Evidence map›Paper›PMID 26500170›Full record

Trial reportContemporary clinical trials2015

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

Suchitra Nelson, Christine Riedy, Jeffrey M Albert, Wonik Lee, Mary Beth Slusar, Shelley Curtan, Gerald Ferretti, Joana Cunha-Cruz, Peter Milgrom

Open access · greenAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. School dental screening programmes for oral health.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. School dental screening programmes for oral health.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Validity of Measures Assessing Oral Health Beliefs of American Indian Parents.Journal of racial and ethnic health disparities · 2018
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Suchitra NelsonDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, USA. Electronic address: sxn15@case.edu.
Christine RiedyDepartment of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Harvard University, Boston, MA, USA.
Jeffrey M AlbertDepartment of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, USA.
Wonik LeeDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, USA.
Mary Beth SlusarDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, USA.
Shelley CurtanDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, USA.
Gerald FerrettiDepartment of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, USA.
Joana Cunha-CruzDepartment of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, USA.
Peter MilgromDepartment of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, USA.
Case Western Reserve University · USSeattle University · USHarvard University · US

Funding

Family Intervention with Caregivers of Children with Dental NeedsU01DE024167 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI NELSON, SUCHITRA S. · 2014 to 2016
$2.0M
NIDCR NIH HHS U01 DE024167NIDCR NIH HHS U01 DE024167-01
6 · The paper itself

Abstract

introductionMany 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.

methodsA 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.

conclusionThis 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.

Indexed as

FamilyHealth Knowledge, Attitudes, PracticeReferral and ConsultationCaregiversChildDental CareDental CariesDouble-Blind MethodHumansModels, PsychologicalOral HealthPerceptionPovertyUrban PopulationCaregiverChildrenDental careIllness perceptionReferral

Identifiers

PMID26500170
PMCPMC4674313
OpenAlexW2192091763

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.