Organizational Change in Dental Care

NCT03367416 | Completed

• 2 other identifiers: 2017-1247U56DE027442
• Study Type: observational
• Target: 43
• Locations: 1 country
• Sites: 4

Brief Summary

The proposed research will test the ability of the NIATx Organizational Change Model to improve patient no-show rates as compared to typical training approaches used in dental offices. The purpose of the pilot study is to improve no-show rates and, in the process, test an evidence-based organizational change model that can increase use of evidence-based practices in dental care. NIATx is not an acronym, it is a proper noun.

Conditions

Patient No Show

Outcome Measures

Primary Outcomes (3)

• Analyze clinic data for trends and patterns in patient no-show behaviour.

  Data from clinic patient records will be gathered and analyzed to determine the percent of cancelled appointments in a given time period, to detect patterns over time and determine if no-shows are more prevalent with certain populations or procedures.

  7 months

• Staff surveys to test clinic adherence to the components of the NIATx model.

  Paper surveys will be used to collect data from clinic staff. Surveys will measure how the clinic conducts organizational change, the degree to which the clinics are using elements of the NIATx model and which proven no-show practices clinics have adopted.

  7 months

• Patient qualitative interviews to assess the patient experience in missing an appointment.

  Interviews will be open questions to understand the process from the users point of view. This information will help the study team understand the root causes of patient behaviour and propose model improvements that address these causes.

  2 months

Study Arms (1)

Intervention

This study will test the NIATx model, an evidence-based behavioral intervention for implementing organizational change and quality improvement in community based health settings with a high proportion of underserved individuals. The goal of the study will be to use the model to identify and implement organizational changes in dental practices that will improve the no-show rate in underserved populations.

Behavioral: NIATx model

Interventions

NIATx model BEHAVIORAL

The NIATx model engages organizations through a multi-clinic learning collaborative and coaching. NIATx teaches organizations how to implement change by using their own organization as the teaching mechanism. Key components of the model include: 1. educating executives on how to promote effective process change techniques 2. training staff teams in the theory and practice of organizational change techniques 3. training staff to develop and implement a process improvement intervention 4. implementing a sustainability plan to institutionalize change and avoid reverting to previous methods

Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Community dental clinics that: * Serve at least a 50 percent minority population * Accept a high number of Medicaid patients * Are able to provide de-identified clinic data to the research team * Are willing to undertake and support an organizational improvement project to decrease no-show rates

You may qualify if:

• In order to be eligible to participate in this study, staff must be:
• or older
• A paid staff member at a dental clinic participating in the study
• Willing to participate in the interviews and share their ideas and experiences
• Involved in an organizational improvement project at a participating clinic
• Be able and willing to provide verbal consent

You may not qualify if:

• An individual who does not regularly interact with patients in a dental clinic.

Sponsors & Collaborators

• University of Wisconsin, Madison: lead
• Medical College of Wisconsin: collaborator
• Marquette University: collaborator
• National Institute of Dental and Craniofacial Research (NIDCR): collaborator

Study Sites (4)

More Smiles Wisconsin

Madison, Wisconsin, 53703, United States

Location

Community Dental Clinic North-Marquette School of Dentistry

Milwaukee, Wisconsin, 53201, United States

Location

Community Dental Clinic South-Marquette School of Dentistry

Milwaukee, Wisconsin, 53215, United States

Location

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Related Links

• NIATx website

MeSH Terms

Conditions

No-Show Patients

Condition Hierarchy (Ancestors)

Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Todd Molfenter, PhD

  University of Wisconsin, Madison

  PRINCIPAL INVESTIGATOR

• Christopher Okunseri, BDS

  Marquette University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 27, 2017
• First Posted: December 8, 2017
• Study Start: January 1, 2018
• Primary Completion: August 1, 2019
• Study Completion: August 1, 2019
• Last Updated: August 7, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (4)