A Just-in-Time Digital Learning Platform for Teacher Oral Health Training

NCT07645612 | Not Yet Recruiting DMC

• 1 other identifier: BMUU
• Study Type: interventional
• Target: 870
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to evaluate the effectiveness and implementation of a Just-in-Time Digital Learning Platform designed to improve teachers' oral health literacy and support the delivery of oral health education in schools. Teachers play an important role in promoting healthy behaviors among children, but many have limited access to structured oral health training. Digital microlearning approaches may provide a scalable and cost-effective solution for strengthening teacher capacity in school-based oral health promotion. Teachers assigned to the intervention group will receive access to a digital learning platform that delivers short, interactive, and evidence-based oral health training modules through mobile devices. The platform will provide educational content, reminders, quizzes, feedback, and progress monitoring. Teachers in the control group will receive standard information or routine training practices. The study will assess changes in teachers' oral health literacy, knowledge, attitudes, and confidence in delivering oral health education. It will also evaluate implementation outcomes, including acceptability, feasibility, adoption, fidelity, reach, and engagement with the digital platform. In addition, the study will examine whether improvements in teacher training lead to better oral health knowledge, behaviors, and clinical oral health outcomes among students.

Conditions

Oral Health Behavior Change; Oral Hygiene, Oral Health; Digital Literacy

Keywords

Oral Health Literacy; Digital Learning; Teacher Training; Implementation Outcomes; Health Equity

Outcome Measures

Primary Outcomes (1)

• Teacher Oral Health Literacy Score

  Teacher oral health literacy will be assessed using a structured oral health literacy questionnaire completed by participating teachers at baseline and post-intervention. Each item will be scored according to the questionnaire scoring instructions, and item scores will be summed to generate a total oral health literacy score. Higher scores will indicate greater oral health literacy. The primary analysis will compare the change in mean oral health literacy score from baseline to post-intervention between the intervention and control groups.

  Baseline to post-intervention (e.g., 6 months)

Secondary Outcomes (11)

• Teacher oral health knowledge

  6 Months

• Teaching self-efficacy

  6 Months

• AIM score

  6 Months

• IAM score

  6 Months

• FIM score

  6 Months

Study Arms (2)

Just-in-Time Digital Learning Platform for Teacher Oral Health Training

EXPERIMENTAL

Participants in this arm will receive access to a Just-in-Time Digital Learning Platform designed to improve teachers' oral health literacy and capacity to deliver school-based oral health education. The intervention includes short mobile-based microlearning modules, educational videos, interactive quizzes, reminders, feedback, digital learning resources, and progress tracking. Content covers oral health knowledge, preventive practices, oral hygiene promotion, and classroom implementation strategies. Teachers will engage with the platform throughout the intervention period and apply learned concepts in routine school activities. The intervention is designed to improve teacher oral health literacy, implementation outcomes, and student oral health outcomes.

Behavioral: Just-in-Time Digital Learning Platform for Teacher Oral Health Training

Standard Teacher Training or Routine Practice

NO INTERVENTION

Participants in this arm will continue routine educational practices and receive standard training or information available through existing school systems. They will not receive access to the Just-in-Time Digital Learning Platform during the study period. Outcomes will be assessed at the same time points as the intervention group.

Interventions

Just-in-Time Digital Learning Platform for Teacher Oral Health Training BEHAVIORAL

Teachers assigned to the intervention group will receive access to a mobile-based Just-in-Time Digital Learning Platform delivering short oral health microlearning modules, interactive quizzes, reminders, educational resources, and feedback. The intervention aims to improve teachers' oral health literacy, teaching practices, and implementation of school-based oral health promotion activities, ultimately improving student oral health outcomes.

Just-in-Time Digital Learning Platform for Teacher Oral Health Training

Eligibility Criteria

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

You may not qualify if:

• Planning to leave employment at the participating school during the study period.
• Unable to access or use the digital learning platform. Refusal or withdrawal of informed consent.

Sponsors & Collaborators

• Universiti Putra Malaysia: lead

Study Sites (1)

Saleem ullah fahmi school baqai Medical complex gharo

Karachi, Sindh, 74600, Pakistan

Location

Related Publications (4)

• Weiner BJ, Lewis CC, Stanick C, Powell BJ, Dorsey CN, Clary AS, Boynton MH, Halko H. Psychometric assessment of three newly developed implementation outcome measures. Implement Sci. 2017 Aug 29;12(1):108. doi: 10.1186/s13012-017-0635-3.

  PMID: 28851459 RESULT

• Kameg BN, Constantino RE. #MeToo and "Time's Up": Implications for Psychiatric and Mental Health Nurses. J Am Psychiatr Nurses Assoc. 2018 May/Jun;24(3):188-189. doi: 10.1177/1078390318763267. No abstract available.

  PMID: 29779463 RESULT

• Maus T, Carter R, El-Yahchouchi C, Geske J, Diehn F. Letter to the editor. Pain Med. 2014 May;15(5):879-81. doi: 10.1111/pme.12425. Epub 2014 Mar 21. No abstract available.

  PMID: 24655572 RESULT

• De Gagne JC, Park HK, Hall K, Woodward A, Yamane S, Kim SS. Microlearning in Health Professions Education: Scoping Review. JMIR Med Educ. 2019 Jul 23;5(2):e13997. doi: 10.2196/13997.

  PMID: 31339105 RESULT

Study Officials

• Muhammad Arshed, PhD

  Baqai Medical University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Muhammad Arshed, Ph.D.

CONTACT

+923337474464; drarshedchaudhary@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Care Provider, Investigator, and Outcomes Assessor are masked.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants will be randomly allocated in a parallel-group randomized controlled trial to either a Just-in-Time Digital Learning Platform intervention or a control group receiving standard training or routine practice. The intervention consists of mobile-based microlearning modules, quizzes, reminders, and feedback designed to improve teachers' oral health literacy and delivery of oral health education. Outcomes will be assessed at baseline and post-intervention. The study will evaluate effectiveness outcomes (teacher oral health literacy and student oral health outcomes), implementation outcomes (acceptability, feasibility, adoption, fidelity, reach, and engagement), and equity outcomes. The trial follows a Hybrid Type 2 Effectiveness-Implementation design, simultaneously assessing intervention effectiveness and implementation performance in real-world school settings.

Study Record Dates

• First Submitted: June 8, 2026
• First Posted: June 12, 2026
• Study Start: June 15, 2026
• Primary Completion (Estimated): October 24, 2026
• Study Completion (Estimated): October 30, 2026
• Last Updated: June 12, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)