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CTRI Number  CTRI/2026/02/105074 [Registered on: 27/02/2026] Trial Registered Prospectively
Last Modified On: 27/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Preventive
Screening
Dentistry
Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Person-Centered Oral Health Coaching on Preventing Tooth Decay in Young Children 
Scientific Title of Study   Effect of a Behavioural Change Communication Intervention on the Oral Health Status of Young Children – A Randomized Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Arun Mamachan Xavier 
Designation  Professor 
Affiliation  Amrita School of Dentistry, Amrita Vishwa Vidyapeetham 
Address  Department of Pediatric & Preventive Dentistry Amrita School of Dentistry AIMS, Ponekkara P.O., Kochi, Kerala Pin: 682041

Ernakulam
KERALA
682041
India 
Phone  09539084820  
Fax    
Email  arunmamachan@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chandrashekar Janakiram 
Designation  Professor and Head 
Affiliation  Amrita School of Dentistry, Amrita Vishwa Vidyapeetham 
Address  Department of Public Health Dentistry, Amrita School of Dentistry AIMS, Ponekkara P.O Kochi, Kerala Pin: 682041

Ernakulam
KERALA
682041
India 
Phone  9481789572  
Fax    
Email  sekarcandra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chandrashekar Janakiram 
Designation  Professor and Head 
Affiliation  Amrita School of Dentistry, Amrita Vishwa Vidyapeetham 
Address  Department of Public Health Dentistry, Amrita School of Dentistry AIMS, Ponekkara P.O Kochi, Kerala Pin: 682041

Ernakulam
KERALA
682041
India 
Phone  9481789572  
Fax    
Email  sekarcandra@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Amrita School of Dentistry 
Address  Aims , Ponekkara P.O, 682041,Kochi , Kerala 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Arun Mamachan Xavier  Amrita School of Dentistry  Room no: 5, 1st floor, Department of Paediatric and Preventive Dentistry, Amrita School of Dentistry, AIMS Ponekkara P.O. Kochi-41, Ernakulam, Kerala
Ernakulam
KERALA 
9539084820

arunmamachan@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee of Amrita School of Medicine  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Parents, Caregiveres 
Patients  (1) ICD-10 Condition: K026||Dental caries on smooth surface,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Children who receive the standard care  Pertinent oral health information will be provided timely and oral health concerns will be addressed as per individual needs. 
Intervention  Person-Centered Oral Health Coaching  This would involve behaviour change talk to parents and children through reflective listening, and reinforcement of commitments. It will also involve interviewing, oral health/knowledge assessment and self-motivation. Each session will last up to a maximum of 20-30 minutes. 
Intervention  Person-Centered Oral Health Coaching combined with Audio-visual media  This would involve behaviour change talk to parents and children through reflective listening, and reinforcement of commitments with the aid of audio-visual media. Similar to group 1, it will also involve interviewing, oral health/knowledge assessment and self-motivation. Each session will last up to a maximum of 20-30 minutes. 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  4.00 Year(s)
Gender  Both 
Details  1. Children between 2-4 years having no caries or not more than Type II ECC at the initiation of the study
2. Parents of children having a minimum education qualification up to graduation.
3. Parents willing to enroll their children for participation.
 
 
ExclusionCriteria 
Details  1.Children having Type III ECC
2.Participants with known cognitive and psychological impairment.
3.Participants with any other significant disease or disorder which, in the opinion of the investigator, may either put the participants at risk because of the participation in the trial, or may influence the result of the trial.
4.Participants who have participated in any similar research trial in the past 12 weeks.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Dental caries Incidence, Oral hygeine status, and Gingival health of Children  Baseline, 6 months and 12 months 
 
Secondary Outcome  
Outcome  TimePoints 
1.Parental oral health knowledge, behaviour and practices
2.Child oral health behaviour and practices
 
Baseline, 6 months and 12 months 
 
Target Sample Size   Total Sample Size="660"
Sample Size from India="660" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/10/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   A randomised controlled trial will be adopted to assess the effect of Behaviour Change Communication Intervention on the oral health the oral health status and practices of pre-school children over 2.6 years. The population will consist of 660 children aged 2-4 years who will be consulting in the department of Paediatric and Preventive Dentistry of Amrita School of Dentistry, Amrita Institute of Medical Sciences. The study sample will be randomly allocated to any of the three trial groups including one control group. The study groups receive person-centered oral heath coaching with/without audio-visual media/standard care. Pertinent oral health information will be provided to all groups including the control group. Inter-group and intra-group statistical analysis will done appropriately using ANOVA, repeated measures ANOVA, Chi-square test and Kruskal Wallis test. Missing values will be handled using multiple imputation .Statistical significance will be set at p < 0.05. 
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