Improving Show Rates in Dental Care Settings Serving Underserved Populations
NCT Number: NCT06581250
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Dental Care
Sponsor: University of Wisconsin, Madison
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 40
Study Design: Allocation: RANDOMIZED|Intervention Model: FACTORIAL|Masking: NONE|Primary Purpose: OTHER
Start Date: 2024-11
Completion Date: 2029-05

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

Primary Outcome Measures: Change in proportion of scheduled appointments for which the patient attends, pre-to-post intervention, To test the efficacy of motivation-enhanced communication, reminder messaging, and walk-in visits as compared to treatment as usual For each of the three interventions, the pre-to-post intervention change in show rates.

Show rate is defined as the proportion of scheduled appointments for which the patient attends their scheduled clinic appointment. Appointments cancelled or rescheduled more than 24 hours in advance are not included in the calculation.

Outcome will be measured by data exported from the clinical electronic health records monthly., 6 months pre-intervention to 12 months post-intervention
Secondary Outcome Measures: Organizational Change Manager (OCM) Score, To examine whether Organizational Readiness for Change moderates the efficacy of the targeted evidence-based practices.

Organizational readiness for change will be assessed by a validated 16-item index called the Organizational Change Manager (OCM) For each clinic site, a group of 5 people that includes clinicians, dental hygienists, manager, and scheduler each team member will provide their own OCM responses.

Outcome will be measured by combined responses to Organizational Change Manager survey tool. Total possible ranges of scores will be 0-104, with a higher score indicating increased readiness. The responses to the Organizational Change Manager survey from each clinic staff respondent will be added and an average of those scores will be calculated., Survey will be administered at 3 months|Statistical Comparison of Interventions for Effectiveness Analysis, Evaluate the efficacy of motivation-enhanced communication, reminder messaging, and walk-in visits compared to each other.

Comparative effectiveness analyses: Evaluate the efficacy of motivation-enhanced communication, reminder messaging, and walk-in visits compared to each other For each of the interventions, the difference in the pre-to-post intervention change in show rates in clinics receiving the different interventions Outcomes will be measured by data exported from the clinical electronic health records monthly., 6 months pre-intervention to 12 months post-intervention|Statistical Comparison of Combining Multiple Interventions for Interaction Analysis, Evaluate the synergy of combining multiple interventions. For each pair of interventions, the difference in the pre-to-post intervention change in show rates in clinics receiving both interventions compared to clinics receiving only one of them.

Outcomes will be measured by data exported from the clinical electronic health records monthly., 6 months pre-intervention to 12 months post-intervention