Oral Health Training Program for Pediatric Residents

• Sponsor: Children's Mercy Hospital Kansas City (Other)
• Overall Status: Completed
• CT.gov ID: NCT00846066
• Collaborator: (none)
• Enrollment: 56
• Location: 1
• Arms: 2
• Duration (Months): 20
• Patients Per Site Per Month: 2.8

Study Details

Study Description

Brief Summary

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 or Disease	Intervention/Treatment	Phase
Preventive Oral Health	Other: Hands on training; Other: Web based training	N/A

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.

Study Design

• Study Type: Interventional
• Actual Enrollment: 56 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Single (Participant)
• Official Title: Effective Educational Instruction in Preventive Oral Health: Hands On Training (HOT)Versus Web Based Training (WBT): A Randomized Control Trial
• Study Start Date: Jan 1, 2007
• Actual Primary Completion Date: Sep 1, 2008
• Actual Study Completion Date: Sep 1, 2008

Arms and Interventions

Arm	Intervention/Treatment
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 Names: Active educational training with a pediatric dentist ; Other: Web based training; Web based training alone; Other Names: 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 Names: Educational Web Based Training for all residents

Outcome Measures

Primary Outcome Measures

1. Mean Percentage of Correct Skills [3 months after Hands-on Training (HOT)]

   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

2. Percent Change From Baseline in Confidence at 4 Months [Baseline and 4 months]

   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%

3. Percent Change From Baseline in Opinions Regarding Incorporating Oral Health Into a Well Child Visit at 4 Months [Baseline and 4 months]

   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%

4. Percent Change From Baseline in Practice of Oral Health Based on Pre and Post Study Chart Audit at 6 Months [At baseline and 6 months]

   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%

Eligibility Criteria

Criteria

• Ages Eligible for Study: 22 Years to 50 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

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

Locations

	Site	City	State	Country	Postal Code
1	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 Kansas City

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Nasreen Talib, Pediatrician, Children's Mercy Hospital Kansas City
• ClinicalTrials.gov Identifier: NCT00846066
• Other Study ID Numbers: IRB# 06 10-150E
• First Posted: Feb 18, 2009
• Last Update Posted: Aug 14, 2015
• Last Verified: Jul 1, 2015

• Keywords provided by Nasreen Talib, Pediatrician, 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

Study Results

Participant Flow

Recruitment Details	All Pediatric residents, in the Continuity Clinic Rotation (CCC) at a general pediatric ambulatory clinic, in an urban tertiary care children's hospital, were invited to participate. Residents in any year of training were considered eligible for the study, recruitment took place in January, 2007
Pre-assignment Detail	59 participants were evaluated for the pre-test knowledge, they were next administered the Web Based Training and were then evaluated for the post-test knowledge. 56 participants were then randomized into two groups, 3 were excluded, (2 refused consent and 1 deviated from the protocol).

Arm/Group Title	Web Based Training Only (WBT)	WBT Plus Hands on Training (HOT)
Arm/Group Description	This group received only the web based training prior to randomization(control group)	This group received WBT prior to randomization and additional Hands on Training by a Pediatric Dentist after randomization(intervention group)
Period Title: Overall Study
STARTED	27	29
COMPLETED	27	29
NOT COMPLETED	0	0

Baseline Characteristics

Arm/Group Title	WBT Only	WBT+HOT	Total
Arm/Group Description	Control Group Web Based Training only	Web Based Training plus Hands on Training	Total of all reporting groups
Overall Participants	27	29	56
Age (Count of Participants)
<=18 years	0 0%	0 0%	0 0%
Between 18 and 65 years	27 100%	29 100%	56 100%
>=65 years	0 0%	0 0%	0 0%
Sex: Female, Male (Count of Participants)
Female	19 70.4%	23 79.3%	42 75%
Male	8 29.6%	6 20.7%	14 25%
Level of Training (participants) [Number]
First year Residents	12 44.4%	11 37.9%	23 41.1%
Second and Third year Residents	15 55.6%	18 62.1%	33 58.9%

Outcome Measures

1. Primary Outcome

Title	Mean Percentage of Correct Skills
Description	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
Time Frame	3 months after Hands-on Training (HOT)

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	WBT Only	WBT+HOT
Arm/Group Description	Control Group Web Based Training only	Web Based Training plus Hands on Training
Measure Participants	27	29
Mean (Standard Deviation) [Percentage of correct skills]	73 (27)	87 (21)

2. Primary Outcome

Title	Percent Change From Baseline in Confidence at 4 Months
Description	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%
Time Frame	Baseline and 4 months

Outcome Measure Data

Analysis Population Description

Only completed paired (pre/post intervention) surveys were analyzed

Arm/Group Title	WBT Only	WBT + HOT
Arm/Group Description	Control Group Web Based Training only	Web Based Training plus Hands on Training
Measure Participants	22	19
Mean (Standard Deviation) [Percent change.]	14 (.33)	19 (.38)

3. Primary Outcome

Title	Percent Change From Baseline in Opinions Regarding Incorporating Oral Health Into a Well Child Visit at 4 Months
Description	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%
Time Frame	Baseline and 4 months

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	WBT Only	WBT+HOT
Arm/Group Description	Control Group Web Based Training only	Web Based Training plus Hands on Training
Measure Participants	27	29
Mean (Standard Deviation) [Percent change]	-11 (.33)	-33 (.42)

4. Primary Outcome

Title	Percent Change From Baseline in Practice of Oral Health Based on Pre and Post Study Chart Audit at 6 Months
Description	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%
Time Frame	At baseline and 6 months

Outcome Measure Data

Analysis Population Description

Analysis per protocol. Subjects dropped from analysis because charts not available within the time frame of the study and incomplete data.

Arm/Group Title	WBT Only	WBT+HOT
Arm/Group Description	Control Group Web Based Training only	Web Based Training plus Hands on Training
Measure Participants	19	18
Mean (Standard Deviation) [Percent change]	26.32 (13.25)	36.67 (22.42)

Adverse Events

Adverse Event Reporting Description	Total number of Participants Risk is 0. This is because serious and other non serious adverse events were not collected or assessed. This was an educational intervention
Arm/Group Title	Web Based Training Only (WBT)		WBT Plus Hands on Training (HOT)
Arm/Group Description	This group received only the web based training prior to randomization(control group)		This group received WBT prior to randomization and additional Hands on Training by a Pediatric Dentist after randomization(intervention group)
All Cause Mortality
	Web Based Training Only (WBT)		WBT Plus Hands on Training (HOT)
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	/ (NaN)		/ (NaN)
Serious Adverse Events
	Web Based Training Only (WBT)		WBT Plus Hands on Training (HOT)
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/0 (NaN)		0/0 (NaN)
Other (Not Including Serious) Adverse Events
	Web Based Training Only (WBT)		WBT Plus Hands on Training (HOT)
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/0 (NaN)		0/0 (NaN)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.