RecruitingNot Applicable

MOLAR: Mapping Oral Health and Local Area Resources

United States2,927 participantsStarted 2023-08-25

Plain-language summary

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.

Who can participate

Age range

1 Year

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

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

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Linkage to oral health care

Timeframe: Within 12 months of randomization

Trial details

NCT IDNCT05688982

SponsorMassachusetts General Hospital

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2028-02-22

Contact for this trial

Margaret Samuels-Kalow

617-726-8340 msamuels-kalow@partners.org

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