Oral and dental public health Oral Health
Conditions
Interventions
Participants who do not have their own dentist and have not visited a dentist for a period of two years or more (unless they were in pain or symptomatic) will be identified on arrival at RETURN sites
Sponsors
University of Liverpool
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Adults (aged 18 years or over) seeking urgent dental care 2. Has not visited an NHS or Private dentist for a non-emergency appointment i.e. when not in pain or symptomatic for 2 years or more 3. Willing to spend time completing assessments and receiving the intervention 4. Able to provide a telephone number and/or e-mail and/or postal address to allow follow up 5. Has provided written informed consent
Exclusion criteria
Exclusion criteria: 1. Do not adequately understand spoken and written English 2. Not responsible for making own dental appointments i.e. made by a carer 3. Attends for planned dental care appointments i.e. confirms they have attended an appointment when not in pain or with symptoms within the past 2 years 4. Have previously been enrolled in the RETURN programme 5. Currently involved with another clinical dental trial 6. Lives with or is related to somebody participating in the RETURN feasibility study Note: Patients who go on to have planned care with undergraduate students will not be excluded, although the route patients’ take to planned care will be reported
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following objectives and measures will be used as stop/go criteria for the main study. As this is a feasibility study, there is more than one primary outcome measure under study: 1. Rate of matching patient ID in BSA routine records and likely missing outcome data: matching patient name, date of birth, gender and contract number the service is delivered under against record of attending for NHS urgent dental practice care in Business Service Authority (BSA) database. The denominator is those recruited at baseline from NHS dental practice who would be expected to be in the BSA system. Measured at baseline and 4 months (where possible). 2. Rate of completeness of valid OHIP outcome data: proportion of participants with valid OHIP data at baseline and follow up (i.e. respond to 12 items or more). Measured at baseline and 4 months. 3. Recruitment rates: number of patients recruited across all types of sites with breakdown description given by type of site. Measured at baseline. 4. Fidelity of intervention delivery: observations of participants to determine % allocated patients who are observed to receive at least some of the intervention (receive at least some of the intervention material). Measured at baseline. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient-reported visit information with BSA data and/or records completed by the dental practice and hospital at baseline about their dental visit and treatment received (CRF). For dental hospital this also includes records at 4 months where available (clinical records). BSA data available from 2 months post baseline visit) and /or CRF records completed by the dental practice at baseline and/or dental hospital at baseline and at 4 months follow up including: 1.1. Whether appointment is for urgent or planned dental care (baseline only for dental practices, for dental hospital this may be further appointments as well) 1.2. Start date and finish date of treatment plan (dental hospital only) 1.3. Treatment items provided (baseline for dental practices only. Baseline and further appointments for the dental hospital) Dental hospital validation only where possible, and just for patients recruited at the dental hospital. Measured at baseline for dental practice only, baseline and follow up at 4 months for the dental hospital where possible 2. Urgent dental attendance extracted from BSA database or dental hospital records and patient self-report: 2.1. In dental practice - BSA Band 1 (urgent) data 2.2. Dental hospital clinical records (if possible) Measured at baseline 3. Antibiotic/analgesic prescribing from BSA prescribing data and CRF baseline report and patient self-report at baseline and follow up (self-report) 4. Practicality of intervention delivery in the dental hospital and dental practice setting assessed based on: 4.1. The required delivery time of the intervention 4.2. Observation of at least 4 intervention delivery in each site 4.3. Interviews with dental teams Measured at baseline 5. Effectiveness of dental team and dental champion training based on: 5.1. Responses to questionnaires completed by dental teams and dental champions 5.2. Observation of intervention delivery Measured at the end of training 6. Participant contamination assessed using interviews | — |
Countries
England, United Kingdom
Outcome results
None listed