Oral Health Promotion Strategy for Persons With Intellectual/Developmental Disabilities

NCT ID: NCT03834064

Last Updated: 2023-10-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

412 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-01

Study Completion Date

2021-11-30

Brief Summary

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A Phase II cluster randomized controlled trial of the (OHPROM) strategy/intervention will be conducted in partnership with several organizations that provide residential services for persons with intellectual developmental disabilities (IDD) in north central Kentucky and southern Indiana. The investigators have identified a purposive sample of group homes, caregivers, and persons with IDD and have the support of these organizations.

Detailed Description

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The proposed intervention is comprised of four components : (a) planned action including a behavioral contract Activity 1) with caregivers and action planning for oral health (Activity 2), (b) caregiver capacity building with didactic training (Activity 3), observational learning and caregiver practice (Activity 4); (c) environmental adaptations with location of oral health activities and reminder posters - physical environment (Activity 5) and administrative oral health support- (social environment (Activity 6); and (d) reinforcement with caregiver coaching (Activity 7).

Conditions

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Oral Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

The primary objective of this study is to assess the direct effect of the OHPROM strategy on oral health status of persons with IDD at post intervention \[4-month\] and sustained \[12-month\] in comparison to the control group
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The dentist assessing the oral health status of the intervention and control participants will be masked to participant group assignment.

Study Groups

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Intervention

Homes where participants with intellectual/developmental disabilities reside will be randomly assigned to the intervention arm. Caregivers working in that home will receive the oral health promotion strategy/intervention over the course of a year.

Group Type EXPERIMENTAL

Oral health promotion strategy

Intervention Type BEHAVIORAL

The proposed intervention is comprised of four components : (a) planned action including a behavioral contract Activity 1) with caregivers and action planning for oral health (Activity 2), (b) caregiver capacity building with didactic training (Activity 3), observational learning and caregiver practice (Activity 4); (c) environmental adaptations with location of oral health activities and reminder posters - physical environment (Activity 5) and administrative oral health support- (social environment (Activity 6); and (d) reinforcement with caregiver coaching (Activity 7).

Control

Homes where participants with intellectual/developmental disabilities reside will be randomly assigned to the control arm. Caregivers in that home will not receive the oral health promotion strategy/intervention over the course of a year but will be offered a compressed intervention after a year.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Oral health promotion strategy

The proposed intervention is comprised of four components : (a) planned action including a behavioral contract Activity 1) with caregivers and action planning for oral health (Activity 2), (b) caregiver capacity building with didactic training (Activity 3), observational learning and caregiver practice (Activity 4); (c) environmental adaptations with location of oral health activities and reminder posters - physical environment (Activity 5) and administrative oral health support- (social environment (Activity 6); and (d) reinforcement with caregiver coaching (Activity 7).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Persons with IDD: To be eligible to participate in this study, an individual must meet all of the following criteria:

* Be a resident in a group or family home associated with one of the six partner organizations participating in this study
* Provide signed and dated informed consent form, to be signed by self or a legally authorized representative (LAR), if one has been appointed
* Be willing and able to comply with all study procedures and expect to be available for the duration of the study
* Be aged 18 to 75
* Have at least six teeth
* Have diagnosis of mild, moderate, severe, or profound intellectual and/or developmental disability

Caregiver staff: To be eligible to participate in this study, caregiver staff must meet all of the following criteria:

* Work as a direct care staff member in a group/family home
* Provide signed and dated informed consent form
* Be willing to comply with all study procedures and be available for the duration of the study
* Be aged 18 to 75

Exclusion Criteria

* Persons with IDD: Will be excluded (screen failure) if they are unable to cooperate or refuse the oral examination.
* Caregivers: There are no exclusions.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Dental and Craniofacial Research (NIDCR)

NIH

Sponsor Role collaborator

University of Louisville

OTHER

Sponsor Role lead

Responsible Party

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Himabindu Dukka

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Louisville

Louisville, Kentucky, United States

Site Status

Countries

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United States

Other Identifiers

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U01DE025833

Identifier Type: NIH

Identifier Source: secondary_id

View Link

16020E

Identifier Type: -

Identifier Source: org_study_id

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