An interventional study of Just-in-Time Digital Learning Platform for Teacher Oral Health Training in Oral Health Behavior Change, Oral Hygiene, Oral Health and Digital Literacy, sponsored by Universiti Putra Malaysia. Not yet recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-12.
Sponsored by Universiti Putra Malaysia · Not applicable, Interventional, and Health services research
This randomized controlled trial aims to evaluate the effectiveness and implementation of a Just-in-Time Digital Learning Platform designed to improve teachers' oral health literacy and support the delivery of oral health education in schools. Teachers play an important role in promoting healthy behaviors among children, but many have limited access to structured oral health training. Digital microlearning approaches may provide a scalable and cost-effective solution for strengthening teacher capacity in school-based oral health promotion.
Teachers assigned to the intervention group will receive access to a digital learning platform that delivers short, interactive, and evidence-based oral health training modules through mobile devices. The platform will provide educational content, reminders, quizzes, feedback, and progress monitoring. Teachers in the control group will receive standard information or routine training practices.
The study will assess changes in teachers' oral health literacy, knowledge, attitudes, and confidence in delivering oral health education. It will also evaluate implementation outcomes, including acceptability, feasibility, adoption, fidelity, reach, and engagement with the digital platform. In addition, the study will examine whether improvements in teacher training lead to better oral health knowledge, behaviors, and clinical oral health outcomes among students.
Oral diseases remain among the most prevalent chronic conditions affecting children worldwide and disproportionately burden populations in low- and middle-income countries. Schools are recognized as an important setting for oral health promotion because they provide sustained access to children during critical periods of behavioral development. Teachers are key agents in implementing school-based oral health interventions; however, limited training opportunities, competing responsibilities, and resource constraints often reduce their effectiveness in delivering oral health education.
Digital learning technologies provide opportunities to overcome these challenges through flexible, scalable, and low-cost training approaches. Just-in-Time learning is an educational strategy that delivers concise information at the point of need, enabling users to acquire knowledge and skills in a timely and accessible manner. Despite growing interest in digital health education, evidence regarding the effectiveness and implementation of digital oral health training for teachers remains limited.
This randomized controlled trial will evaluate a Just-in-Time Digital Learning Platform developed to improve teachers' oral health literacy and strengthen the delivery of school-based oral health promotion activities. The intervention consists of short digital microlearning modules, interactive quizzes, reminders, feedback mechanisms, and performance-monitoring features accessible through mobile devices.
The primary objective is to determine the effect of the intervention on teachers' oral health literacy. Secondary objectives include assessing changes in teachers' oral health knowledge, attitudes, self-efficacy, and educational practices, as well as student oral health knowledge, behaviors, and clinical oral health outcomes. The study will further evaluate implementation outcomes including acceptability, feasibility, adoption, fidelity, reach, engagement, and sustainability using implementation science frameworks. Equity analyses will assess whether intervention effects differ according to school location, socioeconomic characteristics, or other contextual factors.
The results will contribute to the evidence base for digital capacity-building strategies in school health programs and provide guidance for policymakers seeking scalable and sustainable approaches to improve oral health promotion through educational systems.
967 studies on the registry are indexed under Health Behavior; 165 are open to participants now.
This study's planned enrollment of 870 is above the median of 150 across 824 interventional studies indexed under Health Behavior.
Browse Health Behavior studies →Universiti Putra Malaysia is the lead sponsor of 145 studies on the registry; 50 are open to participants now.
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Inclusion Criteria: Teachers aged ≥18 years. Currently employed in participating schools. Access to a smartphone, tablet, or computer with internet connectivity. Able to understand the intervention language. Willing to provide and participate in study activities. -
Exclusion Criteria: Currently participating in another oral health training program or research study.
Planning to leave employment at the participating school during the study period.
Unable to access or use the digital learning platform. Refusal or withdrawal of informed consent.
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Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants in this arm will receive access to a Just-in-Time Digital Learning Platform designed to improve teachers' oral health literacy and capacity to deliver school-based oral health education. The intervention includes short mobile-based microlearning modules, educational videos, interactive quizzes, reminders, feedback, digital learning resources, and progress tracking. Content covers oral health knowledge, preventive practices, oral hygiene promotion, and classroom implementation strategies. Teachers will engage with the platform throughout the intervention period and apply learned concepts in routine school activities. The intervention is designed to improve teacher oral health literacy, implementation outcomes, and student oral health outcomes.
Behavioral: Just-in-Time Digital Learning Platform for Teacher Oral Health Training
Participants in this arm will continue routine educational practices and receive standard training or information available through existing school systems. They will not receive access to the Just-in-Time Digital Learning Platform during the study period. Outcomes will be assessed at the same time points as the intervention group.
Teachers assigned to the intervention group will receive access to a mobile-based Just-in-Time Digital Learning Platform delivering short oral health microlearning modules, interactive quizzes, reminders, educational resources, and feedback. The intervention aims to improve teachers' oral health literacy, teaching practices, and implementation of school-based oral health promotion activities, ultimately improving student oral health outcomes.
Teacher Oral Health Literacy Score
Teacher oral health literacy will be assessed using a structured oral health literacy questionnaire completed by participating teachers at baseline and post-intervention. Each item will be scored according to the questionnaire scoring instructions, and item scores will be summed to generate a total oral health literacy score. Higher scores will indicate greater oral health literacy. The primary analysis will compare the change in mean oral health literacy score from baseline to post-intervention between the intervention and control groups.
Time frame: Baseline to post-intervention (e.g., 6 months)
Teacher oral health knowledge
Structured 20-30 item MCQ questionnaire on caries, plaque, brushing, fluoride, diet, referral, and prevention
Time frame: 6 Months
Teaching self-efficacy
8-10 Likert-scale items assessing confidence to teach oral health, demonstrate brushing, answer questions, and refer children
Time frame: 6 Months
AIM score
Acceptability of Intervention Measure, 4 items
Time frame: 6 Months
IAM score
Intervention Appropriateness Measure, 4 items
Time frame: 6 Months
FIM score
Feasibility of Intervention Measure, 4 items
Time frame: 6 Months
Training completion rate
Digital platform analytics: number of completed modules divided by total assigned modules
Time frame: 6 Months
Fidelity
Classroom observation checklist assessing whether teachers delivered key oral health messages and activities as planned
Time frame: 6 Months
Student oral health knowledge
Age-appropriate 10-20 item questionnaire on brushing, sugar intake, dental visits, and tooth protection
Time frame: 6 Months
Student oral health behaviour
Self-reported questionnaire on brushing frequency, fluoride toothpaste use, sugary snack intake, and dental care-seeking
Time frame: 6 Months
OHI-S
Clinical oral examination using Greene and Vermillion Simplified Oral Hygiene Index
Time frame: 6 Months
Plaque Index
Silness and Löe Plaque Index assessed on selected teeth/surfaces
Time frame: 6 Months
Plan to share: No — The study protocol, statistical plan, and results will be disseminated through publications in peer-reviewed Journals.
This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.
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