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โ† Trials
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Oral Health Intervention in Adult Primary Care

RecruitingNAAges 55 Years - anyAllCase Western Reserve University
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In plain words

What the trial is, and whether it could suit you

This study is a Stage III cRCT to test the efficacy of multi-level interventions at the practice- and provider-level to address low dental utilization (attendance) among Medicaid-enrolled older adults 55 years or older attending non-urgent primary care visits (PCV) in MetroHealth practice settings. Twelve practices will be randomized into two arms: A) Intervention arm will receive the multi-level intervention that includes: 1. Practice-level: EHR changes to include: ask, advise, assess, and connect (AAAC) strategies; 2. Provider-level: Medical staff (MA, nurse): Training in the AAAC process and complete AAAC for enrolled older adults; Clinicians (physician/nurse practitioner): CSM-based education (didactic), skills training (video training with standardized patients), and view completed AAAC in EHR to deliver core oral health (OH) facts to older adults, reinforce importance of dental vis

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: Practices: * Use Epic EHR * Have older adults covered by Medicaid * Located within 60 miles of the CWRU research offices Provider (medical staff or clinician): Medical staff (MA, nurse): * Do not float between practices * Plan not to leave practice within a year * Provide a signed and dated consent form Clinicians (Physician, NP): * Have a minimum of 2 patient-care days per week * Do not float between practices * Plan not to leave practice within a year * Provide signed and dated consent form Older Adult/Patient Participant: * Enrolled in CareSource Medicaid Plan * Female or male aged 55 years or older * Attending non-urgent primary care visits (PCV) at enrolled site * Provide signed and dated informed consent form * Planning to stay in the immediate area for the next year * Enrolled in the Adult Wellness Registry Exclusion Criteria: * The presence of any serious medical health condition (such as dementia or other cognitive disorder not allowing them to participate) where the clinician indicates they should not participate. * The presence of any serious mental health disorders such as schizophrenia where the clinician indicates they should not participate.
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What it tests

  • EHR Changes
  • Medical Staff EHR Training, Clinician CSM theory-based didactic education and skills training
  • Standard ADA Oral Health Training
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Where

1 site
Case Western Reserve University
Cleveland, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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