Everybody Brush: A Community-wide Toothpaste Distribution Campaign

Advantage Dental Services

Status: Unknown

Conditions: Dental Caries

Treatments: Behavioral: Toothpaste & Telephone Support

Study type: Observational

Funder types: Industry

Identifiers

NCT02327507

Advantage001

Details and patient eligibility

About

Dental caries (tooth decay) is a disease with significant public health implications afflicting low-income children, with marked rural disparities in disease prevalence and treatment. More than 70% of 11th grade children in Crook, Deschutes and Jefferson counties have experienced tooth decay. Effective approaches to prevent decay include brushing with fluoridated toothpaste and professional dental care. Medicaid enrolled children are legally entitled to dental care under Early Periodic Screening, Diagnosis and Treatment (EPSDT), yet <50% had any care in 2010. Free distribution of toothpaste and toothbrushes combined with parental education can increase toothbrushing frequency and reducing tooth decay. However, many parents are confused about when to start, how much and often toothpaste should be used, and how to overcome behavioral difficulties in brushing toddlers' teeth or getting older children to brush their own. The investigators' objective is to implement and evaluate a community-wide toothpaste distribution campaign enhanced by telephone support for OHP children and adolescents and their families in Central Oregon

Full description

A community-wide toothpaste distribution campaign enhanced by telephone support. A tooth kit with toothpaste and toothbrushes for the whole family together with oral hygiene instructions in English and Spanish will be mailed every 3 months. Half of the population will be randomly assigned to also receive telephone support (Short message service and one-to-one calls). Families will receive biweekly messages with oral hygiene tips. Bilingual culturally competent staff will be available by telephone to support families in overcoming barriers.

Enrollment: 21,731 estimated patients

Sex: All

Ages: 6 months to 20 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Family speaks English or Spanish

Exclusion criteria

• None

Trial design

21,731 participants in 2 patient groups

Toothpaste & Telephone Support

Description:

A tool kit with toothpaste and toothbrushes for the whole family along with oral hygiene instructions in both English and Spanish will be mailed to the homes of all OHP children and adolescents every three months. Half the populations will be assigned to also receive telephone support.

Treatment:

Behavioral: Toothpaste & Telephone Support

Toothpaste only

Description:

A tool kit with toothpaste and toothbrushes for the whole family along with oral hygiene instructions will be mailed every three months