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Trial registered on ANZCTR
Registration number
ACTRN12617000846325
Ethics application status
Approved
Date submitted
4/06/2017
Date registered
8/06/2017
Date last updated
6/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
A supervised toothbrushing intervention trial in Northland New Zealand school children
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Scientific title
Northland Intermediate School Children Tooth brushing trial to improve and monitor oral health outcomes
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Secondary ID [1]
285265
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dental Caries
303544
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Condition category
Condition code
Oral and Gastrointestinal
302955
302955
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Supervised toothbrushing intervention to intervention arm. One pea sized amount of fluoridated Colgate Red Box toothpaste once daily at school for 2 mins. The intervention went for two school years and the intervention was run by a teacher aide. One large school was allocated to the intervention and 4 smaller schools to the control arm. Each school was matched by deprivation and ethnicity. The brushing occurred after lunch each day and funding provided for the brush and paste.
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Intervention code [1]
298265
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Prevention
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Comparator / control treatment
Children attending control school where no 2 minute brushing occurs.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in caries status after 2 years with a clinical exam and radiographs. At baseline these were also recorded and a net change in caries was calculated for each child
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Assessment method [1]
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Timepoint [1]
302348
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Two school years
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Secondary outcome [1]
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Oral health related quality of life using a validated tool the CPQ11-14
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Assessment method [1]
335620
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Timepoint [1]
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Two school years
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Secondary outcome [2]
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Cost effectiveness using a QALY (Validated tool the CHU-9D) and the cost of treatment (resources = materials and time of clinician) of a lesion that progresses to a restoration for children in each arm against the cost of implementing the brushing programme (resources, aide time etc)
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Assessment method [2]
335715
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Timepoint [2]
335715
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Two school years
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Eligibility
Key inclusion criteria
All children attending school
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Minimum age
10
Years
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Maximum age
13
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
No consent given
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Quasi-experimental
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Two previously conducted tooth brushing studies were used to calculate a sample size based on their findings and a detectable difference between the two arms using the following assumptions (Rao et al, 2007; Kraivaphan et al, 2013):
(1) ICDAS will detect a 10% difference in caries increment between two the intervention arms;
(2) this difference will be detectable at 2-year follow-up;
(3) standard deviations of 1;
(4) power = 0.8;
(5) a = 0.05, two-sided t-test; and
(6) assuming 15% lost to follow-up (attrition over two years).
A total sample size of 104 (n=52 per treatment group) was required.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
2/02/2015
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Date of last participant enrolment
Anticipated
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Actual
2/03/2015
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Date of last data collection
Anticipated
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Actual
1/12/2016
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Sample size
Target
104
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Accrual to date
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Final
240
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Recruitment outside Australia
Country [1]
8951
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New Zealand
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State/province [1]
8951
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Northland
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Funding & Sponsors
Funding source category [1]
296655
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Government body
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Name [1]
296655
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Ministry of Health New Zealand
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Address [1]
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PO Box 28084
Remuera
Auckland 1541
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Country [1]
296655
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
Po Box 647
Dunedin 9054
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Country
New Zealand
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Secondary sponsor category [1]
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Government body
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Name [1]
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Northland DHB
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Address [1]
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Private Bag 9742, 0148, Whangarei
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297881
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Health and Disability Ethics Committee (HDEC) Northern A Health and Disability Ethics Committee (14/NTA/176).
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Ethics committee address [1]
297881
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Ministry of Health C/- MEDSAFE, Level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
297881
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New Zealand
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Date submitted for ethics approval [1]
297881
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01/09/2014
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Approval date [1]
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10/10/2014
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Ethics approval number [1]
297881
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14/NTA/176
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Summary
Brief summary
There are still clear inequalities in the oral health of New Zealanders, with Maori and low socio-economic families experiencing a high proportion of oral disease, mainly dental decay. The Northland population has high proportions of Maori and low socioeconomic status people; dental disease rates in children in Northland, which has no fluoridated water supply, are the highest in the country. Tooth brushing with fluoride toothpaste reduces the incidence of dental decay significantly. Studies supervising children to brush in schools have shown measurable improvements in oral health, including a pilot study in Northland. A larger scale study is needed to reach more children and to examine the feasibility of tooth brushing interventions throughout New Zealand. The proposed research is a supervised tooth brushing trial of Intermediate-aged school children in Northland with high caries experience. All children will undergo routine dental examinations at the beginning of the study. Children will be allocated to two different arms the intervention where they will have a supervised brushing session with 1450ppm fluoride toothpaste each school day and the control where they will do as usual. Examinations will be repeated annually until they complete Intermediate school. Data will be collected to analyse oral health outcomes, and the relative cost of this programme against the current model of treating dental disease. Data will show if a brushing programme is more effective for a population suffering from high levels of dental disease. Health and Disability Ethics Committee (HDEC) Northern A Health and Disability Ethics Committee (14/NTA/176).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Lyndie Foster Page
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Address
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University of Otago
PO Box 647
Dunedin 9054
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Country
51130
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New Zealand
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Phone
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+6434795853
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Fax
51130
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Email
51130
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[email protected]
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Contact person for public queries
Name
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Lyndie Foster Page
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Address
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University of Otago
PO Box 647
Dunedin 9054
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Country
51131
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New Zealand
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Phone
51131
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+6434795853
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Fax
51131
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Email
51131
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[email protected]
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Contact person for scientific queries
Name
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Lyndie Foster Page
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Address
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University of Otago
PO Box 647
Dunedin 9054
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Country
51132
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New Zealand
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Phone
51132
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+6434795853
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Fax
51132
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Email
51132
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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