Implementation and Evaluation of Bright Futures Curriculum Within CORNET Continuity Practice - Full Text View

Purpose

The purpose of "Bright Futures" is to promote and improve infant, child, and adolescent health within the context of family and community. CORNET (COntinuity Research NETwork of the Ambulatory Pediatric Association) is a national practice-based research network of resident continuity practices, whose mission is to establish a self-sustaining collaborative research network among pediatric continuing clinic clinicians who will produce quality research in primary care, health care delivery, and education.

Condition	Intervention
Dental Health Iron Deficiency	Behavioral: Education


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention
Official Title:	Implementation and Evaluation of Bright Futures Curriculum Within CORNET Continuity Practice

Resource links provided by NLM:

MedlinePlus related topics: Dental Health Iron

U.S. FDA Resources

Further study details as provided by Christiana Care Health Services:

Primary Outcome Measures:

Residents will receive the direct benefit of exposure to a new curriculum and feedback on performance by their preceptor. Parents will benefit from greater access to their primary care providers. [ Time Frame: 6 months ] [ Designated as safety issue: No ]


Enrollment:	10
Study Start Date:	January 2008
Study Completion Date:	May 2010
Primary Completion Date:	May 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: 1 Residents randomized to the promotion of oral health group will receive training consisting of 7 modules (3 on the Bright Futures curriculum and 4 on oral health promotion). They will then enroll 3 patient-child dyads from their practice who present for a well child care visit. Outcomes will be obtained by completing pre- and post-study surveys. Residents will be observed by a faculty preceptor during 3 different patient encounters, and will receive feedback at the end of the 6 month study period.	Behavioral: Education One group of residents will receive extensive web-based training in the promotion of oral health. The second group of residents will complete a single training module in the prevention of iron deficiency. The third arm consists of parent-child dyads, who will participate in one well-child care visit.
Active Comparator: 2 Residents randomized to the prevention of iron deficiency group will complete one web-based module.	Behavioral: Education One group of residents will receive extensive web-based training in the promotion of oral health. The second group of residents will complete a single training module in the prevention of iron deficiency. The third arm consists of parent-child dyads, who will participate in one well-child care visit.

Arms

Assigned Interventions

Active Comparator: 1

Residents randomized to the promotion of oral health group will receive training consisting of 7 modules (3 on the Bright Futures curriculum and 4 on oral health promotion). They will then enroll 3 patient-child dyads from their practice who present for a well child care visit. Outcomes will be obtained by completing pre- and post-study surveys. Residents will be observed by a faculty preceptor during 3 different patient encounters, and will receive feedback at the end of the 6 month study period.

Behavioral: Education

One group of residents will receive extensive web-based training in the promotion of oral health. The second group of residents will complete a single training module in the prevention of iron deficiency. The third arm consists of parent-child dyads, who will participate in one well-child care visit.

Active Comparator: 2

Residents randomized to the prevention of iron deficiency group will complete one web-based module.

Behavioral: Education

One group of residents will receive extensive web-based training in the promotion of oral health. The second group of residents will complete a single training module in the prevention of iron deficiency. The third arm consists of parent-child dyads, who will participate in one well-child care visit.

Detailed Description:

"Bright Futures" offers a child and family-centered approach to health promotion in incorporating partnership and communication skills of providers. Two areas of importance are promotion of oral health and prevention of iron deficiency. Residents will be randomized to one of these two groups and will receive web-based education about that particular topic. Residents randomized to group 1 will receive training consisting of 7 modules: 3 on the Bright Futures concepts and 4 on oral health promotion. They will be trained in performing an oral health assessment, identifying caries, and encouraged to establish a dental home for patients. They must communicate with at least one dental practice in the community to determine barriers to care, issues regarding insurance, potential solutions to improve referral, and access to dental care. Residents in group 2 will complete a single educational module on the identification and prevention of iron deficiency. They will be trained to identify iron deficiency and iron deficiency anemia, understand risk prevention strategies, improved methods of identification, and treatment.

Each resident will recruit 3 patients, children between the ages of 12-35 months, for whom he/she is the primary care provider. Each parent-child dyad will participate in one well-child care visit. Each visit will be observed by a faculty preceptor.

This study design was chosen to compare a more sophisticated and time-intensive curriculum to a more modest one. By having a curriculum with minimal overlap between the two groups, the investigators hope to examine the knowledge obtained by the residents, which health promotion aspects they address during their encounters, and to compare the establishment of a dental home in the two groups of patients.

Eligibility


Ages Eligible for Study:	12 Months to 35 Months (Child)
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Children ages 12-35 months

Exclusion Criteria:

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: NCT00658489

Sponsors and Collaborators

Christiana Care Health Services

HRSA/Maternal and Child Health Bureau

Investigators


Principal Investigator:	Shirley Klein, MD	Christiana Care Health Services

More Information


Responsible Party:	Christiana Care Health Services
ClinicalTrials.gov Identifier:	NCT00658489 History of Changes
Other Study ID Numbers:	27092 DDD#504887
Study First Received:	April 11, 2008
Last Updated:	November 9, 2011
Health Authority:	United States: Institutional Review Board

Additional relevant MeSH terms:


Anemia, Iron-Deficiency Anemia, Hypochromic Anemia	Hematologic Diseases Iron Metabolism Disorders Metabolic Diseases

ClinicalTrials.gov processed this record on September 23, 2016