Evidence map›Paper›PMID 30931720›Full record

Trial reportJDR clinical and translational research2019

Randomized Trial Based on the Common-Sense Model of Self-regulation to Increase Child Dental Visits.

S Nelson, P Milgrom, J M Albert, D Selvaraj, J Cunha-Cruz, S Curtan, T Copeland, M Heima, M Rothen, G Beck and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JDR clinical and translational research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02395120 (Family Intervention With Caregivers of Children With Dental Needs), which is not on this map. Cited by 4 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT02395120 nacompletednot on this map

Family Intervention With Caregivers of Children With Dental Needs

TypeinterventionalSponsorCase Western Reserve UniversityRan2015 to 2017Enrolled1,305ConditionsDental CariesArmsStandard letter, Intervention letter, Reduced intervention letter, DIG, Reduced DIG
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. School dental screening programmes for oral health.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. School dental screening programmes for oral health.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. 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

12 authors.

S NelsonDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
P MilgromDepartment of Oral Health Sciences, University of Washington, Seattle, WA, USA.
J M AlbertDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
D SelvarajDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
J Cunha-CruzDepartment of Oral Health Sciences, University of Washington, Seattle, WA, USA.
S CurtanDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
T CopelandDepartment of Community Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
M HeimaDepartment of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
M RothenDepartment of Oral Health Sciences, University of Washington, Seattle, WA, USA.
G BeckDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
G FerrettiDepartment of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, USA.
C RiedyDepartment of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Family Intervention with Caregivers of Children with Dental NeedsU01DE024167 · NIDCR · CASE WESTERN RESERVE UNIVERSITY · PI NELSON, SUCHITRA S. · 2014 to 2016
$2.0M
NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR002319NCATS NIH HHS UL1 TR002548NIDCR NIH HHS U01 DE024167
6 · The paper itself

Abstract

introductionSchool screening and the note home (pinned to a backpack) informing parents/caregivers that their child needs to see a dentist have not been effective.

objectivesThe Family Access to a Dentist Study (FADS) evaluated the effectiveness of school interventions based on the common-sense model of self-regulation (CSM) among K-4 children needing restorative treatment.

methodsFADS was a multisite double-blind randomized controlled trial with 5 arms. FADS tested a CSM-driven referral letter and dental information guide (DIG) to move caregivers from inaccurate to accurate perceptions of dental caries. Six school districts from Ohio and Washington (14 schools) participated in school years 2015 to 2016 and 2016 to 2017. A total of 611 caregivers were randomized, and 86% (

resultsIn accordance with our primary aims, 5 arms were collapsed into 3: CSM letter and reduced CSM letter (combined), CSM letter + DIG and reduced CSM letter + reduced DIG (combined), and standard letter. Among all sites, 39.7% received restorative care (237 of 597). Combined analysis of sites revealed that the CSM referral letter (with and without the DIG) did not increase dental visits when compared with the standard letter. However, for combined sites (East Cleveland, Ohio; Washington), the CSM + DIG increased dental visits when compared with standard letter in univariate analysis (51.3% vs. 40.9%), indicating 1.6-times increased odds of a dental visit (95% CI, 0.97 to 2.58) after imputation and adjustment for covariates. The CSM + DIG group had 1.9-times increased odds (95% CI, 1.21 to 3.08) of care when compared the CSM letter alone.

conclusionA CSM-driven approach to informing caregivers of the chronic nature of caries with resources in an illustrative manner can increase the benefit of school oral health screening (ClinicalTrials.gov NCT02395120). KNOWLEDGE TRANSFER STATEMENT: A school dental referral (note home) that tells a parent that the child has cavities has not been effective. In this trial, a referral based on the common-sense model of self-regulation increased follow-up care for children with restorative needs.

Indexed as

Dental CariesChildDouble-Blind MethodFamilyHumansOhioWashingtonclinical trialdental cariesillness behaviormodels/psychologicaloral healthself-care

Identifiers

PMID30931720
PMCPMC6749796

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Registered trials

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.