ClinicalTrials.gg
Not yet recruitingNCT07916896Updated Nov 4, 2026

Game-based Oral Health Promotion

An interventional study of OHE for children and OHE for parents in Oral Hygiene, sponsored by The University of Hong Kong. Not yet recruiting. Open to participants aged 3 Years to 6 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by The University of Hong Kong · Not applicable, Interventional, and Prevention

Updated Nov 4, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
282
Allocation
Randomized
Ages
3 Years to 6 Years
Sex
All
01

Study summary

Parents and caregivers play a key role in shaping children's oral health-related behaviours. However, traditional oral health education (OHE) is not engaging for young children. Game-based learning provides an interactive and enjoyable approach that may improve children's interest, motivation, and understanding. Parent-child interactive games may also encourage communication, shared learning, and behaviour reinforcement at home.

Therefore, the proposed study aims to investigate the efficacy of parent-child interactive game (PCIG)-based OHE in promoting oral health among preschool children. A total of 282 children will be recruited from kindergartens. They will be randomly allocated into three groups with a 1:1:1 ratio, and receive the following interventions: i) Conventional OHE for children only; ii) Conventional OHE for children and parents; and iii) Interactive game-based OHE for children and parents.

The primary outcome is children's oral hygiene status, while the secondary outcome is caries status, caries activity, oral health-related behaviours, dental anxiety, and screen time. We anticipate that children in Group 3 will have better oral hygiene status, lower caries incidence, reduced caries activity, more favourable oral health-related behaviours, lower dental anxiety, and less screen time. If proven effective, family-based OHE can be recommended on a large scale to improve oral health at the family level.

02

Conditions studied

  • Oral Hygiene
03

In context

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,289 studies on the registry; 345 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Years to 6 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • i) aged between 3 and 6 years;
  • ii) able to cooperate with intra-oral examinations;
  • iii) without intellectual or developmental disabilities; and
  • iv) without severe systemic diseases.

Exclusion criteria

Exclusion Criteria:

  • i) children with developmental disabilities or severe systemic diseases;
  • ii) children with severe dental anxiety who are unable to cooperate with intra-oral examination or health education activities;
  • iii) children who have recently received other oral health education interventions;
  • vi) left-behind children, or children who do not live with their parents; and
  • v) children whose legal guardians are not their own parents.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
282 participants (estimated)

Study arms

  • Active comparator
    Group 1

    Behavioral: OHE for children

  • Active comparator
    Group 2

    Behavioral: OHE for children · Behavioral: OHE for parents

  • Experimental
    Group 3

    Behavioral: OHE for children · Behavioral: OHE for parents · Behavioral: OHE interactive game kits

Interventions

  • BehavioralOHE for children

    OHE information on favourable dental care routines will be introduced.

  • BehavioralOHE for parents

    A set of OHE materials will also be distributed to parents, illustrating how to prevent dental caries and periodontal diseases for parents.

  • BehavioralOHE interactive game kits

    A package of OHE game kits for toothbrushing, dietary instruction, and min-dentist role-play will be provided, and children will be encouraged to be mini dentists who teach their parents how to brush their teeth and choose tooth-friendly foods.

06

What researchers measure

Primary outcomes

  1. Oral hygiene

    Six index teeth (#55B, #51B, #65B, #75L, #71B, and #85L) will be selected to assess the oral hygiene status using the Simplified Debris Index (DI-S)。

    Time frame: Baseline, 3, 6, and 12 months.

Secondary outcomes

  1. Dental caries

    Caries status will be evaluated by the number of decayed, missing due to caries, and filled teeth (dmft), following the criteria proposed by the World Health Organization (WHO, 2013).

    Time frame: Baseline and 12 months.

  2. Caries activity

    Caries activity will be assessed using the Cariostat kit (Hebei Gang Da Medical Technology Co., Ltd).

    Time frame: Baseline, 3, 6, and 12 months.

  3. Dental anxiety (cooperation with dental check-up)

    Frankl Behavior Rating Scale

    Time frame: Baseline, 3, 6, and 12 months.

  4. Dental anxiety percieved by children

    A 5-point Likert Facial Image Scale (FIS) will be used to assess a child's dental anxiety during a dental visit

    Time frame: Baseline, 3, 6, and 12 months.

  5. Dental anxiety perceived by parents

    Dental anxiety will be reported by parents using a simplified 5-item instrument, Modified Dental Anxiety Scale (MDAS).

    Time frame: Baseline, 6, and 12 months.

  6. Oral health-related behaviours

    Toothbrushing frequency (twice daily or not), toothbrushing duration (less than 2 min, 2 min or more), snacking frequency (once daily or less, twice daily, three times per day, or over 3 times) will be reported by parents via questionnaires.

    Time frame: Baseline, 6, and 12 months.

  7. Screen time

    The duration of time (h) a child spends in watching video or using digital devices will be reported by parents via questionnaires.

    Time frame: Baseline, 6, and 12 months.

07

Study locations

No study locations are listed for this record.

08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Dec 2028, 24 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 24, 2026
First posted
Nov 4, 2026
StartEst.
Dec 21, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Mar 1, 2029
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07916896
Responsible party
ZHOU Ni (Clinical Assistant Professor, The University of Hong Kong) — Principal investigator
First posted
Nov 4, 2026
Start date
Dec 21, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Mar 1, 2029 (estimated)
Last update
Nov 4, 2026

Study contacts

Ni ZHOU
Contact
nizhou@hku.hk
(0852) 2859 0255

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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