices took part in a 90 minute lecture with slides, case-based presentations and discussions of the clinical interventions, instruction in children's dental development, common dental diseases and prevention, screening, referral, counseling and fluoride varnish application. Group B practices received the same as group A and additionally were offered support through telephone conference calls using "learning collaborative" methods where staff receive ongoing support from CME instructors and learn from one another as they begin to implement systems for preventive care in their practices. The conference calls were moderated by research staff with clinical expertise in primary health care who had assisted in other interventions among NC pediatric and family medicine offices. Group C received the same intervention as Group B and were offered additional in-office support for implementation of preventive dental procedures provided by a dental hygienist.

ABC

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • pediatric or family physician Medicaid practice in North Carolina

You may not qualify if:

  • participation in related pilot study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UNC-CH, School of Public Health

Chapel Hill, North Carolina, 27955, United States

Location

Related Publications (4)

  • Quinonez RB, Pahel BT, Rozier RG, Stearns SC. Follow-up preventive dental visits for Medicaid-enrolled children in the medical office. J Public Health Dent. 2008 Summer;68(3):131-8. doi: 10.1111/j.1752-7325.2007.00055.x.

    PMID: 18179471BACKGROUND

  • Rozier RG, Sutton BK, Bawden JW, Haupt K, Slade GD, King RS. Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ. 2003 Aug;67(8):876-85.

    PMID: 12959161RESULT

  • Slade GD, Rozier RG, Zeldin LP, Margolis PA. Training pediatric health care providers in prevention of dental decay: results from a randomized controlled trial. BMC Health Serv Res. 2007 Nov 2;7:176. doi: 10.1186/1472-6963-7-176.

    PMID: 17980021RESULT

  • Rozier RG, Slade GD, Zeldin LP, Wang H. Parents' satisfaction with preventive dental care for young children provided by nondental primary care providers. Pediatr Dent. 2005 Jul-Aug;27(4):313-22.

    PMID: 16317972RESULT

Study Officials

  • Richard G Rozier, DDS

    UNC-CH, School of Public Health, Department of Health Policy and Administration

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
FACTORIAL
Sponsor Type
OTHER

Study Record Dates

First Submitted

April 19, 2007

First Posted

April 20, 2007

Study Start

February 1, 2001

Primary Completion

April 1, 2002

Study Completion

November 1, 2007

Last Updated

January 29, 2010

Record last verified: 2009-09

Locations

US(1)