Francisco Ramos-Gomez1,2,3, Justin S White1,4,5, Helen E Lindau2, Tracy K Lin6, Tracy L Finlayson1,7, Jenny X Liu1,6, Stuart A Gansky1,4,8,9. 1. Center to Address Disparities in Children's Oral Health, University of California San Francisco, San Francisco, CA, USA. 2. Section of Pediatric Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, CA, USA. 3. UCLA Center for Children's Oral Health (UCCOH), University of California Los Angeles, Los Angeles, California, USA. 4. Philip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, CA, USA. 5. Department of Epidemiology and Biostatistics, University of California San Francisco, University of California San Francisco, San Francisco, California, USA. 6. Institute for Health & Aging, Department of Social and Behavioral Sciences, University of California San Francisco, San Francisco, CA, USA. 7. School of Public Health, San Diego State University, San Diego, CA, USA. 8. Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, CA, USA. 9. Bakar Computational Health Sciences Institute, University of California San Francisco, University of California San Francisco, San Francisco, California, USA.
Abstract
BACKGROUND: Effective prevention-focused, value-based strategies are needed to improve oral health. Despite evidence that monetary incentives can motivate healthy behavior, well-powered studies have yet to examine incentives for improving children's oral hygiene. AIM: Describe the rationale and design of the BEhavioral EConomics for Oral health iNnovation (BEECON) trial, which tests lottery-based monetary incentives as a consumer-oriented, value-based care model for improving children's oral hygiene. DESIGN: Phase II, stratified, permuted block randomized, controlled, two-arm, parallel groups, prevention trial. SETTING: Study visits occur at three Los Angeles, CA health clinics. PARTICIPANTS: Two hundred and forty-four parent-child dyads with a child aged 6-48 months. INTERVENTIONS: Eligible dyads were randomized in equal allocation to one of two groups: lottery incentive group or waitlist (delayed incentive) control group. Weekly lottery incentives were offered for 6 months based on Bluetooth-recorded toothbrushing frequency. Both groups received weekly text message feedback on toothbrushing performance. OUTCOMES: The primary outcome was toothbrushing performance from baseline to 6 months, measured as the mean number of qualifying half-day Bluetooth-recorded episodes per week when the child's teeth were brushed. Secondary outcomes included toothbrushing performance sustainability through 12 months and dental caries status. CONCLUSIONS: BEECON offers a consumer-oriented approach to promoting value-based oral health care. We hypothesize that lottery-based incentives can improve oral hygiene in young children. Study results will inform programming efforts to enhance oral disease prevention in young children. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT03576326.
BACKGROUND: Effective prevention-focused, value-based strategies are needed to improve oral health. Despite evidence that monetary incentives can motivate healthy behavior, well-powered studies have yet to examine incentives for improving children's oral hygiene. AIM: Describe the rationale and design of the BEhavioral EConomics for Oral health iNnovation (BEECON) trial, which tests lottery-based monetary incentives as a consumer-oriented, value-based care model for improving children's oral hygiene. DESIGN: Phase II, stratified, permuted block randomized, controlled, two-arm, parallel groups, prevention trial. SETTING: Study visits occur at three Los Angeles, CA health clinics. PARTICIPANTS: Two hundred and forty-four parent-child dyads with a child aged 6-48 months. INTERVENTIONS: Eligible dyads were randomized in equal allocation to one of two groups: lottery incentive group or waitlist (delayed incentive) control group. Weekly lottery incentives were offered for 6 months based on Bluetooth-recorded toothbrushing frequency. Both groups received weekly text message feedback on toothbrushing performance. OUTCOMES: The primary outcome was toothbrushing performance from baseline to 6 months, measured as the mean number of qualifying half-day Bluetooth-recorded episodes per week when the child's teeth were brushed. Secondary outcomes included toothbrushing performance sustainability through 12 months and dental caries status. CONCLUSIONS: BEECON offers a consumer-oriented approach to promoting value-based oral health care. We hypothesize that lottery-based incentives can improve oral hygiene in young children. Study results will inform programming efforts to enhance oral disease prevention in young children. TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT03576326.
Authors: Jonathan E Creeth; Andrew Gallagher; Joseph Sowinski; James Bowman; Kathy Barrett; Shirley Lowe; Kartik Patel; Mary Lynn Bosma Journal: J Dent Hyg Date: 2009-08-14
Authors: Judith Albino; Tamanna Tiwari; Stuart A Gansky; Michelle M Henshaw; Judith C Barker; Angela G Brega; Steven E Gregorich; Brenda Heaton; Terrence S Batliner; Belinda Borrelli; Paul Geltman; Nancy R Kressin; Jane A Weintraub; Tracy L Finlayson; Raul I Garcia Journal: BMC Oral Health Date: 2017-05-19 Impact factor: 2.757
Authors: Francisco J Ramos-Gomez; Molly A Martin; Suchitra S Nelson; Belinda Borrelli; Michelle M Henshaw; Shelley Curtan; Helen E Lindau; Nicolle Rueras; Anna S Sandoval; Stuart A Gansky Journal: Front Dent Med Date: 2021-07-09
Authors: Helen Lindau; Francisco Ramos-Gomez; Jeremiah Garza; Tracy Finlayson; Morgan Pareja; Jenny Liu; Stuart Gansky Journal: BMC Res Notes Date: 2022-03-04