Evaluation of a Brief Tailored Motivational Intervention to Prevent Early Childhood Caries

NCT01123330 | Completed Phase 2

• 1 other identifier: U54DE1426101
• Study Type: interventional
• Target: 2,042
• Locations: 1 country
• Sites: 1

Brief Summary

The Detroit Dental Health Project (DDHP)aims to promote oral health and reduce disparities within the community of low-income African-American children (0-5 years) and their main caregivers (14+ years), living in the City of Detroit. The driving theme of the Project is to identify determinants and design interventions to answer the following question: why do some low-income African-American children and their main caregivers have better oral health than others who live in the same community? The Project has 3 support cores, 4 research core projects and 1 pilot study. The Project has selected a multistage random sample of African-American families living in the poorest 39 Census Tracts in the City of Detroit. A total of 1,022 families were recruited and interviewed at a community center in Detroit during the year 2 (2002). We have collected data about the social characteristics of parents, families, and neighborhoods that are associated with disparities in oral health; lead levels in saliva and blood of the caregivers; and dietary intake. All these families will be recalled in the year 4 (2004) and year 6 (2006) for longitudinal data collection. We are currently developing a tailored multi-media educational intervention (Project #3), based on data collected in the first phase (2002). The educational intervention will be administered using a randomized controlled design in year 4 (2004). Additionally, the Project is evaluating the impact on access to dental care of a state-funded experiment on utilization where Medicaid children are managed like privately insured patients (Project #4).

Conditions

Dental Caries

Outcome Measures

Primary Outcomes (1)

• Carious lesions

  The carious process was measured using the International Caries Detection and Assessment System (ICDAS). The codes range from measurement of the first visible carious change in enamel (Code 1) to extensive cavitation (Code 6). Both primary carious lesions and lesions adjacent to restorations and sealants (CARS) were recorded,.

  Measures at baseline (2002-03); wave 2 (2004-05); wave 3 (2007)

Study Arms (2)

Motivational Interviewing plus DVD

EXPERIMENTAL

Caregivers watched a 15-minute educational video designed for the project emphasizing the importance of good oral health in children, and how the caregiver can keep children free from tooth decay. The MI interviewer engaged the parent in a discussion of their thoughts and concerns regarding their child's oral health and what changes they wished to make regarding monitoring their child's oral health. Feedback from the child's dental exam was also reviewed. MI+DVD caregivers received a brochure displaying a photo of their child and for those who chose to set specific goals for their child's oral health, those goals were listed on the brochure. Caregivers choosing not to set specific goals were offered a list of 10 project recommendations regarding dietary intake, oral hygiene, and dental check-ups. The session ended with a dialogue regarding possible barriers to implementing the personal plan and how the caregiver planned to overcome those barriers.

Behavioral: Motivational Interviewing

DVD only

ACTIVE COMPARATOR

Caregivers watched the same educational video. At the end of the video, caregivers were given a glossy-printed brochure displaying the project developed recommendations as well as the child's photograph. The brochure was not re-mailed, as it was for the MI+DVD group and caregivers in this condition did not receive any feedback from the dental examination regarding their child's oral health status.

Behavioral: Motivational Interviewing

Interventions

Motivational Interviewing BEHAVIORAL

DVD only; Motivational Interviewing plus DVD

Eligibility Criteria

• Age: Up to 5 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• African-American
• years of age
• below 250% of poverty

You may not qualify if:

• None

Sponsors & Collaborators

• Temple University: lead
• University of Michigan: collaborator

Study Sites (1)

University of Michigan School of Dentistry

Ann Arbor, Michigan, 48109, United States

Location

Related Publications (25)

• Delva J, Tellez M, Finlayson TL, Gretebeck KA, Siefert K, Williams DR, Ismail AI. Cigarette smoking among low-income African Americans: a serious public health problem. Am J Prev Med. 2005 Oct;29(3):218-20. doi: 10.1016/j.amepre.2005.05.004.

  PMID: 16168872 RESULT

• Delva J, Tellez M, Finlayson TL, Gretebeck KA, Siefert K, Williams DR, Ismail AI. Correlates of cigarette smoking among low-income African American women. Ethn Dis. 2006 Spring;16(2):527-33.

  PMID: 17682259 RESULT

• Finlayson TL, Siefert K, Ismail AI, Delva J, Sohn W. Reliability and validity of brief measures of oral health-related knowledge, fatalism, and self-efficacy in mothers of African American children. Pediatr Dent. 2005 Sep-Oct;27(5):422-8.

  PMID: 16435644 RESULT

• Finlayson TL, Siefert K, Ismail AI, Sohn W. Psychosocial factors and early childhood caries among low-income African-American children in Detroit. Community Dent Oral Epidemiol. 2007 Dec;35(6):439-48. doi: 10.1111/j.1600-0528.2006.00352.x.

  PMID: 18039285 RESULT

• Finlayson TL, Siefert K, Ismail AI, Sohn W. Maternal self-efficacy and 1-5-year-old children's brushing habits. Community Dent Oral Epidemiol. 2007 Aug;35(4):272-81. doi: 10.1111/j.1600-0528.2007.00313.x.

  PMID: 17615014 RESULT

• Reisine S, Ajrouch KJ, Sohn W, Lim S, Ismail A. Characteristics of African-American male caregivers in a study of oral health in Detroit--a brief communication. J Public Health Dent. 2009 Summer;69(3):197-200. doi: 10.1111/j.1752-7325.2008.00115.x.

  PMID: 19192101 RESULT

• Sanders AE, Lim S, Sohn W. Resilience to urban poverty: theoretical and empirical considerations for population health. Am J Public Health. 2008 Jun;98(6):1101-6. doi: 10.2105/AJPH.2007.119495. Epub 2008 Apr 29.

  PMID: 18445798 RESULT

• Siefert K, Finlayson TL, Williams DR, Delva J, Ismail AI. Modifiable risk and protective factors for depressive symptoms in low-income African American mothers. Am J Orthopsychiatry. 2007 Jan;77(1):113-23. doi: 10.1037/0002-9432.77.1.113.

  PMID: 17352592 RESULT

• Burt BA, Kolker JL, Sandretto AM, Yuan Y, Sohn W, Ismail AI. Dietary patterns related to caries in a low-income adult population. Caries Res. 2006;40(6):473-80. doi: 10.1159/000095645.

  PMID: 17063017 RESULT

• Kolker JL, Yuan Y, Burt BA, Sandretto AM, Sohn W, Lang SW, Ismail AI. Dental caries and dietary patterns in low-income African American children. Pediatr Dent. 2007 Nov-Dec;29(6):457-64.

  PMID: 18254414 RESULT

• Lim S, Sohn W, Burt BA, Sandretto AM, Kolker JL, Marshall TA, Ismail AI. Cariogenicity of soft drinks, milk and fruit juice in low-income african-american children: a longitudinal study. J Am Dent Assoc. 2008 Jul;139(7):959-67; quiz 995. doi: 10.14219/jada.archive.2008.0283.

  PMID: 18594082 RESULT

• Lim S, Zoellner JM, Lee JM, Burt BA, Sandretto AM, Sohn W, Ismail AI, Lepkowski JM. Obesity and sugar-sweetened beverages in African-American preschool children: a longitudinal study. Obesity (Silver Spring). 2009 Jun;17(6):1262-8. doi: 10.1038/oby.2008.656. Epub 2009 Feb 5.

  PMID: 19197261 RESULT

• Nriagu J, Burt B, Linder A, Ismail A, Sohn W. Lead levels in blood and saliva in a low-income population of Detroit, Michigan. Int J Hyg Environ Health. 2006 Mar;209(2):109-21. doi: 10.1016/j.ijheh.2005.11.005. Epub 2006 Jan 27.

  PMID: 16443391 RESULT

• Ismail AI, Sohn W, Lim S, Willem JM. Predictors of dental caries progression in primary teeth. J Dent Res. 2009 Mar;88(3):270-5. doi: 10.1177/0022034508331011.

  PMID: 19329463 RESULT

• Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007 Jun;35(3):170-8. doi: 10.1111/j.1600-0528.2007.00347.x.

  PMID: 17518963 RESULT

• Ismail AI, Sohn W, Tellez M, Willem JM, Betz J, Lepkowski J. Risk indicators for dental caries using the International Caries Detection and Assessment System (ICDAS). Community Dent Oral Epidemiol. 2008 Feb;36(1):55-68. doi: 10.1111/j.1600-0528.2006.00369.x.

  PMID: 18205641 RESULT

• Ismail AI, Lim S, Sohn W, Willem JM. Determinants of early childhood caries in low-income African American young children. Pediatr Dent. 2008 Jul-Aug;30(4):289-96.

  PMID: 18767507 RESULT

• Li Y, Ismail AI, Ge Y, Tellez M, Sohn W. Similarity of bacterial populations in saliva from African-American mother-child dyads. J Clin Microbiol. 2007 Sep;45(9):3082-5. doi: 10.1128/JCM.00771-07. Epub 2007 Jul 18.

  PMID: 17634300 RESULT

• Reisine S, Tellez M, Willem J, Sohn W, Ismail A. Relationship between caregiver's and child's caries prevalence among disadvantaged African Americans. Community Dent Oral Epidemiol. 2008 Jun;36(3):191-200. doi: 10.1111/j.1600-0528.2007.00392.x.

  PMID: 18474051 RESULT

• Sohn W, Ismail A, Amaya A, Lepkowski J. Determinants of dental care visits among low-income African-American children. J Am Dent Assoc. 2007 Mar;138(3):309-18; quiz 395-396, 398. doi: 10.14219/jada.archive.2007.0163.

  PMID: 17332036 RESULT

• Sohn W, Taichman LS, Ismail AI, Reisine S. Caregiver's perception of child's oral health status among low-income African Americans. Pediatr Dent. 2008 Nov-Dec;30(6):480-7.

  PMID: 19186773 RESULT

• Tellez M, Sohn W, Burt BA, Ismail AI. Assessment of the relationship between neighborhood characteristics and dental caries severity among low-income African-Americans: a multilevel approach. J Public Health Dent. 2006 Winter;66(1):30-6. doi: 10.1111/j.1752-7325.2006.tb02548.x.

  PMID: 16570748 RESULT

• Ajrouch KJ, Reisine S, Lim S, Sohn W, Ismail A. Situational stressors among African-American women living in low-income urban areas: the role of social support. Women Health. 2010 Mar;50(2):159-75. doi: 10.1080/03630241003705045.

  PMID: 20437303 RESULT

• Taichman LS, Sohn W, Lim S, Eklund S, Ismail A. Assessing patterns of restorative and preventive care among children enrolled in Medicaid, by type of dental care provider. J Am Dent Assoc. 2009 Jul;140(7):886-94. doi: 10.14219/jada.archive.2009.0282.

  PMID: 19571052 RESULT

• Ismail AI, Ondersma S, Jedele JM, Little RJ, Lepkowski JM. Evaluation of a brief tailored motivational intervention to prevent early childhood caries. Community Dent Oral Epidemiol. 2011 Oct;39(5):433-48. doi: 10.1111/j.1600-0528.2011.00613.x. Epub 2011 Mar 29.

  PMID: 21916925 RESULT

MeSH Terms

Conditions

Dental Caries

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Tooth Demineralization; Tooth Diseases; Stomatognathic Diseases

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: May 12, 2010
• First Posted: May 14, 2010
• Study Start: October 1, 2001
• Primary Completion: October 1, 2007
• Study Completion: October 1, 2007
• Last Updated: May 14, 2010

Record last verified: 2010-05

Locations

US (1)