Interactive Parent-Targeted Text Messaging in Pediatric Clinics to Reduce Caries Among Urban Children



Status:Recruiting
Conditions:Healthy Studies, Dental
Therapuetic Areas:Dental / Maxillofacial Surgery, Other
Healthy:No
Age Range:Any - 7
Updated:3/16/2019
Start Date:March 9, 2018
End Date:August 31, 2020
Contact:Belinda Borrelli, PhD
Email:belindab@bu.edu
Phone:617-414-1116

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Randomized Controlled Trial of Interactive Parent-Targeted Text Messaging in Pediatric Clinics to Reduce Caries Among Urban Children

This is a 3 year clincal study, to test the efficacy of a parent-targeted text message-based
intervention program on caries incidence and oral health behaviors (child and parent).
Parents (n= 850) across all pediatric clinic sites (Boston Medical Center and Community
Health Centers (CHCs); DotHouse CHC and Codman Square CHC) will be randomized to receive
either text messages (TMs) regarding oral health or TMs regarding child wellness. The study
will enroll English and Spanish speaking parents and their youngest child who is < 7 years
old, has at least one tooth showing, and attends the targeted pediatric clinic to receive
primary care (n= 1700). Parents will complete self-report surveys at baseline, and 2, 4, 12,
and 24-months after baseline; receive and respond to TM assessments during the 4-month
intervention; and will also receive TMs during a 'booster' period of one month, which will
occur 12-months post baseline. Parent's children will be assessed for caries by a clinical
oral examination performed by licensed Clinical Examiners at baseline, 12-and-24-months
post-baseline.


Inclusion Criteria: Caregiver and child must meet all of the following:

1. Caregiver must be a parent or legal guardian of a child less than 7 years old, and the
child must have their first tooth showing

2. The child must receive medical care at one of the participating pediatric clinics.

3. Speak, understand, and read either English or Spanish

4. Have a mobile phone.

Exclusion Criteria: If the caregiver or child meets any of the following criteria, the dyad
will be excluded from participation in this study

1. Children with severe congenital tooth malformations: At screening the caregiver will
be asked if their child has known systemic diseases associated with abnormal tooth
development or abnormal oral health status such as cleft lip or palate, amelogenesis
imperfecta, or dentinogenesis imperfecta.

2. Children who cannot complete the baseline oral health exam.
We found this trial at
1
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Boston, Massachusetts 02118
Phone: 617-414-1116
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Boston, MA
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