Evidence map›Paper›PMID 37407045›Full record

Trial reportBMJ open2023

Sharing voice during deliberative engagement to improve guideline adherence in dental clinics: findings from a qualitative evaluation of an online deliberative forum discussion.

Inga Gruß, Tim Dawson, Charles D Kaplan, Daniel J Pihlstrom, Sacha Reich, Jeffrey L Fellows, Deborah E Polk

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04682730 (An Implementation Strategy for the Adoption of an Evidence-Based Guideline for Pit-and-Fissure Sealants), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT04682730 nacompletednot on this map

An Implementation Strategy for the Adoption of an Evidence-Based Guideline for Pit-and-Fissure Sealants: Using a Framework From Organizational Development

TypeinterventionalSponsorUniversity of PittsburghRan2021 to 2022Enrolled896ConditionsPit-and-Fissure SealantsArmsDeliberative Loop
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
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

7 authors.

Inga GrußKaiser Permanente Center for Health Research Northwest Region, Portland, Oregon, USA inga.gruss@gmail.com.ORCID 0000-0002-6167-0548
Tim DawsonThe Art of Democracy, LLC, Pittsburgh, Pennsylvania, USA.
Charles D KaplanSunrise Community Counseling Center, Los Angeles, California, USA.
Daniel J PihlstromPermanente Dental Associates PC, Portland, Oregon, USA.
Sacha ReichKaiser Permanente Center for Health Research Northwest Region, Portland, Oregon, USA.
Jeffrey L FellowsKaiser Permanente Center for Health Research Northwest Region, Portland, Oregon, USA.
Deborah E PolkSchool of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

An implementation strategy for the adoption of an evidence-based pit-and-fissure sealant guideline by salaried dental providers: Using a framework from organizational developmentU01DE027452 · NIDCR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI POLK, DEBORAH E · 2017 to 2021
$2.6M
NIDCR NIH HHS U01 DE027452
6 · The paper itself

Abstract

objectivesSelecting effective implementation strategies to support guideline-concordant dental care is a complex process. For this research project, an online deliberative forum brought together staff from dental clinics to discuss the strengths and weaknesses of implementation strategies and barriers to implementation of a component of a dental (pit-and-fissure) guideline. The goal was to determine whether deliberative engagement enabled participants' sharing of promotive and prohibitive voice about implementation strategies to promote guideline-concordant care.

designQualitative analysis of online chat transcripts of facilitated deliberations from 31 small group sessions.

settingKaiser Permanente Dental (KP Dental) in the USA.

participantsAll staff from 16 dental offices.

resultsThe directed content analysis revealed that participants shared prohibitive and promotive voice when offering critique of the barriers and the implementation strategies suggested by the researchers. The analysis also revealed that the focus of the deliberations often was not on the aspect of the pit-and-fissure guideline intended by the research team for deliberation.

conclusionsThe deliberative forum discussions were a productive venue to ask staff in dental clinics to share their perspectives on strategies to promote guideline-concordant care as well as barriers. Participants demonstrated prohibitive voice and engaged critically with the materials the research team had put together. An important limitation of the deliberation was that the discussion often centred around an aspect of the pit-and-fissure guideline that already was implemented well. To ensure a deliberation oriented towards resolving challenging aspects of the pit-and-fissure guideline, greater familiarity with the guideline would have been important, as well as more intimate knowledge of the current discrepancies in guideline-concordant care. TRIAL REGISTRATION NUMBER: This project is registered at ClinicalTrials.gov with ID NCT04682730. The trial was first registered on 18 December 2020. https://clinicaltrials.gov/ct2/show/NCT04682730.

Indexed as

Dental ClinicsGuideline AdherenceHumansResearch Designprotocols & guidelinesqualitative researchquality in health care

Identifiers

PMID37407045
PMCPMC10335412

What Socratic holds

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Registered trials

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.