NCT01205971

Brief Summary

Dental caries is the most common chronic disease of childhood and is increasing in prevalence in children 2-5 years old. Racial and ethnic minority groups as well as economically disadvantaged individuals are affected the most by this health outcome. This study will test if a community-based multimodal intervention will reduce 2-year incidence of early childhood caries (ECC) in children aged 0-5 living in public housing developments. The intervention combines the components of motivational interviewing (counseling) delivered by dental health advocates, fluoride varnish application, oral health assessment and referral. The investigators hypothesize that the multimodal intervention with motivational interviewing will reduce ECC behavioral risk factors thereby leading to a reduction of ECC incidence when compared to fluoride varnish application, written oral health education materials and oral health assessment and referral.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
2,842

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2011

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 19, 2010

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 21, 2010

Completed
3 months until next milestone

Study Start

First participant enrolled

January 1, 2011

Completed
6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 23, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 23, 2016

Completed
Last Updated

February 13, 2018

Status Verified

February 1, 2018

Enrollment Period

6 years

First QC Date

September 19, 2010

Last Update Submit

February 11, 2018

Conditions

Keywords

Motivational interviewingCommunity-based multimodal interventionDental Health AdvocatesPrevention of ECCRandomized clinical trial

Outcome Measures

Primary Outcomes (1)

  • Dental caries incidence

    24 months

Secondary Outcomes (1)

  • Behavioral risk factors for early childhood caries

    24 months

Study Arms (2)

Motivational Interviewing

EXPERIMENTAL

Motivational Interviewing to reduce caregiver risk factors for early childhood caries in their children is delivered by Dental Health Advocates (trained public housing residents) in combination with fluoride varnish applications, oral health assessments and referrals for children.

Behavioral: Motivational Interviewing

Dental Preventive Services

ACTIVE COMPARATOR

Fluoride varnish applications, written oral health educational materials regarding early childhood caries prevention, oral health assessments and referrals.

Behavioral: Dental Preventive Services

Interventions

Motivational interviewing is delivered by trained public housing residents, every 3 months for a total of 8 sessions over 24 months.

Motivational Interviewing

Written oral health educational materials

Dental Preventive Services

Eligibility Criteria

Age15 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • be living in participating public housing sites
  • have one or more children 0-5 years old or be in their third trimester of pregnancy
  • plan to live in their current housing development for the ensuing 24 months
  • be able and willing to provide informed consent

You may not qualify if:

  • caregivers unable to communicate orally in English or Spanish
  • subject child has a known systemic disease associated with abnormal tooth development or abnormal oral health status such as cleft lip or palate, Burkett's lymphoma, osteogenesis imperfecta, ameliogenesis imperfecta, or dentinogenesis imperfecta
  • children who have a known allergy to fluoride varnish and its components
  • caregivers less than 15 years old

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Boston University

Boston, Massachusetts, 02118, United States

Location

Related Publications (2)

  • Henshaw MM, Borrelli B, Gregorich SE, Heaton B, Tooley EM, Santo W, Cheng NF, Rasmussen M, Helman S, Shain S, Garcia RI. Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in Public Housing. JDR Clin Trans Res. 2018 Oct;3(4):353-365. doi: 10.1177/2380084418794377. Epub 2018 Aug 22.

  • Albino J, Tiwari T, Gansky SA, Henshaw MM, Barker JC, Brega AG, Gregorich SE, Heaton B, Batliner TS, Borrelli B, Geltman P, Kressin NR, Weintraub JA, Finlayson TL, Garcia RI; Early Childhood Caries Collaborating Centers. The basic research factors questionnaire for studying early childhood caries. BMC Oral Health. 2017 May 19;17(1):83. doi: 10.1186/s12903-017-0374-5.

Related Links

MeSH Terms

Interventions

Motivational Interviewing

Intervention Hierarchy (Ancestors)

Directive CounselingCounselingMental Health ServicesBehavioral Disciplines and ActivitiesHealth ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Michelle M Henshaw, DDS, MPH

    Boston University

    PRINCIPAL INVESTIGATOR
  • Belinda Borrelli, PhD

    Brown University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

September 19, 2010

First Posted

September 21, 2010

Study Start

January 1, 2011

Primary Completion

December 23, 2016

Study Completion

December 23, 2016

Last Updated

February 13, 2018

Record last verified: 2018-02

Data Sharing

IPD Sharing
Will share

Researchers can make a data request through the EC4 website oralhealthdisparities.ucsf.edu

Locations