Condition category
Oral Health
Date applied
03/02/2020
Date assigned
17/02/2020
Last edited
17/02/2020
Prospective/Retrospective
Retrospectively registered
Overall trial status
Ongoing
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
In England, the population is ageing and people are retaining their teeth for longer. Dental professionals are increasingly treating patients with multiple illnesses. It is therefore important to improve dental professionals’ communication during dental visits in order to help increase older people’s compliance with preventive advice and routine dental attendance. Simulation technology could be an ideal way to train dental professionals’ on appropriate practice and communication to these groups of patients. Virtual reality (VR) has improved clinical practice but it has not been used to simulate dental care, which is a unique experience. The aim of this study is to test the use and acceptability of a virtual reality training tool which mimics the visual, physical and auditory experience of an older person with complex needs (some associated with age) visiting a dentist and receiving oral health advice.

Who can participate?
Training dental professionals from the University of Portsmouth Dental Academy, and qualified dental professionals

What does the study involve?
Participants complete a questionnaire to test their level of confidence in providing preventive care and instruction to increasingly frail dental patients who may have cognitive and age-related challenges. The simulation uses VR goggles and runs for 5 minutes. It is carried out at the University of Portsmouth or where the participants work (potentially two NHS practice sites). After the simulation a questionnaire is used to evaluate the professionals' confidence again and different aspects of the tool such as its usefulness and acceptability and ways it can be adapted or improved.

What are the possible benefits and risks of participating?
The benefits would be additional knowledge delivered by the training. Risks of the study are minimal. They include the inconvenience of participation. The questionnaires and simulation will be related to participants’ experiences of the VR simulation, this could lead to them feeling uncomfortable.

Where is the study run from?
1. William Beatty Building (UK)
2. Oxfordshire Priority Dental Service (UK)
3. Southampton NHS Treatment Centre (UK)

When is the study starting and how long is it expected to run for?
April 2018 to April 2020

Who is funding the study?
1. Oral and Dental Research Trust (UK)
2. Solent NHS Trust (UK)

Who is the main contact?
Dr Kristina Wanyonyi
kristina.wanyonyi@port.ac.uk

Trial website

Contact information

Type

Scientific

Primary contact

Dr Kristina Wanyonyi

ORCID ID

http://orcid.org/0000-0003-2320-6805

Contact details

Research Lead/Senior Lecturer in Dental Public Health
Departmental Research Degrees Coordinator
NIHR CRN Wessex Oral and Dental Specialty Lead
University of Portsmouth Dental Academy
William Beatty Building
Hampshire Terrace
Portsmouth
PO1 2QG
United Kingdom
+44 (0)23 9284 5746
kristina.wanyonyi@port.ac.uk

Additional identifiers

EudraCT number

Nil known

ClinicalTrials.gov number

Nil known

Protocol/serial number

CPMS 40603, IRAS 253855

Study information

Scientific title

The use of virtual reality as a training tool to improve preventive dental practice for increasingly frail dental patients: a pilot study with dental professionals

Acronym

Study hypothesis

In England, the population is ageing and people are retaining their teeth for longer (Steele et al., 2012). Dental professionals are increasingly treating patients with multiple comorbidities. It is therefore important to improve dental professionals’ communication during dental visits in order to help increase older people’s compliance with preventive advice and routine dental attendance (Borreani et al., 2008, British Dental Association, 2003).

Simulation technology could be an ideal way to train dental professionals’ on appropriate practice and communication to these groups of patients. Virtual reality (VR) has improved clinical practice (McGaghie et al., 2010), however, it has not been used to simulate dental care, which is a unique experience.

The aim of this study is to test the use and acceptability of a virtual reality training tool which mimics the visual, physical and auditory experience of an older person with complex needs (some associated with age) visiting a dentist and receiving oral health advice.

Ethics approval

Approved 18/01/2019, University of Portsmouth Science Faculty Ethics Committee (Science Faculty Office, University of Portsmouth, St Michael’s Building, White Swan Road, Portsmouth, PO1 2DT, UK; Tel: +44 (0)23 9284 3379; Email: ethics-sci@port.ac.uk), REC ref: 18/NS/0138

Study design

Non-randomised; Interventional; Design type: Prevention, Process of Care, Education or Self-Management

Primary study design

Interventional

Secondary study design

Non randomised study

Trial setting

Other

Trial type

Other

Patient information sheet

Not available in web format, please use the contact details to request a patient information sheet

Condition

Training dental professionals

Intervention

Study design: This is a before and after study involving the testing of a simulation training intervention with a baseline questionnaire and a follow-up questionnaire after the simulation.

Simulation developmental: Researchers at the University of Portsmouth’s Centre for Technology and Dental Academy will build and model the dental environment into a VR aperture. This will be built into a portable device which can be worn to experience the VR environment by training students.

Study conduct: A cohort of UPDA students and qualified dental professionals (n= 50) who have consented to take part will experience three stages of the study.

Stage a) Baseline questionnaire. This semi-structured questionnaire will test the level of confidence in providing preventive care and instructions to and increasingly frail patients who may have cognitive and age-related challenges.

Stage b) Experimental/Simulation: The participants will experience the simulation environment using VR goggles. This will either be carried out in the Dental Academy or in selected where the participants work (NHS practice sites)

Stage c) Post simulation questionnaire: After this simulation, participants will be given and will be asked to undertake the follow-up questionnaire which will evaluate their confidence again and aspects of the tool e.g its usefulness and acceptability, ways it can be adapted/improved and ascertain their confidence in delivering preventive advice to this target group.

Intervention type

Device

Phase

Not Applicable

Drug names

Primary outcome measure

1. Confidence levels in providing care to an increasingly frail patient measured using a questionnaire pre and post simulation (simulation is 5 min)
2. Views on acceptability and improvements of the tool measured using a questionnaire at the end of the study

Secondary outcome measures

There are no secondary outcome measures

Overall trial start date

01/04/2018

Overall trial end date

30/04/2020

Reason abandoned (if study stopped)

Eligibility

Participant inclusion criteria

Dental professionals training at the University of Portsmouth Dental Academy and qualified dental professionals working in NHS community dental services settings who provide dental care to patients in the full age spectrum

Participant type

Health professional

Age group

Adult

Gender

Both

Target number of participants

Planned Sample Size: 50; UK Sample Size: 50

Participant exclusion criteria

Dental professionals training at the University of Portsmouth Dental Academy and qualified dental professionals working in NHS community dental services settings who do not provide dental care to patients in the full age spectrum

Recruitment start date

21/01/2019

Recruitment end date

01/08/2019

Locations

Countries of recruitment

United Kingdom

Trial participating centre

William Beatty Building
Hampshire Terrace
Portsmouth
PO1 2QG
United Kingdom

Trial participating centre

Oxfordshire Priority Dental Service
Astral House Granville Way
Bicester
OX26 4JT
United Kingdom

Trial participating centre

Southampton NHS Treatment Centre
Care UK Level D R.s.h Hospital Brintons Terrace
Southampton
SO14 0YG
United Kingdom

Sponsor information

Organisation

University of Portsmouth

Sponsor details

c/o Denise Teasdale
James Watson Building
Portsmouth
PO1 2DD
United Kingdom
+44 (0)2392846196
denise.teasdale@port.ac.uk

Sponsor type

University/education

Website

http://www.port.ac.uk/

Funders

Funder type

Government

Funder name

Oral and Dental Research Trust

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Funder name

Solent NHS Trust

Alternative name(s)

Solent NHS

Funding Body Type

government organisation

Funding Body Subtype

Local government

Location

United Kingdom

Results and Publications

Publication and dissemination plan

1. Peer-reviewed scientific journals
2. Internal report
3. Publication on website

IPD sharing statement
The datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication

Intention to publish date

30/04/2021

Participant level data

Other

Basic results (scientific)

Publication list

Publication citations

Additional files

Editorial Notes

03/02/2020: Trial's existence confirmed by the NIHR.