Everybody Brush: A Community-wide Toothpaste Distribution Campaign

• Conditions: Dental Caries
• Interventions: Behavioral: Toothpaste & Telephone Support

• Registration Number: NCT02327507
• Lead Sponsor: Advantage Dental Services, LLC

Brief Summary

Dental caries (tooth decay) is a disease with significant public health implications afflicting low-income children, with marked rural disparities in disease prevalence and treatment. More than 70% of 11th grade children in Crook, Deschutes and Jefferson counties have experienced tooth decay. Effective approaches to prevent decay include brushing with fluoridated toothpaste and professional dental care. Medicaid enrolled children are legally entitled to dental care under Early Periodic Screening, Diagnosis and Treatment (EPSDT), yet \<50% had any care in 2010. Free distribution of toothpaste and toothbrushes combined with parental education can increase toothbrushing frequency and reducing tooth decay. However, many parents are confused about when to start, how much and often toothpaste should be used, and how to overcome behavioral difficulties in brushing toddlers' teeth or getting older children to brush their own. The investigators' objective is to implement and evaluate a community-wide toothpaste distribution campaign enhanced by telephone support for OHP children and adolescents and their families in Central Oregon

Detailed Description

A community-wide toothpaste distribution campaign enhanced by telephone support. A tooth kit with toothpaste and toothbrushes for the whole family together with oral hygiene instructions in English and Spanish will be mailed every 3 months. Half of the population will be randomly assigned to also receive telephone support (Short message service and one-to-one calls). Families will receive biweekly messages with oral hygiene tips. Bilingual culturally competent staff will be available by telephone to support families in overcoming barriers.

Study Timeline

• Study Start: 2014-06
• Status Verified: 2014-12
• Study First Submitted: 2014-12-23
• Study First Submitted QC: 2014-12-29
• Last Update Submitted: 2014-12-29
• Study First Posted: 2014-12-30
• Last Update Posted: 2014-12-30
• Primary Completion: 2016-07
• Study Completion: 2016-07

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 21731

Inclusion Criteria

• Family speaks English or Spanish

Exclusion Criteria

• None

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Toothpaste & Telephone Support	Toothpaste & Telephone Support	A tool kit with toothpaste and toothbrushes for the whole family along with oral hygiene instructions in both English and Spanish will be mailed to the homes of all OHP children and adolescents every three months. Half the populations will be assigned to also receive telephone support.

Primary Outcome Measures

Name	Time	Method
increased twice-a-day toothbrushing Toothbrushing	1 year	Parent reported toothbrushing frequency for child

Secondary Outcome Measures

Name	Time	Method
Satisfaction	1 year	Dental Satisfaction Questionnaire
Cost	1 year	Per member per month cost of care

Trial Locations

Locations (1)

Advantage Dental Services, LLC; 🇺🇸 Redmond, Oregon, United States