Evidence map›Paper›PMID 37735706›Full record

ArticleImplementation science communications2023

Utilizing deliberative engagement for identifying implementation strategy priorities: lessons learned from an online deliberative forum with dental professionals.

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

Registry-linked trialAbstract read
In one paragraph

Article in Implementation science communications, 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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.

Inga GrußCenter for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate, Portland, OR, 97227, USA. inga.gruss@gmail.com.ORCID http://orcid.org/0000-0002-6167-0548
Tim DawsonThe Art of Democracy, LLC. 51 Roycroft Avenue, Pittsburgh, PA, 15228, USA.
Charles D KaplanSunrise Community Counseling Center, 537 S. Alvarado St, Los Angeles, CA, 90057, USA.
Daniel J PihlstromPermanente Dental Associates, 500 NE Multnomah St #100, Portland, OR, 97232, USA.
Jeffrey L FellowsCenter for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate, Portland, OR, 97227, USA.
Deborah E PolkSchool of Dental Medicine, University of Pittsburgh, 3501 Terrace Street, Pittsburgh, PA, 15260, 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 1U01 DE027452-01NIDCR NIH HHS U01 DE027452
6 · The paper itself

Abstract

backgroundSelecting effective implementation strategies to support guideline-concordant dental care is a complex process. We are drawing on data collected during the DISGO study to reflect on barriers we encountered in implementing a deliberative engagement process for discussing implementation strategies relevant to the evidence-based guideline targeted in this intervention. The goal is to identify factors that may influence the success of deliberative engagement as a technique to involve healthcare staff in identifying priorities for implementation strategies.

methodsWe drew on online chat transcripts from the deliberative engagement forums collected during the DISGO study. The chat transcripts were automatically generated for each discussion and captured the written exchanges between participants and moderators in all participating dental clinics. Chat transcripts were analyzed following a content analysis approach.

resultsOur findings revealed barriers to the successful implementation of deliberative engagement in the context of the DISGO study. Participants were not familiar with the materials that had been prepared for the forum and lacked familiarity with the topic of deliberation. Participants also did not share divergent viewpoints and reinforced existing ideas rather than introducing new ideas.

conclusionsIn order to ensure that obstacles that were encountered in this study are not repeated, it is important to carefully consider how staff can effectively be prepared for the deliberations. Participants must be familiar with the content of the guideline, and most questions about the content and evidence should be answered before the deliberative engagement sessions. If perspectives among staff on a guideline are homogenous, briefing materials should introduce perspectives that complement existing views among staff. It is also necessary to create an environment in which staff are comfortable introducing opinions that may not be held by the majority of colleagues.

trial registrationThis project is registered at ClinicalTrials.gov with ID NCT04682730. The trial was first registered on 12/18/2020. https://clinicaltrials.gov/ct2/show/NCT04682730 .

Indexed as

Deliberative engagementDentistryGuideline implementationLessons learned

Identifiers

PMID37735706
PMCPMC10512594

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.