Oral Health Recovery Group

Oral Health Recovery: A Peer-Delivered Oral Health Intervention for Individuals With Psychiatric Disabilities

The aim of the study is to test a brief, peer-led group-based oral health educational intervention - called the "Oral Health Recovery Group" - designed for individuals with psychiatric disabilities.

Study Overview

• Status: Completed
• Conditions: Oral Health; Psychiatric Diagnosis; Dental Care
• Intervention / Treatment: Behavioral: Peer-led Oral Health Recovery Group; Behavioral: Educational Video about Oral Health

Detailed Description

Participants at each site will obtain either: a) a Peer-led Oral Health Recovery educational group, representing the primary intervention; or b) viewing of an educational video about oral health, representing the comparison intervention. After participating in either condition, an onsite Peer staff member will offer to help the participant make a dentist appointment. They will follow up with the participant as needed for a two-month period to help arrange dental care and follow up on any dental self-care goals established by the participant, such as purchasing toothpaste with fluoride.

• Study Type: Interventional
• Enrollment (Actual): 62
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Michigan
    • Lansing, Michigan, United States, 48933
      • Justice in Mental Health Organization (JIMHO)
    • Ypsilanti, Michigan, United States, 48198
      • Community Mental Health (Towner)

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• An adult member/consumer with the selected site (JIMHO or Washtenaw CMH)
• Ability to understand and willingness to read a consent terms handout and discussion
• Participant must understand/read/speak English

Exclusion Criteria:

• Not a member/consumer with the site
• Not able to understand and/or not willing to read consent terms handout
• Does not understand/read/speak English

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Peer-led Oral Health Recovery educational group	Behavioral: Peer-led Oral Health Recovery Group; The interactive Oral Health Recovery group will be centered around the tailored materials previously developed, with topics such as "it's never too late to make a change," "oral health and whole health," "taking care of your teeth," and "going to the dentist."
Active Comparator: Educational Video	Behavioral: Educational Video about Oral Health; The video comparison will be pulled from Toothflix 2.0 Patient Education DVD Series, which are patient education videos developed by the American Dental Association.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Average subject-level change between pre- and post-surveys	To analyze process data generated by the peers, a custom web-based Peer Encounter Form will be employed using Qualtrics Survey Software. Peers will complete encounter forms after each group and follow up. Fields include time spent, unique and total encounters, topics covered, participant engagement, and any knowledge of participants' seeking out or utilizing dental care. The primary analyses will compare the change in total scores on an oral health knowledge questionnaire and an oral health confidence/activation questionnaire based primarily on the transtheoretical model of change. These comparisons will be conducted as a comparison of the average subject-level improvements between pre- and post-surveys ("change scores") between the primary intervention (peer-led Oral Health Recovery Group) and the comparator video intervention.	2 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Odds ratio of participants who reported seeking dental care	Odds ratio comparing the odds of seeking care in the two arms.	2 months

Collaborators and Investigators

• Sponsor: University of Michigan
• Collaborators: Blue Cross Blue Shield of Michigan Foundation
• Investigators: Principal Investigator: Adrienne Lapidos, PhD, University of Michigan Medical School, Psychiatry

Study record dates

Study Major Dates

• Study Start (Actual): April 13, 2023
• Primary Completion (Actual): December 7, 2023
• Study Completion (Actual): December 20, 2023

Study Registration Dates

• First Submitted: April 12, 2023
• First Submitted That Met QC Criteria: May 8, 2023
• First Posted (Actual): May 18, 2023

Study Record Updates

• Last Update Posted (Actual): March 12, 2024
• Last Update Submitted That Met QC Criteria: March 7, 2024
• Last Verified: March 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders
• Other Study ID Numbers: HUM00219880

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No