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N/A N=75 Health Services Research

Implementing a Participatory, Multi-level Intervention to Improve Asian American Health Study

Oral Disease · Dental Caries

Enrolled (actual)
75
Serious AEs
0.0%
Results posted
Jul 2021
Primary outcome: Primary: Number of Patients Who Agree or Strongly Agree With the Statement, "The Community Health Worker (CHW) Helped me to Improve How I Take Care of my Health" Based on a 4-point Likert Scale. — 21; 50; 1; 0 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Partnered intervention (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
NYU College of Dentistry
Primary completion
Feb 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Patients Who Agree or Strongly Agree With the Statement, "The Community Health Worker (CHW) Helped me to Improve How I Take Care of my Health" Based on a 4-point Likert Scale.
21; 50; 1; 0
SECONDARY
Number of Patients Who Agree or Strongly Agree With the Statement, "The Community Health Worker (CHW) Answered my Questions or Concerns" Based on a 4-point Likert Scale.
16; 50; 1; 0
SECONDARY
Number of Patients Who Agree or Strongly Agree With the Statement, "The Information and Topics Were Informative" Based on a 4-point Likert Scale.
17; 52; 0; 0
SECONDARY
Number of Patients Who Agree or Strongly Agree With the Statement, "The In-person Demonstrations Were Helpful in Improving Oral Health" Based on a 4-point Likert Scale.
17; 52; 0; 0

Summary

This feasibility and acceptability study will be conducted at 3 community outreach centers serving an urban, low-income Chinese population. The study will evaluate the feasibility and acceptability of implementing a partnered intervention to improve the oral and general health of low-income, urban Chinese American adults and of using remote data entry into an electronic health record (EHR). The research staff will survey a sample of Chinese American patients screened at each center about their satisfaction with the partnered intervention and about their oral health behaviors. An additional sample selected from providers [dentists and community health workers (CHW)], research staff, New York University (NYU) administrators, site directors, and community advisory board (CAB) members will participate in structured interviews about the partnered intervention. The remote EHR evaluation will include group adaptation sessions and workflow analyses via multiple recorded sessions with research staff, NYU administrators, outreach site directors, and providers (dentists and CHWs). The study will also model knowledge held by these non-patient participants (including CAB members) to evaluate and enhance the partnered intervention during and/or after the feasibility and acceptability study for use in future implementations.

Eligibility Criteria

Inclusion Criteria

Outreach center patients will be enrolled into either or both of 2 groups.

Approximately 50 patients from each of 3 centers (n = 150) will be consented to allow their data to be entered via the remote EHR. These EHR patient participants must meet all of the following criteria to be enrolled:

  • Greater than or equal to 21 years of age
  • Self-identify as being of Chinese ethnicity
  • Live in any of the 5 boroughs of New York, NY and visit a participating outreach center
  • Able and willing to provide informed consent to have their data entered into the remote EHR

Approximately 30 patients from each of 3 centers (n = 90) will be consented to participate in an exit interview and a follow-up interviews. These interview patient participants must meet all of the following criteria:

  • Greater than or equal to 21 years of age
  • Self-identify as being of Chinese ethnicity
  • Live in any of the 5 boroughs of New York, NY and visit a participating outreach center
  • Able and willing to provide informed consent and participate in an exit interview and a follow-up interview

Approximately 20 research staff, NYU administrators, outreach center directors, and providers (dentists and CHWs) will be enrolled to participate in interviews about the partnered intervention and/or remote EHR. These non-patient participants must meet all of the following criteria:

  • Greater than or equal to 18 years of age
  • Be employed or volunteers at participating outreach centers or employed at NYU
  • For CHW-staff, speak and read Mandarin Chinese
  • Able and willing to provide informed consent

Approximately 32 non-patient participants (research staff, NYU administrators, CAB members, outreach site directors, and providers (dentists and CHWs) will be enrolled to participate in interviews and a group model-building workshop to inform model development by sharing their knowledge about factors that influence access to oral health care and care-seeking behaviors among low-income, urban Chinese American adults. These individuals must meet all of the following criteria:

  • Greater than 18 years of age
  • Be employed or volunteers at participating outreach centers or employed at NYU
  • Able and willing to provide informed consent

Exclusion Criteria

Individuals meeting any of the following criteria will not be enrolled as either EHR patient participants or interview patient participants:

  • Have an acute or terminal illness or a serious mental illness or any other severe health condition(s) that might preclude visiting an oral health care provider
  • Are currently participating in another oral health study

Individuals meeting any of the following criteria will not be enrolled to complete the interviews about the partnered intervention or remote EHR or to provide input to the knowledge modeling activities:

  • Staff in functional areas that do not directly service patients (e.g., custodial staff) A patient participant may participate in either the EHR patient participant group only or both patient participant groups (interview patient participants are a subset of EHR patient participants). A non-patient participant may participate in any or all of the non-patient participant data collection activities. Co-participation in activities by any subject is not required.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03438045). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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