Evidence map›Paper›PMID 37553996›Full record

ArticleJDR clinical and translational research2024

Behavioral Outcomes of a Pragmatic Early Childhood Caries Management Trial.

C L Lumsden, B L Edelstein, C S Leu, J Zhang, J Levine, H Andrews

Open access · greenAbstract read
In one paragraph

Article in JDR clinical and translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Observational
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

6 authors at 2 institutions in 1 country.

C L LumsdenColumbia University Irving Medical Center, Columbia University College of Dental Medicine, Section of Oral, Diagnostic, and Rehabilitation Sciences, New York, NY, USA.ORCID 0000-0002-4687-4526
B L EdelsteinColumbia University Irving Medical Center, Columbia University College of Dental Medicine, and Mailman School of Public Health, Department of Health Policy and Management, New York, NY, USA.
C S LeuTeachers College Columbia University, Department of Human Development, New York, NY, USA.
J ZhangTeachers College Columbia University, Department of Human Development, New York, NY, USA.
J LevineColumbia University College of Dental Medicine, Section of Oral, Diagnostic, and Rehabilitation Sciences, New York, NY, USA.
H AndrewsColumbia Data Coordinating Center, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY, USA.
Columbia University · USColumbia University Irving Medical Center · US

Funding

Randomized Efficacy Trial of MySmileBuddy, a Family-centered Behavioral Intervention to Reduce Early Childhood CariesU01DE026739 · NIDCR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUNZEL, CAROL · 2018 to 2022
$3.9M
Bio-behavioral chronic disease management by families of young minority childrenRC1MD004257 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI EDELSTEIN, BURTON L · 2009 to 2010
$875k
NIDCR NIH HHS U01 DE026739NIMHD NIH HHS RC1 MD004257
6 · The paper itself

Abstract

objectivesTo evaluate a preventative behavioral intervention for managing early childhood caries (ECC) in a cohort of high-risk children.

methodsThis pragmatic trial of the MySmileBuddy Program (MSB) evaluated preventive behavioral outcomes in a 1-y community health worker-delivered intervention to prevent ECC progression. Pre-/postintervention surveys assessed parent-reported child engagement in therapeutic toothbrushing (i.e., adult-assisted brushing with fluoridated toothpaste twice daily) and caries-related dietary behaviors and barriers. Generalized linear model with identity link for continuous variables and logit link for dichotomous outcomes evaluated pre-/postintervention comparisons and generalized estimating equations accounted for within-participant correlation (α = 0.05).

resultsAmong 1,130 children with postintervention data, the average age was 3.97 y, 99% were Medicaid insured, and 88% were Hispanic. Most parents (95%) were mothers/grandmothers, married or in a committed partnership (75%), unemployed (62%), and with modest education (80% high school degree or less). The odds of reported therapeutic brushing nearly doubled (

conclusionDespite limitations inherent to pragmatic trials, significant behavioral changes suggest that MSB yielded an important salutary impact. Forthcoming mediation analyses will explore causal pathways. Findings support integration of MSB's behavior change program in caries management initiatives. KNOWLEDGE TRANSFER STATEMENT: The results of this study can be used by clinicians, public health leaders, and researchers to inform the development and implementation of community-based, preventative behaviorally focused early childhood caries prevention programs. Study findings may enhance the understanding of the impact of behavioral interventions that engage parents of young children and could lead to more effective prevention for populations at high-risk of caries.

Indexed as

Dental CariesDental Caries SusceptibilityAdultChildChild, PreschoolFemaleHumansOral HygieneSnacksToothbrushingbehaviorcommunity health workersdental cariesdietsecondary preventiontoothbrushing

Identifiers

PMID37553996
PMCPMC11289954
OpenAlexW4385683903

What OpenQuestion holds

Textmetadata
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.