protocolSection identificationModule nctId: NCT06310798, orgStudyIdInfo id: Dnr. 2020-04603, briefTitle: Inter-organizational Health Planning for Older Adults: Public Dental Care and Municipal Care, acronym: GAPA, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2025-03-01, primaryCompletionDateStruct date: 2025-05-15, completionDateStruct date: 2026-03-01, studyFirstPostDateStruct date: 2024-03-15, lastUpdatePostDateStruct date: 2024-03-15, sponsorCollaboratorsModule leadSponsor name: Vastra Gotaland Region, class: OTHER_GOV, collaborators name: Göteborg University, collaborators name: Gothia Forum - Center for Clinical Trial, collaborators name: Chalmers University of Technology, descriptionModule briefSummary: Patient participation is key for healthy ageing and essential in health planning and decision-making. Oral health is an important but sometimes neglected part of general health and there is little research on health planning in ordinary home settings where older adults, dental and nursing staff participate. It has been concluded that shared tools, such as common documentation, and working in teams enables person-centered care in ordinary home settings. Therefore, this protocol outlines the design of a randomized controlled trial (RCT) measuring and comparing effect of two models of team based oral health planning with a common tool (digital platform) in ordinary home care settings in Sweden. The overall aim of this project is to evaluate a person-centered inter-professional and inter-organizational model for oral health planning supported by a digital platform to enable healthy ageing.Following ethics approval, a study design was developed guided by the seven action-steps of the knowledge to action framework. In the sixth action-step, older adults within the existing dental care remuneration program in Sweden will serve as a base for the RCT. From there older adults,dental hygienists (DH) and nursing assistants (NA) will be randomized into test and control groups. The test group (n= 12 DH and 12 NA) will participate in a two-day course, where a three-step person-centered oral health model will be taught. Control group will be 12 DH within dental care remuneration program conducting business as usual (with unknown number of NA, due to present guidelines). In total 360 older adults/patients will be asked to participate. Test group and control group will respectively have 180 patients each, as such, each team (DH + NA) have 15 patients. Primary outcomes include diverse oral health aspects - the Revised Oral Assessment Guide and the Geriatric Oral Health Assessment Index. Secondary outcomes include a retrospective record review, a health economic evaluation, Person Centered care Assessment Tool and Oral Hygiene Ability Index. Additionally, qualitative studies from theoretical perspectives of change and learning based on interviews with key stakeholders will be conducted in both test and control group., conditionsModule conditions: Oral Health, conditions: Oral Health Related Quality of Life, conditions: Participation, conditions: Participation, Patient, conditions: Health Planning, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: In pairs, DHs within public dental care organization in the West of Sweden will be randomized into test and control groups. Due to geographical concerns, NAs within the same municipal as the test control DHs will be asked to participate. As such, the test-group will consist of 12 DHs and 12 NAs. They will form teams in pairs, and each team will collaborate with 15 older adults each in home settings, who participate in the oral assessments and health planning. The control group will consist of 12 DHs which will perform oral assessments according to dental care remuneration programme - business as usual. It is not mandatory but recommended for NAs to participate in the oral assessments, therefore the number of participating NAs within control group is unknown. In total 360 oral assessments and health planning will be performed within the RCT., primaryPurpose: PREVENTION, maskingInfo masking: DOUBLE, whoMasked: PARTICIPANT, whoMasked: CARE_PROVIDER, enrollmentInfo count: 360, type: ESTIMATED, armsInterventionsModule interventions name: Inter-professional team test, outcomesModule primaryOutcomes measure: Revised oral assessment guide, primaryOutcomes measure: Revised oral assessment guide, primaryOutcomes measure: Revised oral assessment guide, primaryOutcomes measure: Geriatric oral health assessment index, primaryOutcomes measure: Geriatric oral health assessment index, primaryOutcomes measure: Geriatric oral health assessment index, secondaryOutcomes measure: Sure of myself; understanding information; risk-benefit ration; encouragement-test, secondaryOutcomes measure: Person centered care assessment tool, secondaryOutcomes measure: Person centered care assessment tool, otherOutcomes measure: Retrospective review of records within municipal health care, otherOutcomes measure: Participants experiences of oral health planning in ordinary home settings, otherOutcomes measure: Oral hygiene ability index (OHAI), otherOutcomes measure: Oral hygiene ability index (OHAI), otherOutcomes measure: Health related quality of life instrument, otherOutcomes measure: Health related quality of life instrument, otherOutcomes measure: Health related quality of life instrument, eligibilityModule sex: ALL, minimumAge: 65 Years, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Folktandvården Västra Götaland, city: Göteborg, state: Västra Götalandsregionen, zip: 42139, country: Sweden, contacts name: Jessica Persson Kylén, PhD, role: CONTACT, phone: +46769472654, email: jessica.persson-kylen@hv.se, contacts name: Eva-Karin Bergström, PhD, role: CONTACT, phone: +46733261110, email: eva-karin.bergstrom@vgregion.se, contacts name: Åsa Leonhardt, PhD, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 57.70716, lon: 11.96679, hasResults: False