Periodontal DiseaseNCT07247019
Effectiveness NutriDent4Mom to Improve Nutrient Intake, Diet Quality, and Periodontal Health Status of Pregnant Women
A study testing Mobile Application Prototype and Health education in people with Periodontal Disease and Nutrient Intake, run by NORKHAFIZAH SADDKI at 1 site in Malaysia.
Trial summary
The goal of this two-arm, parallel-group cluster randomized controlled trial was to assess the effectiveness of a healthcare mobile application prototype (NutriDent4Mom) in improving nutrient intake, diet quality and periodontal health status of pregnant women. The main questions it aims to answer are: 1. Read more about this study
- Who is it for?
- Ages 19 to 50 years, women only
- Conditions the study is for
- Periodontal Disease, Nutrient Intake, Diet Quality
- What is being tested?
- Mobile Application Prototype and Health education
- Type of treatment
- Pill or oral medicine, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 264 participants
- Where
- 1 siteMalaysia
- Study dates
- 16 Nov 2022to 28 Feb 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 19 to 50 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Aged from 19 to 50 years old
- Pregnant between 13 to 20 weeks
- Singleton pregnancy
- Own any type of android operating system handheld device
- Malaysian citizen
- Able to read and write in Malay language
Who cannot join
- Diagnosed with diabetes mellitus or gestational diabetes mellitus
- Diagnosed with hypertensive disorder
- Diagnosed with severe hyperemesis gravidarum during current pregnancy
- Wearing dental appliances (removable and/or fixed appliance)
Trial locations and contacts
1 site in 1 country.
Malaysia1 site
Ministry of Health Maternal and Child Health Clinics
Kota Bharu, Kelantan
About this study
Official title: The Effectiveness of Mobile Application Prototype (NutriDent4Mom) in Improving Nutrient Intake, Diet Quality, and Periodontal Health Status of Pregnant Women: A Cluster Randomized Trial
The goal of this two-arm, parallel-group cluster randomized controlled trial was to assess the effectiveness of a healthcare mobile application prototype (NutriDent4Mom) in improving nutrient intake, diet quality and periodontal health status of pregnant women.
The main questions it aims to answer are:
Read more
- Does the NutriDent4Mom apps increase the mean nutrient intake (Nutrient value) and diet quality score (HEI) of pregnant women?
- Does the NutriDent4Mom apps improve the periodontal health (GI score, CPI score) of pregnant women?
Researchers will compare the NutriDent4Mom apps to the conventional Ministry of Health (MOH) program to see if the NutriDent4Mom apps is effective to improve nutrient intake, diet quality and periodontal health status of pregnant women.
Read the detailed description
Participants will receive the NutriDent4Mom application. Measurement of outcomes included the 3-day 24-hour diet recall for nutrient intake, Food Frequency Questionnaire (FFQ) for diet quality, and the Gingival Index (GI) and Community Periodontal Index (CPI) for periodontal health. Data were collected 3 times, at baseline before the respective intervention, after one month (evaluation 1), and after another one month (evaluation 2).
- Conditions
- Periodontal Disease, Nutrient Intake, Diet Quality
- Being tested
- Mobile Application Prototype, Health education
- Keywords
- pregnant women, periodontal health, nutrient intake, diet quality, mobile application
- Medical subject headings
- Periodontal Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mobile Application PrototypeBehavioural
Participants were provided with the NutriDent4Mom application installed in their own mobile device. They were instructed to use the apps throughout the study period. The instructions include entering the daily food intake and reading the educational content. The participants must finish reading the content, which covers at least two topics per day, within one week. The mobile application usage was monitored by a usage counter, and participants also received reminders to record their diet intake into the application.
Health educationBehavioural
Participants received health education delivered via health talk. Oral health care is one of the topics among other health topics including diet, breastfeeding, family planning, and preparation for delivery. These health education topics were delivered by the MOH medical staff nurses except for oral health care which was delivered by dental officers.
| Study group | Role | What they receive |
|---|---|---|
| NutriDent4Mom application | Experimental | NutriDent4Mom mobile application provides comprehensive nutrition and oral health education with attractive application features that enable the engagement of behavioral changes in nutrient intake and oral health care Receives: Behavioral: Mobile Application Prototype |
| Ministry of Health healthcare program for antenatal mothers | Active comparator | Routine antenatal healthcare provided by the MOH staff which include delivery of health education according to the topics specified in the Antenatal Mother Record Book or "Buku Rekod Kesihatan Ibu" Receives: Behavioral: Health education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Nutrient Value
Nutrient intake was assessed using 24-hour diet recall. The 24-hour recall was done for 3 days (1 weekend and 2 weekdays) to establish intake of nutrients. Data were analysed using Nutritionist Pro™ software to establish the nutrient intake value. The nutrient values were compared with the Recommended Nutrient Intake (RNI) for pregnancy and categorised as follows: 1) Inadequate for values below the estimated average requirement, 2) Adequate for values between the estimated average requirement and tolerable upper intake level, and 3) Excessive for values exceed the tolerable upper intake level.
Measured: From baseline to the end of intervention period at 8 weeks
Healthy Eating Index
Diet quality was assessed using a self-administered semi-quantitative food frequency questionnaire (FFQ). The FFQ comprises of 82 food items organized into 10 main food groups as follows: 1) Cereal and cereal products, 2) Meat and eggs, 3) Milk and milk products, 4) Nuts, 5) Vegetables, 6) Fruits and fruit juices, 7) Beverages, 8) Fats, 9) Sweet and baked goods, and 10) Condiments. The frequency of food intake has a 7-point scale rating as follows: 1=never or rarely, 2=once a month, 3=2 to 3 times a month, 4=once a week, 5=2 to 3 times a week, 6=once daily, and 7=2 to 3 times daily. The conversion factor was used to estimate food intake based on frequency of intake. The score of each food group was calculated using a validated formula. Diet quality was categorized as 1) Poor diet for score less than 51%, 2) diet requiring improvement for score 51 to 80%, and 3) Good diet for score more than 80%.
Measured: From baseline to the end of intervention period at 8 weeks
Mean Gingival Index score
The Gingival Index (GI) was used to assess the severity of gingival inflammation. Four gingival areas of 6 index teeth (16, 12, 24, 36, 32 and 44) were examined using a CPI probe and given scores as follows: 0 = normal healthy gingiva; 1 = mild inflammation with slight colour change and oedema but no bleeding on probing; 2 = moderate inflammation with red, oedematous and glazing gingival tissues that bleed on probing; and 3 = severely inflamed gingival tissues with marked redness and oedema, ulceration, and tendency to bleed spontaneously. The scores from each index tooth were added and divided by 4 to give the GI for the tooth. The GI of each patient was determined by adding the scores for all index teeth and dividing it by the number of teeth examined.
Measured: From baseline to the end of intervention period at 8 weeks
Mean Community Periodontal Index score
Periodontal health status was measured using the Community Periodontal Index (CPI). The mouth was divided into 6 sextants (18-14, 13-23, 24-28, 38-34, 33-43, 44-48) and 10 index teeth (17, 16, 11, 26, 27, 36, 37, 31, 47, and 46) were examined using a CPI probe and given scores as follows: 0 = healthy periodontium, 1 = bleeding after probing, 2 = calculus detected during probing but the black band on the probe was visible, 3 = shallow pocket 4-5 mm (gingival margin within the black band on the probe), and 4 = deep pocket ≥ 6 mm (black band on the probe not visible). The highest CPI score of each patient was recorded, and the mean number of sextants having CPI code of 0, 1, 2, 3, and 4 was calculated to indicate the severity of periodontal disease.
Measured: From baseline to the end of intervention period at 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Nov 2025
- Study start16 Nov 2022
- Primary completion28 Feb 2023
- Study completion28 Feb 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Periodontal DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 264 participants (actual)
Sponsor and investigators
- Lead sponsor
- NORKHAFIZAH SADDKI
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, NORKHAFIZAH SADDKI, Universiti Sains Malaysia
- Investigators
- NORKHAFIZAH SADDKI, MCommMed (Oral Health) (USM), Principal investigator, Universiti Sains Malaysia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07247019
- Sponsor's protocol ID
- USM/JEPeM/22020106
- Status last verified
- Oct 2025
- First submitted
- 17 Nov 2025
- Last updated
- 25 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Ethical considerations
Study at a glance
From the registry record, last updated by the sponsor on 25 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of Mobile Application Prototype (NutriDent4Mom) in Improving Nutrient Intake, Diet Quality, and Periodontal Health Status of Pregnant Women: A Cluster Randomized Trial
- ClinicalTrials.gov ID
- NCT07247019
- Acronym / sponsor ID
- USM/JEPeM/22020106
- Conditions
- Periodontal Disease, Nutrient Intake, Diet Quality
- Keywords
- pregnant women, periodontal health, nutrient intake, diet quality, mobile application
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 264 participants (actual)
- Lead sponsor
- NORKHAFIZAH SADDKIUniversity, hospital or other
- Study start
- 16 Nov 2022 (actual)
- Primary completion
- 28 Feb 2023 (actual)
- Study completion
- 28 Feb 2023 (actual)
- First posted
- 25 Nov 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this two-arm, parallel-group cluster randomized controlled trial was to assess the effectiveness of a healthcare mobile application prototype (NutriDent4Mom) in improving nutrient intake, diet quality and periodontal health status of pregnant women.
The main questions it aims to answer are:
- Does the NutriDent4Mom apps increase the mean nutrient intake (Nutrient value) and diet quality score (HEI) of pregnant women?
- Does the NutriDent4Mom apps improve the periodontal health (GI score, CPI score) of pregnant women?
Researchers will compare the NutriDent4Mom apps to the conventional Ministry of Health (MOH) program to see if the NutriDent4Mom apps is effective to improve nutrient intake, diet quality and periodontal health status of pregnant women.
Detailed description
Participants will receive the NutriDent4Mom application. Measurement of outcomes included the 3-day 24-hour diet recall for nutrient intake, Food Frequency Questionnaire (FFQ) for diet quality, and the Gingival Index (GI) and Community Periodontal Index (CPI) for periodontal health. Data were collected 3 times, at baseline before the respective intervention, after one month (evaluation 1), and after another one month (evaluation 2).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| NutriDent4Mom application | Experimental | Behavioral: Mobile Application PrototypeNutriDent4Mom mobile application provides comprehensive nutrition and oral health education with attractive application features that enable the engagement of behavioral changes in nutrient intake and oral health care |
| Ministry of Health healthcare program for antenatal mothers | Active comparator | Behavioral: Health educationRoutine antenatal healthcare provided by the MOH staff which include delivery of health education according to the topics specified in the Antenatal Mother Record Book or "Buku Rekod Kesihatan Ibu" |
Who may qualify
- Ages
- 19 to 50 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Aged from 19 to 50 years old
- Pregnant between 13 to 20 weeks
- Singleton pregnancy
- Own any type of android operating system handheld device
- Malaysian citizen
Key exclusion criteria (4 listed)
- Diagnosed with diabetes mellitus or gestational diabetes mellitus
- Diagnosed with hypertensive disorder
- Diagnosed with severe hyperemesis gravidarum during current pregnancy
- Wearing dental appliances (removable and/or fixed appliance)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mobile Application PrototypeParticipants were provided with the NutriDent4Mom application installed in their own mobile device. They were instructed to use the apps throughout the study period. The instructions include entering the daily food intake and reading the educational content. The participants must finish reading the content, which covers at least two topics per day, within one week. The mobile application usage was monitored by a usage counter, and participants also received reminders to record their diet intake into the application. | Behavioural | NutriDent4Mom application |
| Health educationParticipants received health education delivered via health talk. Oral health care is one of the topics among other health topics including diet, breastfeeding, family planning, and preparation for delivery. These health education topics were delivered by the MOH medical staff nurses except for oral health care which was delivered by dental officers. | Behavioural | Ministry of Health healthcare program for antenatal mothers |
Primary outcome
Nutrient Value
Time frame: From baseline to the end of intervention period at 8 weeks
Nutrient intake was assessed using 24-hour diet recall. The 24-hour recall was done for 3 days (1 weekend and 2 weekdays) to establish intake of nutrients. Data were analysed using Nutritionist Pro™ software to establish the nutrient intake value. The nutrient values were compared with the Recommended Nutrient Intake (RNI) for pregnancy and categorised as follows: 1) Inadequate for values below the estimated average requirement, 2) Adequate for values between the estimated average requirement and tolerable upper intake level, and 3) Excessive for values exceed the tolerable upper intake level.
Healthy Eating Index
Time frame: From baseline to the end of intervention period at 8 weeks
Diet quality was assessed using a self-administered semi-quantitative food frequency questionnaire (FFQ). The FFQ comprises of 82 food items organized into 10 main food groups as follows: 1) Cereal and cereal products, 2) Meat and eggs, 3) Milk and milk products, 4) Nuts, 5) Vegetables, 6) Fruits and fruit juices, 7) Beverages, 8) Fats, 9) Sweet and baked goods, and 10) Condiments. The frequency of food intake has a 7-point scale rating as follows: 1=never or rarely, 2=once a month, 3=2 to 3 times a month, 4=once a week, 5=2 to 3 times a week, 6=once daily, and 7=2 to 3 times daily. The conversion factor was used to estimate food intake based on frequency of intake. The score of each food group was calculated using a validated formula. Diet quality was categorized as 1) Poor diet for score less than 51%, 2) diet requiring improvement for score 51 to 80%, and 3) Good diet for score more than 80%.
Mean Gingival Index score
Time frame: From baseline to the end of intervention period at 8 weeks
The Gingival Index (GI) was used to assess the severity of gingival inflammation. Four gingival areas of 6 index teeth (16, 12, 24, 36, 32 and 44) were examined using a CPI probe and given scores as follows: 0 = normal healthy gingiva; 1 = mild inflammation with slight colour change and oedema but no bleeding on probing; 2 = moderate inflammation with red, oedematous and glazing gingival tissues that bleed on probing; and 3 = severely inflamed gingival tissues with marked redness and oedema, ulceration, and tendency to bleed spontaneously. The scores from each index tooth were added and divided by 4 to give the GI for the tooth. The GI of each patient was determined by adding the scores for all index teeth and dividing it by the number of teeth examined.
Mean Community Periodontal Index score
Time frame: From baseline to the end of intervention period at 8 weeks
Periodontal health status was measured using the Community Periodontal Index (CPI). The mouth was divided into 6 sextants (18-14, 13-23, 24-28, 38-34, 33-43, 44-48) and 10 index teeth (17, 16, 11, 26, 27, 36, 37, 31, 47, and 46) were examined using a CPI probe and given scores as follows: 0 = healthy periodontium, 1 = bleeding after probing, 2 = calculus detected during probing but the black band on the probe was visible, 3 = shallow pocket 4-5 mm (gingival margin within the black band on the probe), and 4 = deep pocket ≥ 6 mm (black band on the probe not visible). The highest CPI score of each patient was recorded, and the mean number of sextants having CPI code of 0, 1, 2, 3, and 4 was calculated to indicate the severity of periodontal disease.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Nov 2025.
- Individual participant dataSharing planned: No. Ethical considerations
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
NORKHAFIZAH SADDKI, MCommMed (Oral Health) (USM) principal investigator
Universiti Sains Malaysia
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Mobile Application Prototype and Health education in people with Periodontal Disease and Nutrient Intake, run by NORKHAFIZAH SADDKI at 1 site in Malaysia.
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 6 inclusion and 4 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: finished, as of the sponsor's last update on 25 Nov 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 Malaysia. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Nutrient Value (time frame: From baseline to the end of intervention period at 8 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 25 Nov 2025.