Dental-Child Interaction Training
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-99
SponsorUniversity of Florida
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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.
Trial design
Design model
Parallel
Treatments tested in this trial
Immediate intervention Group
BehavioralThe immediate intervention group will be video recorded in office and participate in the training workshop and assessment methods two months after.
Delayed intervention (control) Group
BehavioralThe delayed training group will also be video recorded in office but will wait an additional two months and then participate in the training and assessment methods as with the original training group.
Treatment groups
5,808 Participants
are divided into 2 treatment groupsGroup A: Immediate Intervention GroupExperimental treatment 1 intervention
Group B: Delayed Intervention GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
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).
Time frame
Immediately pre- and post-workshopSecondary outcomes
1
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.
Time frame
Immediately pre- and post-workshopOther outcomes
1
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.
Time frame
Immediately post- workshop and again two and 6 months post workshop2
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).
Time frame
2 months pre-workshop to 2 months post-workshop3
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.
Time frame
2 months pre-workshop to 2 months post-workshopSponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Florida
Lead sponsor
National Institute of Dental and Craniofacial Research (NIDCR)
Collaborator
Source ClinicalTrials.gov