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Oral Dryness and Saliva AlteredNCT05938166

The Effects of Using Augmented Reality (AR) System to Train Foreign Care Workers.

A study testing oral care augmented reality (AR) and video-based oral hygiene education course in people with Oral Dryness and Saliva Altered and Oral Manifestations, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 1 site in Taiwan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of this study was to evaluate the effect of augmented reality (AR) system training intervention of foreign care workers on the salivary biomarker and oral function of older people. Read more about this study

Who is it for?
Ages 21 to 65 yearsHealthy volunteers can take part
What is being tested?
oral care augmented reality (AR) and video-based oral hygiene education course
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
1 siteTaiwan
Study dates
3 Jan 2024to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 1. The Indonesian caregivers who are employed in Kaohsiung City are aged between 21 and 65 and have simple Chinese communication skills.
  • 2. The elderly people being cared for is over 65 years old.

Who cannot join

  • 1. Elderly people who are unable to cooperate with instructions.
  • 2. Elderly people with facial impairment.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Taiwan1 site, 1 recruiting
  • Kaohsiung Medical University

    Kaohsiung City, Sanmin Dist, 807

    leu k hsun, Master, +886-7-3121101 ext. 2159, leu1026@gmail.com

    Recruiting

Other trials in Taiwan

About this study

Official title: The Effects of Using Augmented Reality (AR) System to Train Foreign Care on Salivary Biomarker and Oral Function of the Elderly People

The aim of this study was to evaluate the effect of augmented reality (AR) system training intervention of foreign care workers on the salivary biomarker and oral function of older people.

This randomized controlled trial included experimental group: AR group (EG-A) Video group (EG-B) and control group(CG), respectively. The EG-A will receive augmented reality (AR) system training intervention with AR tooth-cleaning skills session course add video-based oral hygiene education course . The EG-B receive video-based oral hygiene education course and The CG only receive only a leaflet.

Read the detailed description

A randomized experimental design was used. Female foreign care workers whose aged 21 to 65 years and by cared older peoples whose aged 65 to 75 years were recruited through community-based site of long-term care service in Kaohsiung city. Each group was expected for 12 care workers and by cared older peoples who each group. G*Power (version 3.1.9.4) was used for power analysis.

All foreign care workers whose participants will underwent questionnaire examination at baseline and at 1-month, 3-month, 6-month follow-ups. The information of foreign care workers regarding oral care cognition, attitude, self-efficacy, and oral care behavior intention will be collected by a self-report questionnaire before and after intervention.

Each by cared older peoples will be evaluation oral hygiene and function by oral hygienist, and will completed the questionnaire at baseline and at 1-month, 3-month and 6-month follow-up. Older people by cared will assess plaque control record (PCR), tongue coating index (TCI), repetitive saliva swallowing test (RSST), oral diadochokinetic (DDK), oral moisture degree (OMD),masticatory efficiency (MoE) and salivary biomarker at baseline (Time 1), three months (Time 2) and six months (Time 3) follow-ups.

Being tested
oral care augmented reality (AR), video-based oral hygiene education course
Keywords
AR (augmented reality), Oral Care Behavior, Saliva Biomarker
Medical subject headings
Xerostomia, Oral Manifestations, Deglutition Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • oral care augmented reality (AR)Device

    Augmented reality (AR) is an extension of perceptible reality, whereby additional information, such as texts or virtual objects, can be displayed in the user's field of vision.The oral care augmented reality (AR) simulation training can train foreign care workers by switching languages (Indonesian) and therefore reduce language-related learning barriers.

  • video-based oral hygiene education courseOther

    50-minute video-based oral hygiene education course

Study groups in NCT05938166
Study groupRoleWhat they receive
experimental group (EG-A)ExperimentalBehavioral: The experimental of A group received a 40-minute AR tooth-cleaning skills session and a 50-minute video-based oral hygiene education course.
Receives: Device: oral care augmented reality (AR); Other: video-based oral hygiene education course
experimental group (EG-B)ExperimentalThe experimental of B group received a 50-minute video-based oral hygiene education course.
Receives: Other: video-based oral hygiene education course
Control GroupNo interventionThe CG only receive only a booklet of traditional classroom oral health education

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Tongue Coating Index(TCI)

    The tongue-coating status of 9 areas of tongue surfaces was recorded using the tongue coating index, as follows:

    Score 0: Tongue coating not visible.

    Score 1: Tongue coating thin, papillae of tongue visible.

    Score 2: Tongue coating very thick, papillae of tongue not visible.

    Range= 0 to 18 Score

    Measured: Change from Baseline TCI at 1-month after intervention

  2. Tongue Coating Index(TCI)

    The tongue-coating status of 9 areas of tongue surfaces was recorded using the tongue coating index, as follows:

    Score 0: Tongue coating not visible.

    Score 1: Tongue coating thin, papillae of tongue visible.

    Score 2: Tongue coating very thick, papillae of tongue not visible.

    Range= 0 to 18 Score

    Measured: Change from Baseline TCI at 3-month after intervention

  3. Tongue Coating Index(TCI)

    The tongue-coating status of 9 areas of tongue surfaces was recorded using the tongue coating index, as follows:

    Score 0: Tongue coating not visible.

    Score 1: Tongue coating thin, papillae of tongue visible.

    Score 2: Tongue coating very thick, papillae of tongue not visible.

    Range= 0 to 18 Score

    Measured: Change from Baseline TCI at 6-month after intervention

  4. Oral Dryness Status

    The oral dryness status of saliva flow rate was recorded using the saxon test(Chew gauze sponge for 2 mins), as follows:

    Normal: 2.75 g/2min.

    Oral dryness: 2 g/2min.

    Measured: Change from Baseline Oral Dryness Status at 1-month after intervention

  5. Oral Dryness Status

    The oral dryness status of saliva flow rate was recorded using the saxon test(Chew gauze sponge for 2 mins), as follows:

    Normal: 2.75 g/2min.

    Oral dryness: 2 g/2min.

    Measured: Change from Baseline Oral Dryness Status at 3-month after intervention

  6. Oral Dryness Status

    The oral dryness status of saliva flow rate was recorded using the saxon test(Chew gauze sponge for 2 mins), as follows:

    Normal: 2.75 g/2min.

    Oral dryness: 2 g/2min.

    Measured: Change from Baseline Oral Dryness Status at 6-month after intervention

  7. Lip-Tongue Motor Function

    The lip-tongue motor function status of count-by-time was recorded using the Oral diadochokinesis rate (lip-tongue function (Pa/ Ta /Ka) in syllables or times per 15 seconds), as follows:

    Pa:times/ per 15 seconds

    Ta:times /per 15 seconds

    Ka:times /per 15 seconds

    Measured: Change from Baseline lip-tongue motor function Status at 1-month after intervention

  8. Lip-Tongue Motor Function

    The lip-tongue motor function status of count-by-time was recorded using the Oral diadochokinesis rate (lip-tongue function (Pa/ Ta /Ka) in syllables or times per 15 seconds), as follows:

    Pa:times/ per 15 seconds

    Ta:times /per 15 seconds

    Ka:times /per 15 seconds

    Measured: Change from Baseline lip-tongue motor function Status at 3-month after intervention

  9. Lip-Tongue Motor Function

    The lip-tongue motor function status of count-by-time was recorded using the Oral diadochokinesis rate (lip-tongue function (Pa/ Ta /Ka) in syllables or times per 15 seconds), as follows:

    Pa:times/ per 15 seconds

    Ta:times /per 15 seconds

    Ka:times /per 15 seconds

    Measured: Change from Baseline lip-tongue motor function Status at 6-month after intervention

  10. Maximum tongue pressure (MTP)

    The tongue pressure of 3 times pressure average was recorded using the Maximum tongue pressure test, as follows:

    1. First times / Maximum Kpa value.
    2. Second times / Maximum Kpa value.
    3. Third times / Maximum Kpa value.

    Average of maximum tongue pressure in 3 times.

    Measured: Change from Baseline Maximum tongue pressure status at 1-month after intervention

  11. Maximum tongue pressure (MTP)

    The tongue pressure of 3 times pressure average was recorded using the Maximum tongue pressure test, as follows:

    1. First times / Maximum Kpa value.
    2. Second times / Maximum Kpa value.
    3. Third times / Maximum Kpa value.

    Average of maximum tongue pressure in 3 times.

    Measured: Change from Baseline Maximum tongue pressure status at 2-month after intervention

  12. Maximum tongue pressure (MTP)

    The tongue pressure of 3 times pressure average was recorded using the Maximum tongue pressure test, as follows:

    1. First times / Maximum Kpa value.
    2. Second times / Maximum Kpa value.
    3. Third times / Maximum Kpa value.

    Average of maximum tongue pressure in 3 times.

    Measured: Change from Baseline Maximum tongue pressure status at 3-month after intervention

  13. Masticatory Function

    The mixing ability was assessed using color-changeable chewing gum (Masticatory Performance Evaluating Gum XYLITOL, Lotte, Tokyo, Japan) , as follows:

    To chew as usual on the gum 120 seconds. The chewing rhythm was kept constant at once per second.color scale consisting of five intermediate colors .

    1. light green: very poor chewing ability.
    2. light yellow: poor chewing ability.
    3. light pink: no good chewing ability.
    4. pink: good chewing ability.
    5. red: very good chewing ability.

    Measured: Change from Baseline Change from Baseline Maximum tongue pressure status at 1-month after intervention status at 3-month after intervention

  14. Masticatory Function

    The mixing ability was assessed using color-changeable chewing gum (Masticatory Performance Evaluating Gum XYLITOL, Lotte, Tokyo, Japan) , as follows:

    To chew as usual on the gum 120 seconds. The chewing rhythm was kept constant at once per second.color scale consisting of five intermediate colors .

    1. light green: very poor chewing ability.
    2. light yellow: poor chewing ability.
    3. light pink: no good chewing ability.
    4. pink: good chewing ability.
    5. red: very good chewing ability.

    Measured: Change from Baseline Change from Baseline Maximum tongue pressure status at 3-month after intervention status at 3-month after intervention

  15. Masticatory Function

    The mixing ability was assessed using color-changeable chewing gum (Masticatory Performance Evaluating Gum XYLITOL, Lotte, Tokyo, Japan) , as follows:

    To chew as usual on the gum 120 seconds. The chewing rhythm was kept constant at once per second.color scale consisting of five intermediate colors .

    1. light green: very poor chewing ability.
    2. light yellow: poor chewing ability.
    3. light pink: no good chewing ability.
    4. pink: good chewing ability.
    5. red: very good chewing ability.

    Measured: Change from Baseline Change from Baseline Maximum tongue pressure status at 6-month after intervention status at 3-month after intervention

  16. Saliva Swallowing Test(RSST)

    The swallowing function states of times complete swallowing within 30 seconds was recorded using the Saliva Swallowing Test(RSST), as follows:

    participation was asked to swallow saliva as many times as possible for 30 s, while deglutition is counted through palpation of the larynx.

    Measured: Change from Baseline Change from Baseline Maximum tongue pressure status at 1-month after intervention

  17. Saliva Swallowing Test(RSST)

    The swallowing function states of times complete swallowing within 30 seconds was recorded using the Saliva Swallowing Test(RSST), as follows:

    participation was asked to swallow saliva as many times as possible for 30 s, while deglutition is counted through palpation of the larynx.

    Measured: Change from Baseline Change from Baseline Maximum tongue pressure status at 3-month after intervention

  18. Saliva Swallowing Test(RSST)

    The swallowing function states of times complete swallowing within 30 seconds was recorded using the Saliva Swallowing Test(RSST), as follows:

    participation was asked to swallow saliva as many times as possible for 30 s, while deglutition is counted through palpation of the larynx.

    Measured: Change from Baseline Change from Baseline Maximum tongue pressure status at 6-month after intervention

Secondary outcomes (3)
  1. GOHAI-T(Geriatric Oral Health Assessment Index-Taiwan)

    The GOHAI-T of 12 questions was assessment using self-assessment oral health questionnaire.

    Have participants been totally unable to function" The scores ranged from one ("never") to five ("always"), with the total possible score ranging from 12 to 60.

    Measured: Change from Baseline at 1 month after intervention

  2. GOHAI-T(Geriatric Oral Health Assessment Index-Taiwan)

    The GOHAI-Scale of 12 questions was assessment using self-assessment oral health questionnaire.

    Have participants been totally unable to function" The scores ranged from one ("never") to five ("always"), with the total possible score ranging from 12 to 60.

    Measured: Change from Baseline at 3 month after intervention

  3. GOHAI-T(Geriatric Oral Health Assessment Index-Taiwan)

    The GOHAI-Scale of 12 questions was assessment using self-assessment oral health questionnaire.

    Have participants been totally unable to function" The scores ranged from one ("never") to five ("always"), with the total possible score ranging from 12 to 60.

    Measured: Change from Baseline at 6 month after intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jul 2023
  2. Study start3 Jan 2024
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
42 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05938166
Sponsor's protocol ID
KMUHIRB-SV(II)-20230019
Status last verified
Mar 2025
First submitted
3 Jul 2023
Last updated
7 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Chang AH, Lin PC, Lin PC, Lin YC, Kabasawa Y, Lin CY, Huang HL. Effectiveness of Virtual Reality-Based Training on Oral Healthcare for Disabled Elderly Persons: A Randomized Controlled Trial. J Pers Med. 2022 Feb 4;12(2):218. doi: 10.3390/jpm12020218.

    PubMed 35207706

Questions about this trial

What is this clinical trial studying?

A study testing oral care augmented reality (AR) and video-based oral hygiene education course in people with Oral Dryness and Saliva Altered and Oral Manifestations, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 1 site in Taiwan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 7 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact leu k hsun, Master (+886-7-3121101 ext. 2159, leu1026@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Tongue Coating Index(TCI) (time frame: Change from Baseline TCI at 1-month after intervention). The study lists 18 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05938166, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Mar 2025.

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