Family Access to a Dentist Study (FADS): A multi-center randomized controlled trial.


INTRODUCTION:Many low-income parent/caregivers do not understand the importance of cavity-free primary (baby) teeth and the chronic nature of dental caries (tooth decay). As a consequence, dental preventive and treatment utilization is low even when children are screened in schools and referred for care. This study aims to test a referral letter and Dental Information Guide (DIG) designed using the Common-Sense Model of Self-Regulation (CSM) framework to improve caregivers' illness perception of dental caries and increase utilization of care by children with restorative dental needs. METHODS:A multi-site randomized controlled trial with caregivers of Kindergarten to 4th grade children in urban Ohio and rural Washington State will compare five arms: (1) CSM referral letter alone; (2) CSM referral letter+DIG; (3) reduced CSM referral letter alone; (4) reduced CSM referral letter+DIG; and (5) standard (control) referral. At baseline, children will be screened at school to determine restorative dental needs. If in need of treatment, caregivers will be randomized to study arms and an intervention packet will be sent home. The primary outcome will be dental care based on a change in oral health status by clinical examination 7 months post-screening (ICDAS sealant codes 1 and 2; restoration codes 3-8; extraction). Enrollment commenced summer 2015 with results in summer 2016. CONCLUSION:This study uses the CSM framework to develop and test behavioral interventions to increase dental utilization among low-income caregivers. If effective this simple intervention has broad applicability in clinical and community-based settings.


Contemp Clin Trials


Nelson S,Riedy C,Albert JM,Lee W,Slusar MB,Curtan S,Ferretti G,Cunha-Cruz J,Milgrom P




Has Abstract


2015-11-01 00:00:00




Pt B










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    pub_type: 杂志文章


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    更新日期:2015-07-01 00:00:00

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    journal_title:Contemporary clinical trials

    pub_type: 杂志文章,随机对照试验


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    journal_title:Contemporary clinical trials

    pub_type: 杂志文章


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    journal_title:Contemporary clinical trials

    pub_type: 杂志文章,随机对照试验


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    更新日期:2013-03-01 00:00:00

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    journal_title:Contemporary clinical trials

    pub_type: 杂志文章


    authors: Espel-Huynh HM,Wing RR,Goldstein CM,Thomas JG

    更新日期:2019-07-01 00:00:00

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    journal_title:Contemporary clinical trials

    pub_type: 杂志文章,随机对照试验


    authors: Richey PA,Klesges RC,Talcott GW,Debon M,Womack C,Thomas F,Hryshko-Mullen A

    更新日期:2012-09-01 00:00:00