Trial Outcomes & Findings for Oral Health Training Program for Pediatric Residents (NCT NCT00846066)

NCT ID: NCT00846066

Last Updated: 2015-08-14

Results Overview

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

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

56 participants

Primary outcome timeframe

3 months after Hands-on Training (HOT)

Results posted on

2015-08-14

Participant Flow

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

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).

Participant milestones

Participant milestones
Measure
Web Based Training Only (WBT)
This group received only the web based training prior to randomization(control group)
WBT Plus Hands on Training (HOT)
This group received WBT prior to randomization and additional Hands on Training by a Pediatric Dentist after randomization(intervention group)
Overall Study
STARTED
27
29
Overall Study
COMPLETED
27
29
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Oral Health Training Program for Pediatric Residents

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
WBT Only
n=27 Participants
Control Group Web Based Training only
WBT+HOT
n=29 Participants
Web Based Training plus Hands on Training
Total
n=56 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
27 Participants
n=99 Participants
29 Participants
n=107 Participants
56 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
19 Participants
n=99 Participants
23 Participants
n=107 Participants
42 Participants
n=206 Participants
Sex: Female, Male
Male
8 Participants
n=99 Participants
6 Participants
n=107 Participants
14 Participants
n=206 Participants
Level of Training
First year Residents
12 participants
n=99 Participants
11 participants
n=107 Participants
23 participants
n=206 Participants
Level of Training
Second and Third year Residents
15 participants
n=99 Participants
18 participants
n=107 Participants
33 participants
n=206 Participants

PRIMARY outcome

Timeframe: 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

Outcome measures

Outcome measures
Measure
WBT Only
n=27 Participants
Control Group Web Based Training only
WBT+HOT
n=29 Participants
Web Based Training plus Hands on Training
Mean Percentage of Correct Skills
73 Percentage of correct skills
Standard Deviation 27
87 Percentage of correct skills
Standard Deviation 21

PRIMARY outcome

Timeframe: Baseline and 4 months

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

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%

Outcome measures

Outcome measures
Measure
WBT Only
n=22 Participants
Control Group Web Based Training only
WBT+HOT
n=19 Participants
Web Based Training plus Hands on Training
Percent Change From Baseline in Confidence at 4 Months
14 Percent change.
Standard Deviation .33
19 Percent change.
Standard Deviation .38

PRIMARY outcome

Timeframe: 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%

Outcome measures

Outcome measures
Measure
WBT Only
n=27 Participants
Control Group Web Based Training only
WBT+HOT
n=29 Participants
Web Based Training plus Hands on Training
Percent Change From Baseline in Opinions Regarding Incorporating Oral Health Into a Well Child Visit at 4 Months
-11 Percent change
Standard Deviation .33
-33 Percent change
Standard Deviation .42

PRIMARY outcome

Timeframe: At baseline and 6 months

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

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%

Outcome measures

Outcome measures
Measure
WBT Only
n=19 Participants
Control Group Web Based Training only
WBT+HOT
n=18 Participants
Web Based Training plus Hands on Training
Percent Change From Baseline in Practice of Oral Health Based on Pre and Post Study Chart Audit at 6 Months
26.32 Percent change
Standard Deviation 13.25
36.67 Percent change
Standard Deviation 22.42

Adverse Events

Web Based Training Only (WBT)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

WBT Plus Hands on Training (HOT)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Nasreen Talib MD, MPH.

Childrens Mercy Hospital

Phone: 816-234-3242

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place