Oral Health Care Early Intervention Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,178
- 试验地点
- 9
- 主要终点
- New ECC*(presence/absence)
研究概览
简要总结
This pilot project consists of co-locating dental hygienist services in medical primary care offices. Dental hygienists will work in close collaboration with the primary care offices, providing preventive dental care to young children either before or after scheduled well-child visits.
详细描述
This investigation is designed to determine the effect of having co-located dental hygienists in primary care offices on the incidence of early childhood caries among young children seen at these primary care offices. The dental hygienists will provide routine preventive dental care and oral health education within the usual scope of their practice. The study is also designed to assess parent knowledge, attitudes, and beliefs about oral health and perceived barriers to preventive dental care, as well as how their oral health-related attitudes change over time.
The specific aims for this project are:
Specific Aim 1: Among parents of young children seen in pediatric and family medicine primary care practices, determine the knowledge, attitudes, and beliefs of parents regarding the importance of oral health, means of preventing caries, and perceived barriers to accessing regular preventive dental care.
Specific Aim 2: After co-locating dental hygienists within pediatric and family medicine primary care practices, determine by randomized controlled trial the effect of routine preventive dental care provided by dental hygienists on the incidence of early childhood caries.
Specific Aim 3: Among parents of young children seen in pediatric and family medicine primary care practices, determine how parental oral health-related knowledge, attitudes, beliefs, and perceived barriers change over time, among parents of children seen by a co-located dental hygienist.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- — 至 36 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children with the following characteristics will be included in the study:
- •0 - 36 months;
- •Have at least one tooth;
- •Have had one or more visits to a study practice in the prior 18 months.
排除标准
- •Children with the following characteristics will be excluded from the study:
- •No teeth; in essence child has not had any teeth erupt yet;
- •Chronic medical condition affecting oral health or the ability to perform routine preventive dental care, such as cerebral palsy, mental retardation, ectodermal dysplasia, and other genetic syndromes affecting oral health
- •Reports receiving primary health care somewhere else other than at one of the study practices;
- •Parents < 18 years of age.
结局指标
主要结局
New ECC*(presence/absence)
时间窗: At end of study, 24 months
次要结局
- Association of ECC with perceived barriers to accessing a dental provider.(Day 1 of entry into study)
- Changes in parental knowledge, attitude, beliefs and barriers from pre- to post-study(At end of study, 24 months)
- Frequencies of parental knowledge, attitudes, beliefs and barriers (Descriptive variables: scales constructed of 4-point Likert items(Day 1 of entry into study)
- Severity of caries( presence/absence of S-ECC)(At end of study, 24 months)