Oral Health Training Program for Pediatric Residents

Not Applicable

Completed

Conditions: Preventive Oral Health

Interventions: Other: Hands on training
Other: Web based training

Registration Number: NCT00846066

Lead Sponsor: Children's Mercy Hospital Kansas City

Brief Summary: The purpose of this study was to compare the effect of the addition of hands on training by a pediatric dentist on the pediatric residents skills, confidence, opinions and practice related to preventive oral health.

Detailed Description: Objectives:

To compare the addition of Hands on Training (HOT) to Web Based Training (WBT)on residents' skills, confidence, opinions and practice .

Methods: Pediatric residents participated in WBT on preventive oral health. Then the WBT subjects were randomly assigned to receive HOT by a dentist, or WBT alone. All subjects were assessed on skills in the performance of an oral exam, by direct observation. Residents' confidence regarding oral health counseling, and their opinions about the importance of the incorporation of oral health into the well child visit, was measured by surveys utilizing a Likert scale. Residents' change in practice was assessed by a retrospective chart audit.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 56

Inclusion Criteria

Pediatric Residents in the Continuity Care Clinics at Children's Mercy Hospital during the months of January and February 2007

Exclusion Criteria

Residents on leave of absence
Residents who have their Continuity Care Clinics off site
Residents refusing consent for inclusion of results in study

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hands on Training	Hands on training	Hands on Training by a pediatric dentist
Hands on Training	Web based training	Hands on Training by a pediatric dentist
Web Based Training	Web based training	Web Based Training for all residents before randomization

Primary Outcome Measures

Name	Time	Method
Mean Percentage of Correct Skills	3 months after Hands-on Training (HOT)	Skills were observed by pediatric dentists for each resident utilizing a six item checklist 3 months after the intervention (HOT) was completed.Each correct skill demonstrated was scored as 1 (16.67%) with a maximum of 6 representing 100%.The mean pecentage of correct skills were measured by direct observation by a pediatric dentist among the WBT alone and WBT+HOT groups
Percent Change From Baseline in Confidence at 4 Months	Baseline and 4 months	Confidence was measured by self-administered surveys regarding knowledge and practice of oral health. The surveys used a 4 point Likert scale (1=not confident, 4=very confident).The mean percent of change in the responses of "very confident" was compared between both groups. The percentage change equals {(mean score at 4 months-mean score at baseline)/ mean score at baseline} \*100%
Percent Change From Baseline in Practice of Oral Health Based on Pre and Post Study Chart Audit at 6 Months	At baseline and 6 months	The mean percent change in the documentation of oral health components at a well child visit. This was done by an audit of a random selection of 5 charts of patients who came in for well child visits, completed by each resident at baseline and at 6 months later.We scored this utilizing a 4 item checklist each correct item was scored as 1 (25%), with a maximum of 4(100%). The percentage change used the following formula {(mean score at 6 months-mean score at baseline)/mean score at baseline}\*100%
Percent Change From Baseline in Opinions Regarding Incorporating Oral Health Into a Well Child Visit at 4 Months	Baseline and 4 months	Opinions regarding incorporating oral health into a well child visit was measured by self administered surveys. The surveys used a 4 point Likert scale from 1 for (strongly disagree) to 4 for (strongly agree). Mean percentage change in the "agree" and "strongly agree" responses by the residents was compared between both groups. The percentage change equals {(mean score at 4 months-mean score at baseline)/ mean score at baseline} \*100%