Oral Pathology Asynchronous Telementoring Pilot Study

Not Applicable

Completed

• Conditions: Oral Cancer
• Interventions: Other: Imaging using intraoral cameras

• Registration Number: NCT04166214
• Lead Sponsor: NYU Langone Health

Brief Summary

The purpose of the proposed research project is to evaluate and enhance the feasibility and acceptability of integrating a tele-mentoring component into the identification of oral lesions at the 6 dental clinics of Family Health Centers at NYU Langone (FHC), a Federally Qualified Health Center (FQHC) in Brooklyn, NY.

Detailed Description

The tele-mentoring intervention involves training dental faculty members and residents to use intraoral cameras to take photographs of oral lesions and place them in the Dentrix electronic health record (EHR), along with descriptions of the lesions. Using a mixed-methods approach, the study will evaluate and enhance the feasibility and acceptability of integrating a tele-mentoring component into the identification of oral lesions at the 6 FHC dental clinics.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2019-11-14
• Study First Submitted QC: 2019-11-15
• Study First Posted: 2019-11-18
• Study Start: 2020-07-14
• Primary Completion: 2020-11-23
• Study Completion: 2020-11-23
• Status Verified: 2021-10
• Results First Submitted: 2021-10-01
• Results First Submitted QC: 2021-10-29
• Last Update Submitted: 2021-10-29
• Results First Posted: 2021-12-03
• Last Update Posted: 2021-12-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 51

Inclusion Criteria

Dental patients will be eligible for study participation if they meet the following criteria:

1. Greater than or equal to 18 years of age.
2. Live in any of the 5 boroughs of New York, NY and visit a participating FHC dental clinic for routine dental care.
3. Able and willing to provide informed consent, have their oral lesion(s) photograph(s) and accompanying data entered into the Dentrix EHR, and participate in an exit interview.

Dental providers will be eligible for study participation if they meet the following criteria:

1. Greater than or equal to 18 years of age.
2. Be employed as a dentist or placed as a dental resident at a participating FHC dental clinic.
3. Able and willing to provide informed consent and participate in feasibility testing (provider survey or semi-structured interview).

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Exclusion Criteria

Dental patients will be excluded from study participation if they meet the following criteria:

1. Have an acute or terminal illness or a serious mental illness or any other severe health condition(s) that might preclude visiting an oral health care provider.
2. Are currently participating in another oral health study.

Dental providers will be excluded from study participation if they meet the following criteria:

1. Have an acute or terminal illness or a serious mental illness or any other severe health condition(s) that might preclude them from completing the feasibility testing.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Dental Providers	Imaging using intraoral cameras	The tele-mentoring intervention involves training dental faculty members and residents to use intraoral cameras to take photographs of oral lesions and place them in the Dentrix electronic health record (EHR), along with descriptions of the lesions.
Dental Patients	Imaging using intraoral cameras	The tele-mentoring intervention involves training dental faculty members and residents to use intraoral cameras to take photographs of oral lesions and place them in the Dentrix electronic health record (EHR), along with descriptions of the lesions.

Primary Outcome Measures

Name	Time	Method
Percentage of Dental Patients Who Strongly Agreed or Agreed That the Use of an Intra-Oral Camera By Their Dentists Helped Them to Better Understand Oral Cancer Screening	At the end of the dental appointment, 30-45 minutes	Consented patients will be asked to complete a brief Patient Exit Survey (5 statements) at the end of their dental appointments after being screened for oral cancer lesions using an intraoral camera. Responses to the second statement are reported for this outcome measure. The statement is scored on a Likert Scale from 1 - Strongly Disagree to 5 - Strongly Agree.
Percentage of Dental Patients Who Strongly Agreed or Agreed That Dentists Answered Their Questions About Oral Cancer and Were Able to Provide Them With Resources	At the end of the dental appointment, 30-45 minutes	Consented patients will be asked to complete a brief Patient Exit Survey (5 statements) at the end of their dental appointments after being screened for oral cancer lesions using an intraoral camera. Responses to the fourth statement are reported for this outcome measure. The statement is scored on a Likert Scale from 1 - Strongly Disagree to 5 - Strongly Agree.

Secondary Outcome Measures

Name	Time	Method
Percentage of Dental Providers Who Reported Successfully Providing the Tele-Mentoring Intervention	At the end of the dental appointment, 30-45 minutes	Dentists are given a Provider "Essential Components" Checklist to fill out. This checklist summarizes the essential components of incorporating a tele-mentoring intervention into the identification of oral lesions via use of intraoral cameras to take photographs of oral lesions at chairside, uploading them into Dentrix, and conferring with an oral pathology expert.; Successful provision of the intervention is indicated by marking "item met" for all 10 intervention elements listed in the checklist.
Percentage of Dental Providers Who Reported That The Process Was Clear and Straightforward	At the end of the dental appointment, 30-45 minutes	The process includes from EHR data entry to interaction with the oral surgeon over findings to patient referral

Trial Locations

Locations (1)

NYU Langone Health Dental Medicine; 🇺🇸 Brooklyn, New York, United States