Oral Health Intervention in Adult Primary Care

This study is testing different ways to improve dental care for adults aged 55 and older who have Medicaid and visit their primary care doctor. Researchers want to see if changes to the electronic health record (EHR) system, along with special training for medical staff and clinicians, can help more people get the dental care they need. The study is looking at conditions like dental cavities, dry mouth, periodontal diseases (gum disease), and bleeding gums. Success will be measured by how often people go to the dentist and how many dental visits they have over a 24-month period. The study plans to enroll 929 participants, but its current status is unclear.

Study design
This is a Phase III study that will randomly assign 12 primary care practices to one of two groups: an intervention group or a control group. It will involve 929 participants, including medical staff, clinicians, and older adults.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 24 months after their initial primary care visit.

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NCT06555029

Oral Health Intervention in Adult Primary Care

Recruiting
NAAges 55+InterventionalPrevention
Case Western Reserve University
~929 participants
Updated 2025-10-15 on ClinicalTrials.gov
What's tested:EHR ChangesMedical Staff EHR Training, Clinician CSM theory-based didactic education and skills trainingStandard ADA Oral Health Training

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Dental Attendance
Measured over Data will be abstracted from Medicaid Claims data from baseline PCV #1 to 24 month exit visit (PCV #3)
+1 more outcome measured
Dental Caries
Dry Mouth
Periodontal Diseases
Bleeding Gum
1 sites across 1 states
Ohio1
  • Suchitra Nelson, PhD · PRINCIPAL_INVESTIGATOR · Case Western Reserve University

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Eligibility criteria

Inclusion

Use Epic EHR
Have older adults covered by Medicaid
Located within 60 miles of the CWRU research offices
Do not float between practices
Plan not to leave practice within a year
Provide a signed and dated consent form
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
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

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.
  • Dental AttendanceData will be abstracted from Medicaid Claims data from baseline PCV #1 to 24 month exit visit (PCV #3)

    Receipt of dental care as number of visits through Medicaid Claims data (Current Dental Terminology (CDT) codes for preventive or restorative procedures in the past 12 months).

  • Dental visitsData will be abstracted from dental EHR from baseline PCV#1 to 24 month exit visit (PCV #3)

    Receipt of preventive and restorative dental care as number of visits through dental EHR data