Oral Health Training Program for Pediatric Residents

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Nasreen Talib, Children's Mercy Hospital Kansas City
ClinicalTrials.gov Identifier:
NCT00846066
First received: February 13, 2009
Last updated: July 27, 2015
Last verified: July 2015
  Purpose

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.


Condition Intervention
Preventive Oral Health
Other: Hands on training
Other: Web based training

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Official Title: Effective Educational Instruction in Preventive Oral Health: Hands On Training (HOT)Versus Web Based Training (WBT): A Randomized Control Trial

Resource links provided by NLM:


Further study details as provided by Children's Mercy Hospital Kansas City:

Primary Outcome Measures:
  • Mean Percentage of Correct Skills [ Time Frame: 3 months after Hands-on Training (HOT) ] [ Designated as safety issue: No ]
    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

  • Percent Change From Baseline in Confidence at 4 Months [ Time Frame: Baseline and 4 months ] [ Designated as safety issue: No ]
    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%

  • Percent Change From Baseline in Opinions Regarding Incorporating Oral Health Into a Well Child Visit at 4 Months [ Time Frame: Baseline and 4 months ] [ Designated as safety issue: No ]
    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%

  • Percent Change From Baseline in Practice of Oral Health Based on Pre and Post Study Chart Audit at 6 Months [ Time Frame: At baseline and 6 months ] [ Designated as safety issue: No ]
    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%


Enrollment: 56
Study Start Date: January 2007
Study Completion Date: September 2008
Primary Completion Date: September 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Hands on Training
Hands on Training by a pediatric dentist
Other: Hands on training
Hands on training by a pediatric dentist on preventive oral health
Other Name: Active educational training with a pediatric dentist
Other: Web based training
Web based training alone
Other Name: Educational Web Based Training for all residents
Active Comparator: Web Based Training
Web Based Training for all residents before randomization
Other: Web based training
Web based training alone
Other Name: Educational Web Based Training for all residents

Detailed Description:

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.

  Eligibility

Ages Eligible for Study:   22 Years to 50 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

Pediatric Residents in the Continuity Care Clinics at Children's Mercy Hospital during the months of January and February 2007

Exclusion Criteria:

  1. Residents on leave of absence
  2. Residents who have their Continuity Care Clinics off site
  3. Residents refusing consent for inclusion of results in study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00846066

Locations
United States, Missouri
Childrens Mercy Hospital
Kansas City, Missouri, United States, 64108
Sponsors and Collaborators
Children's Mercy Hospital Kansas City
Investigators
Principal Investigator: Nasreen J Talib, MD,MPH Children's Mercy Hospital
  More Information

No publications provided

Responsible Party: Nasreen Talib, Pediatrician, Children's Mercy Hospital Kansas City
ClinicalTrials.gov Identifier: NCT00846066     History of Changes
Other Study ID Numbers: IRB# 06 10-150E
Study First Received: February 13, 2009
Results First Received: February 19, 2009
Last Updated: July 27, 2015
Health Authority: United States: Institutional Review Board

Keywords provided by Children's Mercy Hospital Kansas City:
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

ClinicalTrials.gov processed this record on August 27, 2015