Development and Evaluation of a Medical Intervention for Early Childhood Caries

Not Applicable

Completed

• Conditions: Early Childhood Dental Caries
• Interventions: Behavioral: Continuing medical education

• Registration Number: NCT00464009
• Lead Sponsor: University of North Carolina, Chapel Hill

Brief Summary

This study aimed to evaluate the effect of three forms of continuing medical education (CME) on provision of preventive dental services to Medicaid-enrolled children by medical personnel in primary care physician offices.

Detailed Description

Practice-based, randomized controlled trial. Setting: 1,400 pediatric and family physician practices in North Carolina providing care to an estimated 240,000 Medicaid-eligible children aged 0-3 years. Interventions: Group A practices (n=39) received didactic training and course materials in oral health screening, referral, counseling and application of fluoride varnish. Group B practices (n=41) received the same as Group A and were offered weekly conference calls providing advice and support. Group C practices (n=41) received the same as Group B and were offered in-office visit providing hands-on advice and support. Outcome measures were computed from reimbursement claims submitted to NC Division of Medical Assistance. Primary outcome measure: rate of preventive dental services provision per 100 well-child visits. Secondary outcome measure: % of practices providing 20 or more preventive dental visits.

Study Timeline

• Study Start: 2001-02
• Primary Completion: 2002-04
• Study First Submitted: 2007-04-19
• Study First Submitted QC: 2007-04-19
• Study First Posted: 2007-04-20
• Study Completion: 2007-11
• Status Verified: 2009-09
• Last Update Submitted: 2010-01-28
• Last Update Posted: 2010-01-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• pediatric or family physician Medicaid practice in North Carolina

Read More

Exclusion Criteria

• participation in related pilot study

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
B	Continuing medical education	Group B practices (n=41) received the same as Group A and were offered weekly conference calls providing advice and support.
C	Continuing medical education	Group C practices (n=41) received the same as Group B and were also offered in-office follow-up visits providing hands-on advice and support.
A	Continuing medical education	Group A practices (n=39) received didactic training and course materials in oral health screening, referral, counseling and application of fluoride varnish.

Primary Outcome Measures

Name	Time	Method
Rate of preventive dental services provision per 100 well-child visits.	One year following initial training.

Secondary Outcome Measures

Name	Time	Method
Percent of practices providing 20 or more preventive dental visits.	One year following initial training.

Trial Locations

Locations (1)

UNC-CH, School of Public Health; 🇺🇸 Chapel Hill, North Carolina, United States