Clinical trial NCT00464009: Development and Evaluation of a Medical Intervention for Early Childhood Caries
Official title: Development and Evaluation of a Medical Intervention for Early Childhood Caries
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Early Childhood Dental Caries
Keywords: Early childhood caries - ECC
Prevention
Continuing medical education
Randomized controlled trial
Lead sponsor: University of North Carolina, Chapel Hill
Sponsor class: OTHER
First posted: 2007-04-20
Enrollment: 120
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: HEALTH_SERVICES_RESEARCH

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.

Eligibility criteria: Inclusion Criteria:

* pediatric or family physician Medicaid practice in North Carolina

Exclusion Criteria:

* participation in related pilot study

Primary outcomes:
measure: Rate of preventive dental services provision per 100 well-child visits.
timeFrame: One year following initial training.
Secondary outcomes:
measure: Percent of practices providing 20 or more preventive dental visits.
timeFrame: One year following initial training.
Other outcomes:
Locations:
city: Chapel Hill
country: United States
facility: UNC-CH, School of Public Health
state: North Carolina
Study officials:
affiliation: UNC-CH, School of Public Health, Department of Health Policy and Administration
name: Richard G Rozier, DDS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Quinonez RB, Pahel BT, Rozier RG, Stearns SC. Follow-up preventive dental visits for Medicaid-enrolled children in the medical office. J Public Health Dent. 2008 Summer;68(3):131-8. doi: 10.1111/j.1752-7325.2007.00055.x.
citation: Rozier RG, Sutton BK, Bawden JW, Haupt K, Slade GD, King RS. Prevention of early childhood caries in North Carolina medical practices: implications for research and practice. J Dent Educ. 2003 Aug;67(8):876-85.
citation: Slade GD, Rozier RG, Zeldin LP, Margolis PA. Training pediatric health care providers in prevention of dental decay: results from a randomized controlled trial. BMC Health Serv Res. 2007 Nov 2;7:176. doi: 10.1186/1472-6963-7-176.
citation: Rozier RG, Slade GD, Zeldin LP, Wang H. Parents' satisfaction with preventive dental care for young children provided by nondental primary care providers. Pediatr Dent. 2005 Jul-Aug;27(4):313-22.