An interventional study of professional development training for CHWs on dental health (GRIN) in Oral Health, Child and Adolescents, sponsored by KDH Research & Communication. Completed at 1 site in United States. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-07.
Sponsored by KDH Research & Communication · Not applicable, Interventional, and Other
Two arm study, experimental and control, to explore the impact of an online training program to help community health workers conduct effective outreach to support the dental health of African American youth via their caregivers.
The investigators will use a randomized, two-group, pretest/posttest design to test the efficacy of the GRIN prototype and explore the following research question: To what extent does exposure to the GRIN prototype relate to positive changes in CHWs' knowledge, attitudes and beliefs, perceived self-efficacy, and intent to conduct oral health care outreach to low-income Black guardians? The community-driven nature of the project will ground the evaluation in the principles of an equitable evaluation that incorporates a racial equity lens. An equitable evaluation is "an approach that addresses the dynamics and practices that have historically undervalued the voices, knowledge, expertise, capacity, and experiences of all evaluation participants and stakeholders, particularly people of color and other marginalized groups." This approach "requires that evaluators engage in a process of ongoing self-reflection and adjustment, including a willingness to question and adapt traditional evaluation methods in response to stakeholder input." Working with communities to reflect the specific needs of their constituents, investigators will develop and enhance collaborations that leverage stakeholder expertise; minimize counter-productive duplications of services and resource expenditure; and create empowered opportunities for CHWs to conduct outreach with low-income Black guardians. The PI, with input from the SC, will develop necessary research materials, including the recruitment protocols, evaluation instrumentation, and human subjects consent materials, which then be reviewed against an equitable evaluation checklist, obtaining input on revisions from community members where needed. The PI will also outline the appropriate statistical analysis methods. All procedure documents will be reviewed by the KDHRC Institutional Review Board before the evaluation launch.
The investigators will recruit participants through evaluation partners who will disseminate the study information to CHWs via electronic notifications and flyers. Evaluation partners include National Association of Community Health Workers (NACHW) and the University of Southern Mississippi College of Nursing and Health Professionals (see Letters of Support for more details). The notification will provide information about the goal of the study, participant eligibility, and a link to an interest and eligibility form. Once a potential participant completes the interest and eligibility form and s/he is eligible for the project, they will receive a link to a consent form located on a secure online platform.
CHWs will be randomly assigned to the intervention or control group after consent and enrollment in the study. All participants will complete an online pretest survey. The intervention group will be exposed to GRIN and will complete an online posttest survey two weeks after completing the GRIN modules. The control group participants will not be exposed to the GRIN program and will complete a posttest two weeks after completing the pretest. Participant responses to pretest and posttest survey measures will be linked using non-personal identifiers.
The investigators will download and export the data from SurveyGizmo into an encrypted Excel file and import the raw data into STATA. The investigators will match the pretest and posttest responses using the random assigned identifiers and conduct analyses to test for the effect of GRIN exposure on changes in CHWs' knowledge, attitudes and beliefs, self-efficacy, and intentions to conduct pediatric oral health care outreach to low-income Black guardians. The a priori feasibility criterion is: Statistically significant differences between pretest and posttest knowledge and self-efficacy measures among the intervention group participants.
KDH Research & Communication is the lead sponsor of 7 studies on the registry; 1 is open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion criteria:
-None
participates in the intervention
Other: professional development training for CHWs on dental health (GRIN)
no intervention
multi module online training
Knowledge Pretest Score
We asked participants 12 multiple choice knowledge questions related to oral health which we averaged to create a composite knowledge score for each participant ranging from 0 to 100. A score of 0 meant a participant got zero questions correct while a score of 100 meant a participant got all questions correct. We averaged these composite scores across all participants for both groups to create mean scores ranging from 0 to 100, the higher the score the more questions participants answered correctly.
Time frame: Baseline
Attitudes Pretest Score
We asked all participants seven Likert-type scale questions about attitudes towards conducting oral health outreach. Each answer choice rating ranged from 1 to 10, with higher ratings representing higher perceptions of oral health outreach importance. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest score and 10 being the highest. Higher score means better outcome. Then, we averaged these composite scores for each group.
Time frame: Baseline
Self-efficacy Pretest Score
We asked all participants 10 Likert-type scale questions related to perceived self-efficacy with conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of confidence in providing oral health outreach. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for both groups.
Time frame: Baseline
Intentions Pretest Score
We asked all participants five Likert-type scale questions related to their intentions to conduct oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceived likelihood of providing oral health outreach in the future. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
Time frame: Baseline
Knowledge Posttest Score
We asked participants 12 multiple choice knowledge questions related to oral health which we averaged to create a composite knowledge score for each participant ranging from 0 to 100. A score of 0 meant a participant got zero questions correct while a score of 100 meant a participant got all questions correct. We averaged these composite scores across all participants for both groups to create mean scores ranging from 0 to 100. Higher scores mean better outcome.
Time frame: Posttest (2 weeks after baseline)
Attitudes Posttest Score
We asked all participants seven Likert-type scale questions about attitudes towards conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of oral health outreach importance. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
Time frame: Posttest (2 weeks after baseline)
Self-efficacy Posttest Score
We asked all participants 10 Likert-type scale questions related to perceived self-efficacy with conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of confidence in providing oral health outreach. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
Time frame: Posttest (2 weeks after baseline)
Intentions Posttest Score
We asked all participants five Likert-type scale questions related to their intentions to conduct oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceived likelihood of providing oral health outreach in the future. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
Time frame: Posttest (2 weeks after baseline)
Satisfaction at Posttest Score
We asked only the intervention group participants five Likert-type scale questions related to their satisfaction with the GRIN intervention. Each rating ranged from 1 to 5, with higher scores representing higher satisfaction with the GRIN intervention. We averaged ratings from each question to create an average composite rating for each intervention participant, then averaged these scores across the intervention group. Scores ranged from 1 to 5, with higher scores meaning better satisfaction/outcome.
Time frame: Baseline (2 weeks after baseline)
Recruited participants from AHECS in MD, PA, TX, and the National Association of Community Health Workers.
| Milestone | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Started | 71 | 72 |
| Completed | 62 | 45 |
| Not completed | 9 | 27 |
| Withdrew: Lost to follow-up | 9 | 27 |
We asked participants 12 multiple choice knowledge questions related to oral health which we averaged to create a composite knowledge score for each participant ranging from 0 to 100. A score of 0 meant a participant got zero questions correct while a score of 100 meant a participant got all questions correct. We averaged these composite scores across all participants for both groups to create mean scores ranging from 0 to 100, the higher the score the more questions participants answered correctly.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Knowledge Pretest Score | 64.92 ± 20.03 | 66.67 ± 17.04 |
We asked all participants seven Likert-type scale questions about attitudes towards conducting oral health outreach. Each answer choice rating ranged from 1 to 10, with higher ratings representing higher perceptions of oral health outreach importance. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest score and 10 being the highest. Higher score means better outcome. Then, we averaged these composite scores for each group.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Attitudes Pretest Score | 8.46 ± 0.88 | 8.60 ± 0.85 |
We asked all participants 10 Likert-type scale questions related to perceived self-efficacy with conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of confidence in providing oral health outreach. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for both groups.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Self-efficacy Pretest Score | 8.16 ± 1.90 | 7.93 ± 2.22 |
We asked all participants five Likert-type scale questions related to their intentions to conduct oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceived likelihood of providing oral health outreach in the future. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Intentions Pretest Score | 7.39 ± 2.32 | 7.23 ± 2.89 |
We asked participants 12 multiple choice knowledge questions related to oral health which we averaged to create a composite knowledge score for each participant ranging from 0 to 100. A score of 0 meant a participant got zero questions correct while a score of 100 meant a participant got all questions correct. We averaged these composite scores across all participants for both groups to create mean scores ranging from 0 to 100. Higher scores mean better outcome.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Knowledge Posttest Score | 79.44 ± 13.97 | 67.22 ± 15.83 |
We asked all participants seven Likert-type scale questions about attitudes towards conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of oral health outreach importance. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Attitudes Posttest Score | 8.45 ± 0.99 | 8.62 ± 0.67 |
We asked all participants 10 Likert-type scale questions related to perceived self-efficacy with conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of confidence in providing oral health outreach. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Self-efficacy Posttest Score | 9.36 ± 1.08 | 8.48 ± 1.75 |
We asked all participants five Likert-type scale questions related to their intentions to conduct oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceived likelihood of providing oral health outreach in the future. We averaged ratings from each question to create an average composite rating for each participant ranging from 0 to 10, with 0 being the lowest possible score and 10 being the highest score. Higher scores mean better outcomes. Then, averaged these composite scores for each group.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Intentions Posttest Score | 8.38 ± 1.77 | 8.10 ± 2.20 |
We asked only the intervention group participants five Likert-type scale questions related to their satisfaction with the GRIN intervention. Each rating ranged from 1 to 5, with higher scores representing higher satisfaction with the GRIN intervention. We averaged ratings from each question to create an average composite rating for each intervention participant, then averaged these scores across the intervention group. Scores ranged from 1 to 5, with higher scores meaning better satisfaction/outcome.
| score on a scale | Exposed to GRIN Training |
|---|---|
| Satisfaction at Posttest Score | 4.49 ± 0.46 |
At both pretest and posttest, we asked all participants the same 12 multiple choice knowledge questions related to oral health, which we averaged to create a composite knowledge score for each participant ranging from 0 to 100. A score of 0 meant a participant got zero questions correct while a score of 100 meant a participant got all questions correct. We averaged these composite scores across all participants for both groups to create mean scores. We then subtracted pretest scores from posttest scores and averaged these changes for all participants as the dependent variable in multiple regression. Higher scores mean higher gains from baseline to posttest. We used group assignment (intervention or treatment) as the main independent variable while controlling for participant baseline characteristics and demographics.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Change in Knowledge Scores From Pretest to Posttest | 14.52 ± 17.98 | 0.56 ± 13.22 |
We asked all participants seven Likert-type scale questions about attitudes towards conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of oral health outreach importance. We averaged ratings from each question to create an average composite rating for each participant, then averaged these composite scores for both groups. We then subtracted pretest scores from posttest scores and averaged these changes for all participants as the dependent variable in multiple regression. Higher scores mean higher gains from baseline to posttest. We used group assignment (intervention or treatment) as the main independent variable while controlling for participant baseline characteristics and demographics.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Change in Attitude Scores From Pretest to Posttest | -0.07 ± 1.27 | 0.05 ± 0.86 |
We asked all participants 10 Likert-type scale questions related to perceived self-efficacy with conducting oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceptions of confidence in providing oral health outreach. We averaged ratings from each question to create an average composite rating for each participant, then averaged these composite scores for both groups. We then subtracted pretest scores from posttest scores and averaged these changes for all participants as the dependent variable in multiple regression. Higher scores mean higher gains from baseline to posttest. We used group assignment (intervention or treatment) as the main independent variable while controlling for participant baseline characteristics and demographics.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Change in Self-efficacy Scores From Pretest to Posttest | 1.14 ± 0.24 | 0.46 ± 1.00 |
We asked all participants five Likert-type scale questions related to their intentions to conduct oral health outreach. Each rating ranged from 1 to 10, with higher ratings representing higher perceived likelihood of providing oral health outreach in the future. We averaged ratings from each question to create an average composite rating for each participant, then averaged these composite scores for both groups. We then subtracted pretest scores from posttest scores and averaged these changes for all participants as the dependent variable in multiple regression. Higher scores mean higher gains from baseline to posttest. We used group assignment (intervention or treatment) as the main independent variable while controlling for participant baseline characteristics and demographics.
| score on a scale | Exposed to GRIN Training | Control/Unexposed |
|---|---|---|
| Change in Intentions Scores From Pretest to Posttest | 0.68 ± 2.29 | 1.13 ± 2.09 |
Collected over Baseline to 2 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Exposed to GRIN Training | 0/62 (0%) | 0/62 (0%) | 0/62 (0%) |
| Control/Unexposed | 0/45 (0%) | 0/45 (0%) | 0/45 (0%) |
| Age, Categorical(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 61 | 43 | 104 |
| >=65 years | 1 | 0 | 1 |
| Sex: Female, Male(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| Female | 57 | 35 | 92 |
| Male | 4 | 8 | 12 |
| Ethnicity (NIH/OMB)(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| Hispanic or Latino | 11 | 16 | 27 |
| Not Hispanic or Latino | 48 | 26 | 74 |
| Unknown or Not Reported | 1 | 0 | 1 |
| Race (NIH/OMB)(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 2 | 2 |
| Asian | 0 | 1 | 1 |
| Native Hawaiian or Other Pacific Islander | 1 | 0 | 1 |
| Black or African American | 19 | 16 | 35 |
| White | 15 | 14 | 29 |
| More than one race | 1 | 7 | 8 |
| Unknown or Not Reported | 3 | 3 | 6 |
| Highest education level completed(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| Highschool diploma/GED | 1 | 5 | 6 |
| Some college | 20 | 9 | 29 |
| College degree | 33 | 22 | 55 |
| Master's degree | 5 | 5 | 10 |
| Professional degree | 3 | 2 | 5 |
| Length of time serving as a community health worker(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| Less than 6 months | 6 | 5 | 11 |
| 6 to 11 months | 7 | 7 | 14 |
| 1 to 2 years | 18 | 13 | 31 |
| 3 to 4 years | 9 | 12 | 21 |
| 5 or more years | 20 | 6 | 26 |
| Paid or volunteer CHW position(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| Paid | 55 | 33 | 88 |
| Volunteer | 2 | 3 | 5 |
| Both paid and volunteer | 4 | 7 | 11 |
| Number of hours of community health worker training(Participants) | Exposed to GRIN Training | Control/Unexposed | Total |
|---|---|---|---|
| None | 2 | 0 | 2 |
| 1 to 5 hours | 3 | 0 | 3 |
| 6 to 10 hours | 2 | 1 | 3 |
| 11 to 15 hours | 4 | 1 | 5 |
| 16+ hours | 50 | 40 | 90 |
1 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
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KDH Research & Communication