Evidence map›Paper›PMID 31847876›Full record

SynthesisImplementation science : IS2019

The effectiveness of guideline implementation strategies in the dental setting: a systematic review.

Amy R Villarosa, Della Maneze, Lucie M Ramjan, Ravi Srinivas, Michelle Camilleri, Ajesh George

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Implementation science : IS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  9. Current practice, barriers and facilitators to caries management in children: a qualitative study in the Netherlands.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Amy R VillarosaCentre for Oral Health Outcomes and Research Translation (COHORT), Liverpool, 1871, Australia. amy.villarosa@westernsydney.edu.au.ORCID 0000-0003-3198-472X
Della ManezeCentre for Oral Health Outcomes and Research Translation (COHORT), Liverpool, 1871, Australia.
Lucie M RamjanCentre for Oral Health Outcomes and Research Translation (COHORT), Liverpool, 1871, Australia.
Ravi SrinivasCentre for Oral Health Outcomes and Research Translation (COHORT), Liverpool, 1871, Australia.
Michelle CamilleriSouth Western Sydney Local Health District, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.
Ajesh GeorgeCentre for Oral Health Outcomes and Research Translation (COHORT), Liverpool, 1871, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuideline implementation has been an ongoing challenge in the dental practice setting. Despite this, there are no reviews summarising the existing evidence regarding effective guideline implementation strategies in this setting. In order to address this, this systematic review examines the effectiveness of guideline implementation strategies in the dental practice setting.

methodsA systematic search was undertaken according to the PRISMA statement across nine electronic databases, targeting randomised controlled trials and quasi-experimental studies which evaluated the effectiveness of guideline implementation strategies in improving guideline adherence in the dental setting. All records were independently examined for relevance and appraised for study quality by two authors, with consensus achieved by a third author. Data were extracted from included studies using a standardised data extraction pro forma.

resultsA total of 15 records were eligible for inclusion in this review, which focused on the effects of audit and feedback, reminders, education, patient-mediated interventions, pay for performance and multifaceted interventions. Although there were some conflicting evidence, studies within each category of implementation strategy indicated a positive effect on guideline adherence.

conclusionsThis study has identified education, reminders and multifaceted interventions as effective implementation strategies for the dental practice setting. Although this is similar to research findings from other health sectors, there is some evidence to suggest patient-mediated interventions may be less effective and pay for performance may be more effective in the dental setting. These findings can inform policy makers, professional associations, colleges and organisations in the future adoption of clinical guidelines in the dental practice setting.

trial registrationThis systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO), registration ID CRD42018093023.

Indexed as

Practice Guidelines as TopicDentistryGuideline AdherenceHealth Plan ImplementationHumansClinical guidelinesDentistryImplementation

Identifiers

PMID31847876
PMCPMC6918615

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.