Development and Dissemination of Oral Health Risk Assessment and Referral Guidelines

NCT00596856 | Withdrawn

• 2 other identifiers: 07-19421H47MC08654-01-00
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

Purpose:

1. 1.Revise the existing oral health risk assessment tool (known as the Encounter Form in the IRB-approved project DENT-1527) and develop accompanying guidelines for its use and distribution.
2. 2.Evaluate the education intervention to accompany the distribution of the new risk assessment tool - the Priority Oral Health Risk Assessment and Referral Tool - PORRT and guidelines.
3. 3.Evaluate the extent to which the education intervention affects physicians' screening and referral performance (use of guidelines, appropriateness and quality of referrals).

Conditions

Early Childhood Dental Caries

Keywords

Early childhood caries - ECC; Referral behavior; Oral health risk assessment; Guideline development and dissemination

Outcome Measures

Primary Outcomes (1)

• Referral rate defined as the proportion of children of the target age seen in participating medical practices who receive preventive dental services and are referred to an area dentist.

  Within 6 months of receipt of preventive dental services from a medical practice.

Secondary Outcomes (1)

• Implementation of developed guidelines and risk assessment tool in medical practices and identified barriers to their use.

  Pre and post guideline dissemination

Study Arms (3)

1

ACTIVE COMPARATOR

25 randomly selected pediatric practices that have never participated in IMB will receive the newly developed risk assessment forms and guidelines through the mail with instructions on how to implement them in the practice. (Passive dissemination to non-participating practices)

Behavioral: Development and dissemination of priority oral health risk assessment and referral guidelines - PORRT

2

EXPERIMENTAL

25 randomly selected pediatric practices currently participating in IMB will receive the newly developed risk assessment forms and guidelines through the mail with instructions on how to implement them in the practice. (Passive dissemination to participating practices)

Behavioral: Development and dissemination of priority oral health risk assessment and referral guidelines - PORRT

3

EXPERIMENTAL

25 randomly selected pediatric practices currently participating in IMB will receive the newly developed risk assessment forms and guidelines through an intense in-office intervention. (Intense intervention with participating practices)

Behavioral: Development and dissemination of priority oral health risk assessment and referral guidelines - PORRT

Interventions

Development and dissemination of priority oral health risk assessment and referral guidelines - PORRT BEHAVIORAL

The RCT will compare passive distribution of guidelines by mail to an in-office intervention consisting of guideline distribution combined with educational outreach providing training in guideline use and patient mediated information provided by the risk and referral assessment tool (PORRT). The three-arm trial will consist of 25 medical practices that have never participated in IMB and 25 practices that are currently participating, both of which will receive the guidelines through the mail, and 25 practices currently participating in IMB that will receive the more intense in-office training intervention.

1; 2; 3

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Licensed and practicing pediatricians in North Carolina who see at least 10 Medicaid children under 3 years of age per month.

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead
• Department of Health and Human Services: collaborator
• North Carolina Department of Health and Human Services: collaborator

MeSH Terms

Interventions

Growth and Development

Intervention Hierarchy (Ancestors)

Physiological Phenomena

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: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Policy & Management

Study Record Dates

• First Submitted: January 8, 2008
• First Posted: January 17, 2008
• Study Start: April 1, 2011
• Primary Completion: April 1, 2012
• Study Completion: April 1, 2012
• Last Updated: March 18, 2013

Record last verified: 2013-03