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CTRI Number  CTRI/2024/01/061592 [Registered on: 18/01/2024] Trial Registered Prospectively
Last Modified On: 11/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Understanding how people in Udupi take care of their general and oral health 
Scientific Title of Study   Assessment of General and Oral health literacy levels among outpatients visiting Dental Outreach Programs and Camps in Udupi District, Karnataka State 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR RITIKA VASANTH 
Designation  MHA second year student 
Affiliation  Prasanna School of Public Health 
Address  LH3, Department of Social and Health Innovation ,Prasanna School of Public Health, Madhav Nagar, Manipal, Karnataka

Udupi
KARNATAKA
576104
India 
Phone  7994572376  
Fax    
Email  ritika.psphmpl2022@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Usha Rani 
Designation  Associate Professor 
Affiliation  Prasanna School of Public Health 
Address  Dept. of Social and Health Innovation, Prasanna School of Public Health, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8310214742  
Fax    
Email  usha.rani@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Ramprasad V P 
Designation  Professor and Head , Dept of Public Health Dentistry, MCODS, Manipal 
Affiliation  Manipal College of Dental Sciences 
Address  Dept. of Public Health Dentistry , Room No. 08, Second floor, MCODS Manipal

Udupi
KARNATAKA
576104
India 
Phone  9845100424  
Fax    
Email  vasthare.ram@manipal.edu  
 
Source of Monetary or Material Support  
Department of Social and Health Innovation ,Prasanna School of Public Health, Madhav Nagar, Manipal, Karnataka 
 
Primary Sponsor  
Name  DR RITIKA VASANTH 
Address  Prasanna School of Public Health, Madhav Nagar, Manipal, Karnataka 
Type of Sponsor  Other [Self] 
 
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 
Dr Ritika Vasanth  Manipal College of Dental Sciences  room no.2 ,Department of Public Health Dentistry, Manipla college of Dental Sciences, Eshwar Nagar, Manipal, Karnataka
Udupi
KARNATAKA 
7994572376

ritika.psphmpl2022@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and kasturba Hospital Institutional Ethics Committee -2(student research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Dental problems 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Participants aged 18 years and above
2. Participants who come for various District Health Programs organized by Manipal College
of Dental Sciences
3. Participants who are willing to the study, who have signed the consent form. 
 
ExclusionCriteria 
Details  1. Participants who are not physically or mentally stable
2. Participants who have severe language barriers 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
A questionnaire consisting of 13 questions related to basic HL and another
questionnaire which is divided into three parts to assess the Oral health literacy level will be given to
the participant, and the outcome will be derived based on the data collected from the questionnaire. 
8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="250"
Sample Size from India="250" 
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)   22/01/2024 
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="0"
Months="2"
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    1. Title of the project: Assessment of General and Oral Health Literacy Levels among outpatients visiting Dental Outreach Programs and Camps in Udupi District, Karnataka State. 2. Type of Study: Prospective study- cross sectional study 3. Aims & objectives (hypotheses if applicable): Aim: To assess the general and oral health literacy levels and to identify the potential factors contributing to the health literacy levels among the outpatients visiting Dental Outreach Programs and Camps in Udupi District. Objectives of the study: • To assess the general health literacy levels among outpatients visiting Dental Outreach Programs and Camps in Udupi District through a validated assessment tool • To explore the oral health literacy levels among outpatients visiting Dental Outreach Programs and Camps in Udupi District through a validated assessment tool • To identify the potential factors contributing to the health literacy levels. 4. Justification for study (whether of national significance with rationale): Health literacy plays an important role in an individual’s ability to understand, navigate, and make informed decisions about their health. By understanding the health literacy level of the community in Udupi District, we can gain insights into their comprehension of health-related information and services, including oral health practices. This study can help fill the research gaps and contribute to the understanding of health literacy in a population. Over the past two decades, there’s been a growing emphasis on a concept benefiting personal and public health and the healthcare system’s stability. This focus is crucial amid the rise of non-communicable diseases (NCDs) and their costs. It highlights the need for people to engage more in managing their health efficiently. Limited health literacy connects to struggles in grasping health information, lack of disease understanding, and medication nonadherence. This results in poor health, high mortality rates, and health disparities. Oral health literacy is very important in maintaining good oral hygiene practices and preventing oral diseases. Identifying potential gaps in oral health literacy among adults can guide the implementation of targeted oral health promotion initiatives and health address oral health inequalities within the community. Our study aims to shed light on the influence of health literacy levels on patient’s interactions within the healthcare system and their participation in making treatment choices. This research study can inform healthcare providers and policymakers about the most effective ways to communicate health information to the target population. This in turn can lead to enhanced patient-provider communication, increased adherence to treatment plans, and better overall health outcomes. Our study aims to shed light on the influence of health literacy levels on patient’s interactions within the healthcare system and their participation in making treatment choices. This research study can inform healthcare providers and policymakers about the most effective ways to communicate health information to the target population. This in turn can lead to enhanced patient-provider communication, increased adherence to treatment plans, and better overall health outcomes. 5. Departments involved: Department of Social and Health Innovation, Prasanna School of Public Health (PSPH), Manipal Academy of Higher Education (MAHE), Manipal Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal 6. Study period: A time of 6 months from October 2023 to March 2024 will be utilized to complete this study. 7. Sample size: Complete Time-bound enumeration. 8. Materials and methods: • Inclusion criteria: 1. Participants aged 18 years and above 2. Participants who come for various District Health Programs organized by Manipal College of Dental Sciences 3. Participants who are willing to the study, who have signed the consent form. • Exclusion Criteria: 1. Participants who are not physically or mentally stable 2. Participants who have severe language barriers b) Biological materials required (type - blood, tissue etc., and quantity): Yes ☐ No �’ i) Biological material: Nil. ii) Biosafety Measures: Mention the biosafety concerns and precautions taken: (e.g.: Specific training involved, transportation, testing precautions, lab credentials, and disposal method) c) Statistical methods: Descriptive statistics like Mean and standard deviation will be used for continuous variables. For categorical variables, frequency and proportion will be used. Graphical and pictorial tools like pie charts and bar graphs will be used to project participants’ health literacy levels. Inferential Statistical tools like the Chi-square test will be used in the analysis. d) Tools used: The predesigned EMAHL13 HL questionnaire will be used for general health literacy and the OHLI questionnaire will be used for Oral health literacy. We have email permission from the author to reuse the same questionnaire and use it by translating it into Indian local languages. 9. Detailed description of procedure / processes: Plan for gathering data from participants using a predesigned questionnaire after obtaining approval from the ethics committee. For translation of the questionnaire The “forward-backward-forward” method will be used. The questionnaire will be translated from English to Kannada and Kannada to English and then it will be back translated to Kannada by a bilingual expert. The Kannada version will be validated by the experts. The validated version of the English and Kannada questionnaire will be used for the study. Study participants will give their consent in writing. They will be requested to fill out a self-administered tool and provided with clarification on the questionnaire if needed. Collected data will undergo analysis, evaluation, and organization in an Excel sheet. To maintain confidentiality, each participant will be assigned a distinct code. 10. Outcome measures: A questionnaire consisting of 13 questions related to basic HL and another questionnaire which is divided into three parts to assess the Oral health literacy level will be given to the participant, and the outcome will be derived based on the data collected from the questionnaire. 11. Potential risks and benefits: The participants are at a minor increase over minimal risk because this study is questionnaire-based. The benefit of this study is that it enables the participants to assess their degree of health literacy regarding general and oral health. 12. Ethical considerations and methods to address issues: The study protocol will be submitted to the Institutional Ethics Committee (IEC). The study participant’s confidentiality will be rigorously respected. 13. Budget (give details) and proposed funding source: The study is self-funded 
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