Child Behavior Clinical Trial
— DCITOfficial title:
Implementing Evidence-based Behavioral Skills in Pediatric Oral Healthcare Providers
The goal of this behavioral, interventional clinical trial is to provide a specialized workshop training for dental providers (e.g., dentists, hygienists, assistants) to improve interactions with young children (2-10 years old) and parents/caregivers. The training is derived from a well-established behavior management program for preschoolers, Parent-Child Interaction Therapy (PCIT). The main questions it aims to answer are: - Change in behavior of dental providers - Acceptability of training by dental providers All participants will receive the same behavior training; however, one group will receive the training on a delayed schedule. Researchers will compare the immediate intervention and control group to see if the training was effective in the dental providers usage of skills.
Status | Not yet recruiting |
Enrollment | 264 |
Est. completion date | August 31, 2029 |
Est. primary completion date | August 31, 2028 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 99 Years |
Eligibility | Inclusion Criteria: Dental Providers - Licensed dentist, licensed or certified dental hygienist, or dental assistant - Provides (or willing to consider providing) dental treatment for children between 2 years and 10 years old ->= 18 years old - Fluent in spoken and written English - Willing to be videotaped Parent/Caregivers - Understands spoken and written English - Willing to be videotaped - Provide signed and dated informed consent form - Willing to comply with all study procedures and be available for the duration of the study Child Dental Patients - Child between 2 years, 0 months, and 0 days, and 10 years, 11 months, 30 days old - Receiving preventive, restorative, emergency or any other dental treatment - Accompanied by a parent/caregiver - Understands spoken and written English - Willing to be videotaped - Parent/guardian provides signed and dated informed consent form - Provide assent (if 7+ years old and who do not have an obvious cognitive impairment or are "mentally immature") - Willing to comply with all study procedures and be available for the duration of the study - In good general health as evidenced by medical history Exclusion Criteria: - Cognitive impairment or developmental delay - Major medical problem in child - Autism or other developmental/neurodevelopmental disorders - Anything that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study. |
Country | Name | City | State |
---|---|---|---|
United States | University of North Carolina at Chapel Hill | Chapel Hill | North Carolina |
United States | University of Arkansas | Fayetteville | Arkansas |
United States | West Virginia University | Morgantown | West Virginia |
Lead Sponsor | Collaborator |
---|---|
University of Florida | National Institute of Dental and Craniofacial Research (NIDCR) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | To assess the acceptability of dental providers' usage of DCIT behavioral methods in their dental practices/clinics. | Acceptability is a crucial aspect of whether dental providers will implement the skills they have learned.
Outcome measured by providers' rating of likeliness of adapting DCIT skills in their dental practices/clinics using 40-item Usage Rating Profile - Intervention Revised (URP-IR) and 6 month post training Focus group. |
Immediately post- workshop and again two and 6 months post workshop | |
Other | To assess dental providers' ability to use DCIT behavioral methods in their clinic or practice setting. | Direct observation during a pediatric dental appointment in the dental provider's practice/clinical setting to determine frequency counts of Dental-Child Interaction Training (DCIT) positive (i.e., increases/change in labeled praises, behavior descriptions, direct commands) and negative (i.e., decreases/change in negative talk and no-opportunity-to-comply commands) behavioral methods in all provider-child interactions.
This objective provides an evaluation of whether dental providers actually acquire and demonstrate skill change in their practices. Outcome measured by observation of in-office video-taped interactions between dental provider and children using Dental-Dyadic Parent-Child Interaction Coding System (D-DPICS). |
2 months pre-workshop to 2 months post-workshop | |
Other | To assess child behavior when dental providers use DCIT behavioral methods in their clinic or practice setting. | Coded observations and ratings of child behavior (e.g., adherence, positivity, and fearfulness) during dental treatment with providers using the D-DPICS to evaluate the impact of DCIT behavioral methods on child behavior.
Outcome measured by observation of in-office video-taped interactions between dental provider and children using Dental-Dyadic Parent-Child Interaction Coding System (D-DPICS). In addition, child behavior ratings using the Frankl scale of child cooperation during the dental appointment. |
2 months pre-workshop to 2 months post-workshop | |
Primary | To assess dental providers' usage of DCIT behavioral methods in the training workshop. | Frequency counts of Dental-Child Interaction Training (DCIT) positive (i.e., increases/change in labeled praises, behavior descriptions, direct commands) and negative (i.e., decreases/change in negative talk and no-opportunity-to-comply commands) behavioral methods and ratio of those behaviors to all coded provider behaviors involved in the interaction of the child to evaluate whether participants show demonstrated skill change as a result of the workshop.
Outcome measured by observation of video-taped interactions between dental provider and (simulated) children using Dental-Dyadic Parent-Child Interaction Coding System (D-DPICS). |
Immediately pre- and post-workshop | |
Secondary | To assess dental providers' knowledge of DCIT principles and methods. | Providers will be tested before and after the training on basic knowledge and principles and application of Dental-Child Interaction Training (DCIT) skills using a 20-item self-report instrument to assess providers' knowledge and level of understanding of DCIT behavioral principles.
Outcome measured by the Dental Provider DCIT Skills Knowledge assessment. A total of 20 questions using a multiple choice and free response format. |
Immediately pre- and post-workshop |
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