A Pilot Project to Facilitate Dental Care and Reduce Barriers For Youth With Disabilities

Boston University50 enrolled

Overview

This randomized clinical trial is an innovative pilot project to determine the acceptance and impact of telehealth visits on youth with intellectual and developmental disabilities (IDD), their caregivers, and dentists. The impact of the telehealth visit will be assessed by: 1) determining if the intervention group was more likely to achieve the set goals and 2) Likert scaled surveys of satisfaction of caregivers and dentists. Qualitative data will be collected to inform improvement on clinical interviews by the dentist.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Intellectual Disability, Variable

Interventions

Pre-Dental Telehealth (PDT)

The PDT will be a scripted telehealth interview 3-7 days before the scheduled dental visit to review medical and dental history, to evaluate the participants' needs for the dental visit, and to set an agreed goal for the dental visit using shared decision making. The goal wlll be one of the following: Goal 1: exam cleaning only, Goal 2: exam and cleaning, Goal 3: exam, radiographs, and cleaning.

Eligibility

Sex: ALLMin age: 12 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Have an appointment for a routine check up at the Pediatric Clinic or Pediatric Health Center at the Boston University Goldman School of Dental Medicine * Diagnosis of Intellectual or developmental disability (IDD) * Have a caregiver who is willing to participate in the study * Have a dental provider who is willing to participate in the study * English speaking Exclusion Criteria: * None

Outcomes

Primary Outcomes

Number of participants who successfully completed the dental visit goal

This will be assessed by reviewing the goal set in the PDT and comparing it to what was done at the dental visit.

Time frame: within 1 week of the dental visit

Secondary Outcomes

Caregiver satisfaction

This outcome will be assessed by analyzing the 10 Likert scale items from a 13-item investigator developed survey. Each off the 10 items is answered with a 5 response Likert scale \[Strongly disagree, Disagree, Neither Disagree nor Agree, Agree, Strongly Agree\].

Time frame: within 1 week of the dental visit

Dentist satisfaction

This outcome will be assessed by analyzing the 10 Likert scale items from a 12-item investigator developed survey. Each off the 10 items is answered with a 5 response Likert scale \[Strongly disagree, Disagree, Neither Disagree nor Agree, Agree, Strongly Agree\].

Time frame: within 1 week of the dental visit

A Pilot Project to Facilitate Dental Care and Reduce Barriers For Youth With Disabilities

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts