Oral Health Training Program for Pediatric Residents

Study Overview
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Brief Summary
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The purpose of this study was to compare the effect of the addition of hands on training by a pediatric dentist on the pediatric residents skills, confidence, opinions and practice related to preventive oral health.

Detailed Description
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Objectives: To compare the addition of Hands on Training (HOT) to Web Based Training (WBT)on residents' skills, confidence, opinions and practice . Methods: Pediatric residents participated in WBT on preventive oral health. Then the WBT subjects were randomly assigned to receive HOT by a dentist, or WBT alone. All subjects were assessed on skills in the performance of an oral exam, by direct observation. Residents' confidence regarding oral health counseling, and their opinions about the importance of the incorporation of oral health into the well child visit, was measured by surveys utilizing a Likert scale. Residents' change in practice was assessed by a retrospective chart audit.

Official Title
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Effective Educational Instruction in Preventive Oral Health: Hands On Training (HOT)Versus Web Based Training (WBT): A Randomized Control Trial

Conditions
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Preventive Oral Health

Intervention / Treatment
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* Other: Hands on training
* Other: Web based training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pediatric Residents in the Continuity Care Clinics at Children's Mercy Hospital during the months of January and February 2007 Exclusion Criteria: Residents on leave of absence Residents who have their Continuity Care Clinics off site Residents refusing consent for inclusion of results in study

Ages Eligible for Study
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Minimum Age: 22 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hands on Training<br>Hands on Training by a pediatric dentist | Other: Hands on training<br>* Hands on training by a pediatric dentist on preventive oral health<br>* Other names: Active educational training with a pediatric dentist;Other: Web based training<br>* Web based training alone<br>* Other names: Educational Web Based Training for all residents;|
| Active Comparator: Web Based Training<br>Web Based Training for all residents before randomization | Other: Web based training<br>* Web based training alone<br>* Other names: Educational Web Based Training for all residents;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mean Percentage of Correct Skills | Skills were observed by pediatric dentists for each resident utilizing a six item checklist 3 months after the intervention (HOT) was completed.Each correct skill demonstrated was scored as 1 (16.67%) with a maximum of 6 representing 100%.The mean pecentage of correct skills were measured by direct observation by a pediatric dentist among the WBT alone and WBT+HOT groups | 3 months after Hands-on Training (HOT) | 
| Percent Change From Baseline in Confidence at 4 Months | Confidence was measured by self-administered surveys regarding knowledge and practice of oral health. The surveys used a 4 point Likert scale (1=not confident, 4=very confident).The mean percent of change in the responses of very confident was compared between both groups. The percentage change equals {(mean score at 4 months-mean score at baseline)/ mean score at baseline} *100% | Baseline and 4 months | 
| Percent Change From Baseline in Opinions Regarding Incorporating Oral Health Into a Well Child Visit at 4 Months | Opinions regarding incorporating oral health into a well child visit was measured by self administered surveys. The surveys used a 4 point Likert scale from 1 for (strongly disagree) to 4 for (strongly agree). Mean percentage change in the agree and strongly agree responses by the residents was compared between both groups. The percentage change equals {(mean score at 4 months-mean score at baseline)/ mean score at baseline} *100% | Baseline and 4 months | 
| Percent Change From Baseline in Practice of Oral Health Based on Pre and Post Study Chart Audit at 6 Months | The mean percent change in the documentation of oral health components at a well child visit. This was done by an audit of a random selection of 5 charts of patients who came in for well child visits, completed by each resident at baseline and at 6 months later.We scored this utilizing a 4 item checklist each correct item was scored as 1 (25%), with a maximum of 4(100%). The percentage change used the following formula {(mean score at 6 months-mean score at baseline)/mean score at baseline}*100% | At baseline and 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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educational research,, instructional methods,, Hands on training,, Web based training,, pediatric residents, preventive oral health,, dental caries,, Instructional strategies in Preventive Oral health, Web-based training on Preventive Oral Health, Hands on Training on Preventive Oral Health