Preventing Caries in Preschoolers: Testing a Unique Service Delivery Model in American Indian Head Start Programs

2014-08-27 03:13:58 | BioPortfolio


An intensive intervention of specially trained paraprofessionals, called community oral health specialists (COHS), administering on a quarterly basis for 2 years fluoride varnish and oral health promotion education, compared to usual care, will reduce decayed, missing, and filled tooth surface measures at 2 years in American Indian Head Start Programs.


The study design will be a clustered randomized design. Fifty-two head start centers in a Southwest American Indian Reservation will be randomized, 26 to the intervention program and 26 to usual care. The intervention will be comprised of specially trained paraprofessionals, called community oral health specialists (COHS), administering fluoride varnish and oral health promotion education quarterly for 2 years. Baseline and annual measures of decayed, missing, and filled tooth surfaces (dmfs)of the children, and surveys of their caregivers' dental knowledge, attitudes, and behaviors will be completed. The study will be a 5-year study, with 2 years for intake/accrual, and 3 years of follow-up.

Study Design

Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention


Early Childhood Dental Caries


Fluoride varnish, Oral health education, Dental services delivered by the Indian Health Service.


Not yet recruiting


University of Colorado, Denver

Results (where available)

View Results


Published on BioPortfolio: 2014-08-27T03:13:58-0400

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