Clinical trial NCT06581250: Improving Show Rates in Dental Care Settings Serving Underserved Populations
Official title: No-Show Prevention Practices in Dental Care Settings Serving Underserved Populations
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Dental Care
Keywords: Patients That Don't Attend Appointments
Dental Patients
No-Show
Underserved
Lead sponsor: University of Wisconsin, Madison
Sponsor class: OTHER
Collaborators: name: National Institute of Dental and Craniofacial Research (NIDCR)
First posted: 2024-09-03
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Intervention model description: The study uses a 2x2x2 factorial cluster-randomized design The unit of intervention and randomization will be dental clinic sites (clusters). Forty clinics will be randomized between eight possible combinations of receiving or not receiving the three study interventions. The factorial structure of the design ensures that 20 clinic sites receive each intervention, and 20 do not. Five clinic sites will receive none of the interventions, five clinics will receive all three interventions, and 30 clinic sites will receive a different combination of 2 of the 3 interventions.
Primary purpose: OTHER

Brief summary: The goal of this study is to compare different no-show interventions in dental clinics serving underserved populations. The main question it seeks to answer is

* How do different no-show intervention methods compare in reducing no-shows?

Participants will be asked to

* Implement different interventions
* Report a limited set of data to researchers

Detailed description: Persistent no-show rates contribute to the oral health disparities and inadequate access to dental care that disproportionately affect underserved populations. The proposed research will test the impact of three different strategies on improving show rates using a full factorial design. Specifically, the study is designed as a 2×2×2 factorial cluster-randomized trial of reminder messaging, motivation-enhanced communication, and walk-in visit. The unit of intervention and randomization will be dental clinic sites (clusters). Forty clinics will be randomized between eight possible combinations of receiving or not receiving the three study interventions, with five clinics receiving each intervention. Findings from this study seek to provide an evidence-based approach to reducing no-shows and increasing access to dental care for underserved populations.

Eligibility criteria: Inclusion Criteria:

Sites must be:

* Serve at least a 51 percent self-pay and Medicaid patients
* Be willing to provide limited data sets of clinic data to the research team
* Be willing to undertake and support and organizational improvement project to improve show rates

Staff must be:

* A paid staff member at a participating clinic
* Be able and willing to provide written or verbal consent

Exclusion Criteria:

* No exclusion criteria for clinics or staff

Primary outcomes:
measure: Change in proportion of scheduled appointments for which the patient attends, pre-to-post intervention
timeFrame: 6 months pre-intervention to 12 months post-intervention
Secondary outcomes:
measure: Organizational Change Manager (OCM) Score
timeFrame: Survey will be administered at 3 months
measure: Statistical Comparison of Interventions for Effectiveness Analysis
timeFrame: 6 months pre-intervention to 12 months post-intervention
measure: Statistical Comparison of Combining Multiple Interventions for Interaction Analysis
timeFrame: 6 months pre-intervention to 12 months post-intervention
Other outcomes:
Locations:
city: Madison
country: United States
facility: University of Wisconsin - Madison
state: Wisconsin
Study officials:
affiliation: University of Wisconsin, Madison
name: Todd Molfenter, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Marquette University
name: Chris Okunseri, BDS, MSc, MLS, DDPHRCSE
role: PRINCIPAL_INVESTIGATOR
References: