Premium
The Children’s Health and Maintenance Program (CHAMP): An innovative community outreach oral health promotion program: A randomized trial
Author(s) -
Seirawan Hazem,
Parungao Kristine,
Habibian Mina,
Slusky Natalia,
Edwards Christine,
Artavia Margarita,
Cen Steven,
Chan Chan,
Mulligan Roseann
Publication year - 2021
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/cdoe.12591
Subject(s) - medicine , outreach , psychological intervention , randomized controlled trial , family medicine , health promotion , oral health , promotion (chess) , gerontology , nursing , public health , surgery , politics , political science , law
Objective To describe CHAMP (Children's Oral Health Promotion Program) evaluating the impact of two motivational methods in increasing dental care access. Methods CHAMP is a multi‐dimensional oral health promotion programme that recruited and screened underprivileged children/families from community sites in Los Angeles County between 2012 and 2018. A randomized clinical trial (RCT) enrolled children/families into one or more motivational interventions (intra‐oral camera and/or social work consultation) designed to impact subsequent scheduling of dental appointments. Results CHAMP served 24 535 families. RCT had 418 families with 68.5% scheduling appointments by second follow‐up ( P < .001). Excluding children with scheduled appointments by first follow‐up, children experiencing both interventions were 4.1 (95% CI 1.5‐11.2) times more likely to schedule appointments by second follow‐up than were the controls ( P =<.01). When experiencing both interventions and had never previously been to the dentist, 68.3% scheduled dental appointments; this was significantly higher than the controls (46.7%) ( P = .04). The best predictor for families to have scheduled appointments was a dental visit within the last six months [OR = 3.8 (95% CI 2.2‐6.6), P < .001]. Conclusions Outreach health promotion programmes are important and should consider utilizing various motivational techniques to encourage enrolment and treatment at dental homes.