MOLAR: Mapping Oral Health and Local Area Resources
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 2,927
- 试验地点
- 1
- 主要终点
- Linkage to oral health care
研究概览
简要总结
The goal of this clinical trial is to test the impact of a screening and linkage intervention for adverse social determinants of health (aSDoH) on oral health linkage to care for emergency department patients. Researchers will compare three groups: Patients in Arm A will receive paper handouts with general oral health and aSDoH resources. Patients in Arm B will receive paper handouts with geographically-proximate oral health and aSDoH resources. Patients in Arm C will receive geographically-proximate oral health and aSDoH resources plus active navigational assistance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •To be eligible to participate in this study, an individual must meet all of the following criteria:
- •No evidence of lack of capacity to provide verbal informed consent (as documented in the chart).
- •Willing to comply with all study procedures and be available by phone for the duration of the study (as reported by the patient)
- •Unmet oral health needs as ascertained by the Hope Home (adult) or Gazzaz (pediatric) questions
- •Adult (age ≥18 years old) ED patient or pediatric ED patient (>1 year of age) presenting with parent or legal guardian. Parent will be the primary study participant but if age > 7 years, the child will provide assent for medical record review.
- •Ability to communicate in English or Spanish (as reported by the patient)
- •Emergency severity index (ESI) 2-5 (as documented in the electronic medical record)
- •Residence within catchment area of 3-hospital region (defined by MGB home hospital catchment area) at initial enrollment (as reported by the patient)
- •Working phone number
排除标准
- •Patients on involuntary holds (per electronic medical record review)
- •Presenting from carceral facilities (per electronic medical record review)
- •Presenting for acute mental health care under evaluation for Section 12 (per electronic medical record review)
- •Patients presenting for assistance with intimate partner violence (IPV) or care following sexual assault
研究组 & 干预措施
C--geographic information and navigational assistance
Patients in Arm C will receive geographically-proximate oral health and aSDoH resources plus active navigational assistance.
干预措施: Navigational assistance (Behavioral)
A--general information
Patients in Arm A will receive paper handouts with general oral health and aSDoH resources
干预措施: General information provision (Behavioral)
B--geographic information
Patients in Arm B will receive paper handouts with geographically-proximate oral health and aSDoH resources.
干预措施: Geographic information provision (Behavioral)
C--geographic information and navigational assistance
Patients in Arm C will receive geographically-proximate oral health and aSDoH resources plus active navigational assistance.
干预措施: Geographic information provision (Behavioral)
结局指标
主要结局
Linkage to oral health care
时间窗: Within 12 months of randomization
binary, completion of a dental appointment or not
次要结局
- Rate of linkage to oral health care at the neighborhood level(Within 12 months of randomization)
- Repeat visits for oral health problems(Within 12 months of randomization)
- Time to completion of dental appointment at the individual level(Within 12 months of randomization)
- Oral health quality of life(Within 12 months of randomization)
- Return visits(Within 12 months of initial visit)
研究者
Margaret Samuels-Kalow
Associate Professor
Massachusetts General Hospital