Evidence map›Paper›PMID 28479221›Full record

Trial reportContemporary clinical trials2017

Do baby teeth really matter? Changing parental perception and increasing dental care utilization for young children.

Suchitra Nelson, Mary Beth Slusar, Jeffrey M Albert, Christine A Riedy

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
22.8field-weighted citation impact, top 1% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

Suchitra NelsonCase Western Reserve University School of Dental Medicine, Department of Community Dentistry, 10900 Euclid Ave., Cleveland, OH 44106-4905, USA. Electronic address: sxn15@case.edu.
Mary Beth SlusarCase Western Reserve University School of Dental Medicine, Department of Community Dentistry, 10900 Euclid Ave., Cleveland, OH 44106-4905, USA. Electronic address: marybeth.slusar@case.edu.
Jeffrey M AlbertCase Western Reserve University School of Medicine, Department of Epidemiology and Biostatistics, 10900 Euclid Ave., Cleveland, OH 44106-4945, USA. Electronic address: jma13@case.edu.
Christine A RiedyHarvard School of Dental Medicine, 188 Longwood Ave., Boston, MA 02115, USA. Electronic address: Christine_Riedy@hsdm.harvard.edu.
Case Western Reserve University · USHarvard University · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Family Intervention with Caregivers of Children with Dental NeedsU01DE024167 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI NELSON, SUCHITRA S. · 2014 to 2016
$2.0M
Multi-Level Interventions to Reduce Caries Disparities in Primary Care SettingsUH2DE025487 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI NELSON, SUCHITRA S. · 2015 to 2016
$1.2M
NCATS NIH HHS UL1 TR000439NIDCR NIH HHS U01 DE024167NIDCR NIH HHS UH2 DE025487
6 · The paper itself

Abstract

introductionParent/caregivers' inability to recognize the importance of baby teeth has been associated with inadequate self-management of children's oral health (i.e. lower likelihood of preventive dental visits) which may result in dental caries and the need for more expensive caries-related restorative treatment under general anesthesia. Health behavior theories aid researchers in understanding the impact and effectiveness of interventions on changing health behaviors and health outcomes. One example is the Common-Sense Model of Self-Regulation (CSM) which focuses on understanding an individual's illness perception (i.e. illness and treatment representations), and subsequently has been used to develop behavioral interventions to change inaccurate perceptions and describe the processes involved in behavior change.

methodsWe present two examples of randomized clinical trials that are currently testing oral health behavioral interventions to change parental illness perception and increase dental utilization for young children disproportionately impacted by dental caries in elementary schools and pediatric primary care settings. Additionally, we compared empiric data regarding parent/caregiver perception of the chronic nature of dental caries (captured by the illness perception questionnaire revised for dental: IPQ-RD constructs: identity, consequences, control, timeline, illness coherence, emotional representations) between parent/caregivers who did and did not believe baby teeth were important.

resultsCaregivers who believed that baby teeth don't matter had significantly (P<0.05) less accurate perception in the majority of the IPQ-RD constructs (except timeline construct) compared to caregivers who believed baby teeth do matter.

conclusionThese findings support our CSM-based behavioral interventions to modify caregiver caries perception, and improve dental utilization for young children.

Indexed as

CaregiversDental Care for ChildrenDental CariesParentsTooth, DeciduousAdultChildFemaleHealth BehaviorHumansMaleOral HealthPreventive Health ServicesSocial PerceptionBaby teethChildrenDental careDental cariesIllness perceptionParents

Identifiers

PMID28479221
PMCPMC5514377
OpenAlexW2611726483

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.