Oral Health Training Program for Pediatric Residents

Children's Mercy Hospital Kansas City56 enrolled

Overview

The purpose of this study was to compare the effect of the addition of hands on training by a pediatric dentist on the pediatric residents skills, confidence, opinions and practice related to preventive oral health.

Objectives: To compare the addition of Hands on Training (HOT) to Web Based Training (WBT)on residents' skills, confidence, opinions and practice . Methods: Pediatric residents participated in WBT on preventive oral health. Then the WBT subjects were randomly assigned to receive HOT by a dentist, or WBT alone. All subjects were assessed on skills in the performance of an oral exam, by direct observation. Residents' confidence regarding oral health counseling, and their opinions about the importance of the incorporation of oral health into the well child visit, was measured by surveys utilizing a Likert scale. Residents' change in practice was assessed by a retrospective chart audit.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Masking

SINGLE

Enrollment

Conditions

Preventive Oral Health

Interventions

Hands on trainingOTHER

Hands on training by a pediatric dentist on preventive oral health

Web based trainingOTHER

Web based training alone

Eligibility

Sex: ALLMin age: 22 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: Pediatric Residents in the Continuity Care Clinics at Children's Mercy Hospital during the months of January and February 2007 Exclusion Criteria: 1. Residents on leave of absence 2. Residents who have their Continuity Care Clinics off site 3. Residents refusing consent for inclusion of results in study

Locations (1)

Childrens Mercy Hospital

Kansas City, Missouri, United States

Outcomes

Primary Outcomes

Mean Percentage of Correct Skills

Skills were observed by pediatric dentists for each resident utilizing a six item checklist 3 months after the intervention (HOT) was completed.Each correct skill demonstrated was scored as 1 (16.67%) with a maximum of 6 representing 100%.The mean pecentage of correct skills were measured by direct observation by a pediatric dentist among the WBT alone and WBT+HOT groups

Time frame: 3 months after Hands-on Training (HOT)

Percent Change From Baseline in Confidence at 4 Months

Confidence was measured by self-administered surveys regarding knowledge and practice of oral health. The surveys used a 4 point Likert scale (1=not confident, 4=very confident).The mean percent of change in the responses of "very confident" was compared between both groups. The percentage change equals {(mean score at 4 months-mean score at baseline)/ mean score at baseline} \*100%

Time frame: Baseline and 4 months

Percent Change From Baseline in Opinions Regarding Incorporating Oral Health Into a Well Child Visit at 4 Months

Opinions regarding incorporating oral health into a well child visit was measured by self administered surveys. The surveys used a 4 point Likert scale from 1 for (strongly disagree) to 4 for (strongly agree). Mean percentage change in the "agree" and "strongly agree" responses by the residents was compared between both groups. The percentage change equals {(mean score at 4 months-mean score at baseline)/ mean score at baseline} \*100%

Time frame: Baseline and 4 months

Percent Change From Baseline in Practice of Oral Health Based on Pre and Post Study Chart Audit at 6 Months

The mean percent change in the documentation of oral health components at a well child visit. This was done by an audit of a random selection of 5 charts of patients who came in for well child visits, completed by each resident at baseline and at 6 months later.We scored this utilizing a 4 item checklist each correct item was scored as 1 (25%), with a maximum of 4(100%). The percentage change used the following formula {(mean score at 6 months-mean score at baseline)/mean score at baseline}\*100%

Data from ClinicalTrials.gov

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