Clinical Trial: Everybody Brush: A Community-wide Toothpaste Distribution Campaign

Study Status: Recruiting
Recruit Status: Unknown status
Study Type: Observational

Official Title: Bending the Oregon Health Plan (OHP) Dentistry Cost Curve in Central Oregon by Reducing the Burden of Oral Disease

Brief Summary: Dental caries (tooth decay) is a disease with significant public health implications afflicting low-income children, with marked rural disparities in disease prevalence and treatment. More than 70% of 11th grade children in Crook, Deschutes and Jefferson counties have experienced tooth decay. Effective approaches to prevent decay include brushing with fluoridated toothpaste and professional dental care. Medicaid enrolled children are legally entitled to dental care under Early Periodic Screening, Diagnosis and Treatment (EPSDT), yet <50% had any care in 2010. Free distribution of toothpaste and toothbrushes combined with parental education can increase toothbrushing frequency and reducing tooth decay. However, many parents are confused about when to start, how much and often toothpaste should be used, and how to overcome behavioral difficulties in brushing toddlers' teeth or getting older children to brush their own. The investigators' objective is to implement and evaluate a community-wide toothpaste distribution campaign enhanced by telephone support for OHP children and adolescents and their families in Central Oregon

Detailed Summary: A community-wide toothpaste distribution campaign enhanced by telephone support. A tooth kit with toothpaste and toothbrushes for the whole family together with oral hygiene instructions in English and Spanish will be mailed every 3 months. Half of the population will be randomly assigned to also receive telephone support (Short message service and one-to-one calls). Families will receive biweekly messages with oral hygiene tips. Bilingual culturally competent staff will be available by telephone to support families in overcoming barriers.
Sponsor: Advantage Dental Services, LLC

Current Primary Outcome: increased twice-a-day toothbrushing Toothbrushing [ Time Frame: 1 year ]

Parent reported toothbrushing frequency for child


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Satisfaction [ Time Frame: 1 year ]
    Dental Satisfaction Questionnaire
  • Cost [ Time Frame: 1 year ]
    Per member per month cost of care


Original Secondary Outcome: Same as current

Information By: Advantage Dental Services, LLC

Dates:
Date Received: December 23, 2014
Date Started: June 2014
Date Completion: July 2016
Last Updated: December 29, 2014
Last Verified: December 2014