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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

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

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.