Development and Evaluation of a Medical Intervention for Early Childhood Caries
Summary
This study aimed to evaluate the effect of three forms of continuing medical education (CME) on provision of preventive dental services to Medicaid-enrolled children by medical personnel in primary care physician offices.
Description
Practice-based, randomized controlled trial. Setting: 1,400 pediatric and family physician practices in North Carolina providing care to an estimated 240,000 Medicaid-eligible children aged 0-3 years. Interventions: Group A practices (n=39) received didactic training and course materials in oral health screening, referral, counseling and application of fluoride varnish. Group B practices (n=41) received the same as Group A and were offered weekly conference calls providing advice and support. Group C practices (n=41) received the same as Group B and were offered in-office visit providing hands-on advice and support. Outcome measures were computed from reimbursement claims submitted to NC Division of Medical Assistance. Primary outcome measure: rate of preventive dental services provision per 100 well-child visits. Secondary outcome measure: % of practices providing 20 or more preventive dental visits.
Study Design
Allocation: Randomized, Control: Dose Comparison, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Conditions
Early Childhood Dental Caries
Intervention
Continuing medical education
Location
UNC-CH, School of Public Health
Chapel Hill
North Carolina
United States
27955
Status
Completed
Source
University of North Carolina, Chapel Hill
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT00464009
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
Education, Dental, Continuing
Educational programs designed to inform dentists of recent advances in their fields.
Dental Caries Susceptibility
The predisposition to tooth decay (DENTAL CARIES).
Education, Medical, Continuing
Educational programs designed to inform physicians of recent advances in their field.
Education, Medical, Undergraduate
The period of medical education in a medical school. In the United States it follows the baccalaureate degree and precedes the granting of the M.D.
Education, Dental
Use for articles concerning dental education in general.
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