- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04390750
Care Partner Assisted Intervention to Improve Oral Health of Individuals With Mild Dementia
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Dyads that each consist of an individual with mild dementia and his/her care partner will be enrolled at two sites, Duke University in Durham, North Carolina and New York University in New York, New York. This is an unblinded, randomized trial to assess the acceptability and effectiveness of the oral health intervention among individuals with mild dementia (MD). The study will utilize qualitative and quantitative methods to learn about the oral health outcomes in individuals with mild dementia.
The study lasts 6 months. The first three months is the active intervention phase in which coaching and educational modules are delivered. The second three months is the maintenance period in which no coaching or educational modules are presented to participants. As a team, the study coordinator, the oral health evaluator (a dental hygienist), and the interventionist will conduct three visits with the participants and their care partners; baseline, 3-month (end of the active intervention phase), and 6-month (end of three-month maintenance phase).
The intervention protocol will include three groups; two treatment groups and one control group. All participants will receive oral health education material at the baseline visit. Treatment Group 1 and Treatment Group 2 will be given a smart electronic toothbrush. Only Treatment Group 2 will receive the in-home and telephone coaching throughout the duration of the study and will be instructed to record daily brushing habits. The coaching sessions include individualized instruction on oral hygiene technique, cueing strategy development, or oral hygiene monitoring and coaching. Treatment Group 1 and the Control Group will not receive the coaching sessions.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Shahrzad Siamdoust, MPH
- Phone Number: 12129925966
- Email: ss10680@nyu.edu
Study Locations
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New York
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New York, New York, United States, 10010
- New York City (Participants Homes)
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North Carolina
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Durham, North Carolina, United States, 27708
- North Carolina (Participants Homes)
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- a diagnosis of mild dementia
- have at least 4 natural teeth
- 60 years and older
- living with an informal caregiver (i.e. care partner) who is age 18 or older and is willing to participate in the intervention
- community-dwelling; and physically able to brush own teeth
- We will use the following guidelines to identify those with mild dementia: a) a diagnosis of dementia by a physician with dementia expertise within the past year, b) from medical records, a recent Montreal Cognitive Assessment (MoCA) score > 14 or a Mini-Mental Status Examination (MMSE) score > 16, and c) can follow 2 to 3-step commands
Exclusion Criteria:
- unable to have an oral health evaluation
- prescribed antibiotics prior to a regular dental visit
- has sensory or physical problems that prevent participation in the intervention
- has a terminal illness or behavioral or psychiatric disorder that would interfere with participation in the intervention
- has a medical condition such as serious congenital heart conditions, previous infective endocarditis, prosthetic cardiac valves, and cardiac transplantation with cardiac valvulopathy that places him/her at greater risk of infection from the manipulation of the gums to measure the gingival index
- has a medical condition that suppresses the immune system
- has had a total joint replacement and has had an infection in the replaced joint
- is at increased risk of bleeding due to bleeding disorder such as hemophilia or the use of anti-platelet therapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Treatment Group 1
Treatment Group 1 will receive a standard educational booklet, a clinical oral health evaluation and a smart electronic toothbrush with no instruction on oral hygiene technique.
The study coordinator will download the toothbrush data for data collection.
The dental hygienist will observe the participant's normal toothbrushing technique, interdental cleaning procedures and the cleaning of partial dentures.
No instruction is provided.
The hygienist will provide basic instruction on proper use of the smart electronic toothbrush.
|
|
Experimental: Treatment Group 2
Treatment Group 2 will receive a standard educational booklet, a smart electronic toothbrush, a clinical oral health evaluation with tailored instruction on oral hygiene technique and care partner coaching.
The study coordinator will download the toothbrush data for data collection.
The dental hygienist and interventionist will work together to fulfill the following intervention components: tailored instruction and coaching.
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Tailored teaching and coaching
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No Intervention: Control Group
The Control group will receive a standard educational booklet and a clinical oral health evaluation with no instruction on oral hygiene technique.
The dental hygienist will observe the participant's normal toothbrushing technique, interdental cleaning procedures and the cleaning of partial dentures.
No instruction is provided.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Plaque Index
Time Frame: 6 months
|
There will be an improvement in the oral hygiene clinical outcomes (lower plaque index) from baseline to Month 3 and Month 6, and from Month 3 to Month 6. Treatment Group 1 will have a higher rate of improvement than the control group while Treatment Group 2 will have the highest rate of improvement.
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6 months
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Gingival Index
Time Frame: 6 months
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The effects of the intervention on oral hygiene clinical outcomes (gingival index) will be mediated by a set of mediating variables controlling for selected key covariates.
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6 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Bei Wu, PhD, New York University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 18-068-E
- U01DE027512 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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