Evaluation of a Bright Futures Oral Health Intervention

NCT01406366 | Completed

• 1 other identifier: R40MC05267-01-00
• Study Type: observational
• Target: 27
• Locations: 1 country
• Sites: 1

Brief Summary

Pediatricians serve an important role in promoting health in families. Bright Futures offers a child and family-centered approach to health promotion in incorporating partnership and communication skills of providers. Two areas of importance are in promotion of oral health and prevention of iron deficiency. We plan to study implementing educational curriculum to pediatric residents through a randomized controlled trial. Randomization will be done through assignment at the level of pediatric training program. Residents randomized to Group 1 will receive education about Bright Futures partnership and communication skills with oral health as the main health promotion topic. Group 2 will receive educational curriculum pertaining to the topic of iron deficiency prevention. While pediatricians are positioned perfectly to partner and effectively communicate with families on these two issues, there are gaps in pediatric education addressing these topics. The CORNET continuity practices of the Ambulatory Pediatric Association provide a venue through which multiple residency programs that educate pediatric residents and whose residents provide medical care to underserved children can participate. The research hypotheses include:

1. 1.Residents in Group 1 will have greater confidence, knowledge and competence in partnership building and communication with families
2. 2.Residents in Group 1 will have greater knowledge and competence in discussing oral health promotion
3. 3.Residents in Group 2 will have greater knowledge and competence in discussing iron deficiency prevention
4. 4.Parent-child dyads in Group 1 will be more likely to have established a dental home
5. 5.Parent-child dyads in Group 1 will be more likely to be satisfied with their healthcare encounter.

Conditions

Health Knowledge, Attitudes, Practice

Keywords

Pediatric oral health; Bright Futures; Health promotion

Study Arms (2)

Group 1

Group 1: 16 programs / 148 residents

Behavioral: Group 1: Bright Futures Oral Health Curriculum

Group 2

Group 2: 16 programs / 142 residents

Behavioral: Group 2: Iron Deficiency Training Module

Interventions

Group 1: Bright Futures Oral Health Curriculum BEHAVIORAL

Residents who are randomized to Group 1 will receive a resident curriculum that exposes them to Bright Futures concepts of health promotion, including partnership building, communication and oral health. Group 1 residents will complete 7 modules, 3 on Bright Futures concepts (health, partnership building and communication), and 4 on oral health promotion. These modules have been developed in collaboration with the Pediatrics in Practice workgroup and the Open Wide modules endorsed by the American Academy of Pediatrics and the Maternal and Child Health Bureau. The oral health modules address dental caries development and prevention, importance of identifying maternal oral health status, duration of bottle-feeding or breastfeeding and discouraging both during sleep.

Group 1

Group 2: Iron Deficiency Training Module BEHAVIORAL

Our study team opted to include a single 1-hour educational module addressing the identification and prevention of iron deficiency created by the AAP on Pedialink® to the active control group. This educational module addresses screening for and assessing risk for iron deficiency.

Group 2

Eligibility Criteria

• Age: 12 Months - 35 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Pediatric categorical residents in continuity clinics associated with CORNET practices that volunteer to participate will be asked to participate in the study. Resident inclusion criteria will include pediatric residents in their 1st or 2nd year of categorical training. Parent-child dyad inclusion criteria include children between 12-35 months of age, accompanied by a legal guardian, who presents for a scheduled health maintenance visit with their primary care provider who is a pediatric resident. Families must have a means by which to be contacted (i.e., telephone, cell phone, or beeper number) for follow-up. At least 2 numbers for communication will need to be solicited.

You may qualify if:

• Residents
• Pediatric categorical residents
• PL-1 or PL-2 level
• Parents/Patients
• Parents/legal guardian of children 12- 35 months of age
• Legal guardian present at visit
• Primary care provider is pediatric resident seeing patient at that visit
• Child presents for health maintenance visit
• English speaking

Sponsors & Collaborators

• Continuity Research Network: lead

Study Sites (1)

Dartmouth Hitchcock Medical Center

Hanover, New Hampshire, 03755, United States

Location

Related Links

• A Bright-Futures based website supporting faculty in health promotion

MeSH Terms

Conditions

Behavior

Study Officials

• Henry H Bernstein, DO

  Dartmouth-Hitchcock Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: NETWORK

Study Record Dates

• First Submitted: July 29, 2011
• First Posted: August 1, 2011
• Study Start: September 1, 2005
• Primary Completion: December 1, 2010
• Study Completion: December 1, 2010
• Last Updated: August 1, 2011

Record last verified: 2010-08

Locations

US (1)