Trial Outcomes & Findings for Oral Health Literacy Tailored Communication (NCT NCT01118143)

NCT ID: NCT01118143

Last Updated: 2015-04-16

Results Overview

The gingival index of the individual was obtained by adding the values of each tooth (an average of 4 scores) and dividing by number of teeth examined with the resulting scores as follows 0.1-1.0 = mild inflammation; 1.1-2.0 = moderate inflammation; 2.1-3.0 = severe inflammation. The GI reference is Löe and Silness, 1963.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

179 participants

Primary outcome timeframe

6 months after intervention

Results posted on

2015-04-16

Participant Flow

Participants were recruited from the waiting list at Tromsø University Dental Clinic. The recruitment started in May 2010 after approval from the regional ethical committee. Information letter with consent form was provided.

Enrolled participants: Total excluded n=46 * Not meeting the inclusion criteria (n=11) * Declined to participate (n=35)

Participant milestones

Participant milestones
Measure
Experiment: Communication Adapted to Health Literacy Level
Participants in the experimental group got individualized communication regarding their oral health. The communication was adapted to the measured Health Literacy level of each participant. Health Literacy communication theory was utilized in order to adapt the communication to the participants Health literacy level. Two-way communication with use of models, illustrative pictures and teach-back method was emphasized. Up to 30 minutes was available for this intervention conversation.
Control: Short Standard Information
Participants in the control group got short standard information after the clinical measurement, as usual in general dental clinical practice. E.g. If there was gingival bleeding, participants got a message that their gums were bleeding and that dental floss was recommended.
Overall Study
STARTED
64
69
Overall Study
COMPLETED
62
64
Overall Study
NOT COMPLETED
2
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Experiment: Communication Adapted to Health Literacy Level
Participants in the experimental group got individualized communication regarding their oral health. The communication was adapted to the measured Health Literacy level of each participant. Health Literacy communication theory was utilized in order to adapt the communication to the participants Health literacy level. Two-way communication with use of models, illustrative pictures and teach-back method was emphasized. Up to 30 minutes was available for this intervention conversation.
Control: Short Standard Information
Participants in the control group got short standard information after the clinical measurement, as usual in general dental clinical practice. E.g. If there was gingival bleeding, participants got a message that their gums were bleeding and that dental floss was recommended.
Overall Study
Withdrawal by Subject
2
5

Baseline Characteristics

Oral Health Literacy Tailored Communication

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Individualized Oral Health Instruction
n=64 Participants
Individualized oral health instruction adapted to the patients oral health literacy level
Ordinary Oral Health Instruction
n=69 Participants
Oral health instruction commonly used in general practice
Total
n=133 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Age, Categorical
Between 18 and 65 years
54 Participants
n=39 Participants
63 Participants
n=41 Participants
117 Participants
n=35 Participants
Age, Categorical
>=65 years
10 Participants
n=39 Participants
6 Participants
n=41 Participants
16 Participants
n=35 Participants
Age, Continuous
49.7 years
STANDARD_DEVIATION 15.19 • n=39 Participants
46.4 years
STANDARD_DEVIATION 14.23 • n=41 Participants
47.9 years
STANDARD_DEVIATION 14.73 • n=35 Participants
Sex: Female, Male
Female
39 Participants
n=39 Participants
37 Participants
n=41 Participants
76 Participants
n=35 Participants
Sex: Female, Male
Male
25 Participants
n=39 Participants
32 Participants
n=41 Participants
57 Participants
n=35 Participants
Region of Enrollment
Norway
64 participants
n=39 Participants
69 participants
n=41 Participants
133 participants
n=35 Participants
health literacy level
Inadequate health literacy
15 paticipants
n=39 Participants
24 paticipants
n=41 Participants
39 paticipants
n=35 Participants
health literacy level
Marginal health literacy
36 paticipants
n=39 Participants
25 paticipants
n=41 Participants
61 paticipants
n=35 Participants
health literacy level
Adequate health literacy
13 paticipants
n=39 Participants
20 paticipants
n=41 Participants
33 paticipants
n=35 Participants

PRIMARY outcome

Timeframe: 6 months after intervention

The gingival index of the individual was obtained by adding the values of each tooth (an average of 4 scores) and dividing by number of teeth examined with the resulting scores as follows 0.1-1.0 = mild inflammation; 1.1-2.0 = moderate inflammation; 2.1-3.0 = severe inflammation. The GI reference is Löe and Silness, 1963.

Outcome measures

Outcome measures
Measure
Individualized Oral Health Instruction
n=64 Participants
Individualized oral health instruction adapted to the patients oral health literacy level
Ordinary Oral Health Instruction
n=69 Participants
Oral health instruction commonly used in general practice
Gingival Index
0.7190 units on a scale
Standard Deviation 0.41599
1.1152 units on a scale
Standard Deviation 0.45838

SECONDARY outcome

Timeframe: 6 months after intervention

The plaque index of the individual was obtained by adding the values of each tooth (an average of 4 scores) and dividing by number of teeth examined with the resulting scores as follows 0.1-1.0 = low accumulation of plaque; 1.1-2.0 = Moderate accumulation of plaque; 2.1-3.0 = high accumulation of plaque. The Plaque index reference is Silness and Löe, 1964.

Outcome measures

Outcome measures
Measure
Individualized Oral Health Instruction
n=64 Participants
Individualized oral health instruction adapted to the patients oral health literacy level
Ordinary Oral Health Instruction
n=69 Participants
Oral health instruction commonly used in general practice
Plaque Index
0.0805 units on a scale
Standard Deviation 0.12958
0.3386 units on a scale
Standard Deviation 0.34694

Adverse Events

Individualized Oral Health Instruction

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

Control

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

Professor Jan Bergdahl

University of Tromsø

Phone: +4777649122

Results disclosure agreements

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