Improving Oral Health for Older Adults in Primary Care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to enhance dental care utilization among older adults enrolled in Medicaid by implementing multi-level interventions in primary care settings. The study will involve 12 practices, randomly assigned to either an intervention group that receives enhanced training and EHR modifications or a control group that follows standard care. The intervention includes training medical staff in oral health strategies and educating clinicians on the importance of dental visits, with the goal of improving patient outcomes through better oral health management. Participants will be followed over time to assess the effectiveness of these interventions.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Practices:

* Use Epic EHR
* Have older adults covered by Medicaid
* Located within 60 miles of the CWRU research offices

Provider (medical staff or clinician):

Medical staff (MA, nurse):

* Do not float between practices
* Plan not to leave practice within a year
* Provide a signed and dated consent form

Clinicians (Physician, NP):

* Have a minimum of 2 patient-care days per week
* Do not float between practices
* Plan not to leave practice within a year
* Provide signed and dated consent form

Older Adult/Patient Participant:

* Enrolled in CareSource Medicaid Plan
* Female or male aged 55 years or older
* Attending non-urgent primary care visits (PCV) at enrolled site
* Provide signed and dated informed consent form
* Planning to stay in the immediate area for the next year
* Enrolled in the Adult Wellness Registry

Exclusion Criteria:

* The presence of any serious medical health condition (such as dementia or other cognitive disorder not allowing them to participate) where the clinician indicates they should not participate.
* The presence of any serious mental health disorders such as schizophrenia where the clinician indicates they should not participate.

Where it's running

• Case Western Reserve University
  Cleveland, Ohio, United States Recruiting

Study contacts

• Principal investigator: Suchitra Nelson, PhD — Case Western Reserve University
• Study coordinator: Suchitra Nelson, PhD
• Email: sxn15@case.edu
• Phone: 216-368-3469

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.