MOLAR: Mapping Oral Health and Local Area Resources

Purpose

The goal of this clinical trial is to test the impact of a screening and linkage intervention for adverse social determinants of health (aSDoH) on oral health linkage to care for emergency department patients. Researchers will compare three groups: Patients in Arm A will receive paper handouts with general oral health and aSDoH resources. Patients in Arm B will receive paper handouts with geographically-proximate oral health and aSDoH resources. Patients in Arm C will receive geographically-proximate oral health and aSDoH resources plus active navigational assistance.

Condition

  • Dental Diseases

Eligibility

Eligible Ages
Over 1 Year
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • To be eligible to participate in this study, an individual must meet all of the following criteria: - No evidence of lack of capacity to provide verbal informed consent (as documented in the chart). - Willing to comply with all study procedures and be available by phone for the duration of the study (as reported by the patient) - Unmet oral health needs as ascertained by the Hope Home (adult) or Gazzaz (pediatric) questions - Adult (age ≥18 years old) ED patient or pediatric ED patient (>1 year of age) presenting with parent or legal guardian. Parent will be the primary study participant but if age > 7 years, the child will provide assent for medical record review. - Ability to communicate in English or Spanish (as reported by the patient) - Emergency severity index (ESI) 2-5 (as documented in the electronic medical record) - Residence within catchment area of 3-hospital region (defined by MGB home hospital catchment area) at initial enrollment (as reported by the patient) - Working phone number

Exclusion Criteria

  • Patients on involuntary holds (per electronic medical record review) - Presenting from carceral facilities (per electronic medical record review) - Presenting for acute mental health care under evaluation for Section 12 (per electronic medical record review) - Patients presenting for assistance with intimate partner violence (IPV) or care following sexual assault

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Other
A--general information 		Patients in Arm A will receive paper handouts with general oral health and aSDoH resources
  • Behavioral: General information provision
    Patients will receive information with general oral health and aSDoH resources.
Other
B--geographic information 		Patients in Arm B will receive paper handouts with geographically-proximate oral health and aSDoH resources.
  • Behavioral: Geographic information provision
    Patients will receive information with geographically-proximate oral health and aSDoH resources based on a directory created by the study team.
Other
C--geographic information and navigational assistance 		Patients in Arm C will receive geographically-proximate oral health and aSDoH resources plus active navigational assistance.
  • Behavioral: Geographic information provision
    Patients will receive information with geographically-proximate oral health and aSDoH resources based on a directory created by the study team.
  • Behavioral: Navigational assistance
    Patients will receive phone-based navigational assistance from the study navigator.

Recruiting Locations

Massachusetts General Hospital
Boston, Massachusetts 02114
Contact:
Margaret Samuels-Kalow, MD MSHP

More Details

Status
Recruiting
Sponsor
Massachusetts General Hospital

Study Contact

Margaret Samuels-Kalow
617-726-8340
msamuels-kalow@partners.org