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Trial registered on ANZCTR
Registration number
ACTRN12624000181505
Ethics application status
Approved
Date submitted
14/12/2023
Date registered
26/02/2024
Date last updated
26/02/2024
Date data sharing statement initially provided
26/02/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Piloting the Modified Oral Health Assessment Tool and referral pathway in aged care
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Scientific title
Piloting the Modified Oral Health Assessment Tool and referral pathway for acceptability and validity in aged care
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Secondary ID [1]
310544
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
Preregistration for the co-design phase is available at https://osf.io/2kynu/
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Health condition
Health condition(s) or problem(s) studied:
Oral health in residential aged care
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Condition category
Condition code
Oral and Gastrointestinal
328912
328912
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Public Health
328913
328913
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0
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Health service research
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Public Health
329229
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0
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Other public health
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Oral Health Assessment Tool (OHAT) is designed for use in older adult populations. OHAT assesses the integrity of oral soft tissues and teeth, and saliva quality and quantity, oral cleanliness, and dental pain; and when referral to a dental practitioner is indicated. Assessment with the OHAT involves inspection of the mouth, teeth and oral tissues, and is approximately 10-15 minutes duration. It may be conducted by non-dentally trained staff.
The Modified-OHAT (M-OHAT) is an adapted tool based on the OHAT currently under development in co-design with residential aged care consumers and staff (https://osf.io/2kynu). Co-design activities will inform modifications and the development of the associated training package.
In this pilot study, residential aged care staff participants will be trained to implement the M-OHAT. The characteristics of the training will be devised based on recommendations arising from M-OHAT co-design with consumers and staff, including frequency and duration, and mode of administration. The training will be delivered by an oral health professional and adherence monitored through direct observation by the research team.
At T1 (assessment), resident participants will receive an M-OHAT assessment from 1) a trained staff participant; and 2) a qualified dental practitioner. Resident participants will also receive an oral epidemiological assessment by a dental practitioner, and receive referral to treatment based on the dental practitioner's assessment, where indicated.
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Intervention code [1]
327511
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Early detection / Screening
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Comparator / control treatment
No control group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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M-OHAT score (trainee)
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Assessment method [1]
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Timepoint [1]
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T1 (at the time of the trainee M-OHAT assessment)
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Primary outcome [2]
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M-OHAT score (expert)
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Assessment method [2]
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Timepoint [2]
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T1 (at the time of the expert M-OHAT assessment)
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Secondary outcome [1]
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Training acceptability (staff survey, developed for this study)
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Assessment method [1]
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Timepoint [1]
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T0 (immediately post-training)
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Secondary outcome [2]
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Assessment acceptability (staff survey, developed for this study)
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Assessment method [2]
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Timepoint [2]
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T2 (immediately post-assessment, at least 1 assessment completed)
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Secondary outcome [3]
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Referral uptake (resident telephone and/or records follow-up)
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Assessment method [3]
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Timepoint [3]
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T3 (12 weeks post-assessment)
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Secondary outcome [4]
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Assessment acceptability (resident survey, developed for this study)
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Assessment method [4]
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Timepoint [4]
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T2 (immediately post-assessment)
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Eligibility
Key inclusion criteria
Staff participants:
Work in a participating residential aged care facility
Have written permission from the aged care facility or participate during non-work time
Resident participants:
>=65 years of age (or >=55 years for people identifying as Aboriginal and/or Torres Strait Islander
Reside permanently in a participating residential aged care facility
Demonstrate capacity to give informed consent (i.e., score of 21 or greater on the Telephone Interview for Cognitive Status - Modified (TICS-M - Australian version) or other evidence of global capacity); OR provide consent through Enduring Power of Attorney (EPoA), Advance Health Directive (AHD), or other guardianship arrangement.
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Minimum age
55
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Staff participants:
<18 years old
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/04/2024
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Actual
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Date of last participant enrolment
Anticipated
31/12/2024
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Actual
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Date of last data collection
Anticipated
25/04/2025
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Department of Health and Aged Care: Medical Research Future Fund
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Address [1]
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Australian Government, Department of Health and Aged Care, GPO Box 9848, Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Queensland
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Address
UQ Oral Health Centre, 288 Herston Rd, Herston, Qld, 4006
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
316726
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Country [1]
316726
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Darling Downs Hospital and Health Service Human Research Ethics Committee (EC00182)
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Ethics committee address [1]
313756
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Baillie Henderson Hospital, PO Box 405 Toowoomba Qld 4350
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Ethics committee country [1]
313756
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Australia
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Date submitted for ethics approval [1]
313756
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Approval date [1]
313756
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16/10/2023
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Ethics approval number [1]
313756
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HREC/2023/QTDD/94702
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Ethics committee name [2]
314333
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UQ Human Research Ethics Committee (HABS LNR)
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Ethics committee address [2]
314333
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The University of Queensland, St Lucia Qld 4072
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Ethics committee country [2]
314333
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Australia
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Date submitted for ethics approval [2]
314333
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Approval date [2]
314333
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18/05/2023
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Ethics approval number [2]
314333
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2023/HE000093
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Summary
Brief summary
This project aims to co-design, develop and pilot test a modified oral health assessment toolkit (M-OHAT) and referral system appropriate for aged care residents. Co-deisgn participants (preregistered study https://osf.io/2kynu) will review the existing OHAT and discuss oral health needs, drivers, and barriers to broader implementation. Utilising the data from the co-design workshops, OHAT modifications and a comprehensive training package will be developed for non-dental staff members at residential aged care facilities. The M-OHAT training and tool will be piloted for acceptability and validity with residents and staff of Australian residential aged care facilities.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Loc Do
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Address
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UQ Oral Health Centre, The University of Queensland, 288 Herston Rd, Herston, Qld 4006
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Country
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Australia
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Phone
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+61 7 334 64828
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Nicole Walker
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Address
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UQ Oral Health Centre, The University of Queensland, 288 Herston Rd, Herston, Qld 4006
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Country
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Australia
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Phone
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+61 7 3365 8022
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Nicole Walker
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Address
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UQ Oral Health Centre, The University of Queensland, 288 Herston Rd, Herston, Qld 4006
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Country
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Australia
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Phone
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+61 7 3365 8022
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Fax
129260
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
21172
Study protocol
Hosted on OSF or similar repository following comp...
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21173
Analytic code
Hosted on OSF or similar repository prior to publi...
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21174
Statistical analysis plan
Hosted on OSF or similar repository prior to publi...
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21175
Informed consent form
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Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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