Translation research in a dental setting - decontamination in dental primary care: a randomised controlled trial of two educational strategies
| ISRCTN | ISRCTN56843582 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN56843582 |
| Secondary identifying numbers | N/A |
- Submission date
- 17/06/2008
- Registration date
- 07/08/2008
- Last edited
- 15/01/2020
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Jan Clarkson
Scientific
Scientific
Dental Health Services Research Unit
Mackenzie Building
Ninewells Hospital
Kirsty Semple Way
Dundee
DD2 4BF
United Kingdom
Study information
| Study design | Two-arm multi-centre randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
| Scientific title | Translation research in a dental setting - decontamination in dental primary care: a randomised controlled trial of two educational strategies |
| Study objectives | In comparison to postgraduate education alone, does the provision of postgraduate education coupled with theory-based, individualised, practice support visits lead to an effective and cost-effective increase in the implementation of postal guidance on the cleaning of dental instruments in dental primary care? |
| Ethics approval(s) | Advice was sought from The Scotland A Research Ethics Committee. The opinion was that this study is service development and does not require to be reviewed by an NHS ethics committee. |
| Health condition(s) or problem(s) studied | Decontamination in dental primary care |
| Intervention | The trial will compare the effectiveness and cost-effectiveness of 'tailored enabling' (theory-based, individualised, practice support visits) in addition to standard education to support the implementation into practice of Scottish Dental Clinical Effectiveness Programme (SDCEP) guidance for the cleaning of dental instruments. Control arm: Practices in the control arm will experience current practice, i.e., at least one member of the practice team will attend an NHS Education for Scotland (NES) section 63 decontamination course on the cleaning of dental instruments in general dental practice. Attendance at these courses is open to all members of the dental team and the course attendee will be nominated by the practice. The NES section 63 decontamination course employs a traditional didactic methodology and standardised content. The aim of this course is to increase awareness and knowledge of best decontamination practice. Intervention arm: Practices in the intervention arm will experience current practice (as per the control arm) followed up by 'tailored enabling'. 'Tailored enabling' comprises theory based, individualised, practice support visits delivered by the NES Infection Control Dental Support team (ICDS) using techniques based on psychological evidence and theories to help change their current practice, if required, to meet with the decontamination guidance. These techniques include identifying barriers and facilitators, verbal persuasion, teaching skills, goal setting, creating action plans, self monitoring and providing social support. In every practice, the ICDS team will assist the practice team to generate a list of behaviours that deviate from the guidance, make action plans with each team (where, when, who and how they will enact these behaviours) and plans to monitor progress. Each practice will receive one 'tailored-enabling' visit that will last for around three hours by one of the six members of the ICDS team. The visits will take place over a period of twelve months. To ensure standardisation of delivery, training will be provided to the ICDS team before the trial commences. The intervention is a 4-hour training course and both arms will be followed up at 3 and 6 months. |
| Intervention type | Other |
| Primary outcome measure | Practice compliance with 13 key decontamination behaviours identified from the SDCEP guidance in pre-trial elicitation studies, involving key stakeholders including decontamination experts, general dental practitioners and dental care professionals. Compliance with these behaviours will be measured by observed practice and self report. Primary outcomes will be measured at 0, 3 and 6 months. |
| Secondary outcome measures | 1. Beliefs (attitudes, perceived behavioural control, motivation and self efficacy), measured at 0, 3 and 6 months 2. Knowledge, measured at 0, 3 and 6 months 3. Economic cost analysis, measured at 6 months |
| Overall study start date | 01/08/2008 |
| Completion date | 31/10/2010 |
Eligibility
| Participant type(s) | Other |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 400 dental practices |
| Key inclusion criteria | General Dental Practices in Scotland with an NHS list number |
| Key exclusion criteria | General Dental Practices in Scotland with an NHS list number where in practice decontamination support visits have previously taken place. |
| Date of first enrolment | 01/08/2008 |
| Date of final enrolment | 31/10/2010 |
Locations
Countries of recruitment
- Scotland
- United Kingdom
Study participating centre
Ninewells Hospital
Dundee
DD2 4BF
United Kingdom
DD2 4BF
United Kingdom
Sponsor information
NHS Education for Scotland (NES) (UK)
Government
Government
Dundee Dental Education Centre
The Frankland Building
Small's Wynd
University of Dundee
Dundee
DD1 4HN
United Kingdom
| Website | http://www.nes.scot.nhs.uk |
|---|---|
"ROR" |
https://ror.org/011ye7p58 |
Funders
Funder type
Government
The Scottish Government - Office of the Chief Dental Officer (UK)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol article | protocol | 01/12/2010 | 15/01/2020 | Yes | No |
Editorial Notes
15/01/2020: Publication reference added.
06/06/2016: No publications found, verifying study status with principal investigator.
