Document Detail


Caries treatment in a dental practice-based research network: movement toward stated evidence-based treatment.
MedLine Citation:
PMID:  23036131     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Practice-based research networks (PBRNs) provide a venue to foster evidence-based care. We tested the hypothesis that a higher level of participation in a dental PBRN is associated with greater stated change toward evidence-based practice.
METHODS: A total of 565 dental PBRN practitioner-investigators completed a baseline questionnaire entitled 'Assessment of Caries Diagnosis and Treatment'; 405 of these also completed a follow-up questionnaire about treatment of caries and existing restorations. Certain questions (six treatment scenarios) were repeated at follow-up a mean (SD) of 36.0 (3.8) months later. A total of 224 were 'full participants' (enrolled in clinical studies and attended at least one network meeting); 181 were 'partial participants' (did not meet 'full' criteria).
RESULTS: From 10% to 62% of practitioners were 'surgically invasive' at baseline, depending on the clinical scenario. Stated treatment approach was significantly less invasive at follow-up for four of six items. Change was greater among full participants and those with a more-invasive approach at baseline, with an overall pattern of movement away from the extremes.
CONCLUSIONS: These results are consistent with a preliminary conclusion that network participation fostered movement of scientific evidence into routine practice. PBRNs may foster movement of evidence into everyday practice as practitioners become engaged in the scientific process.
Authors:
Gregg H Gilbert; Valeria V Gordan; Ellen M Funkhouser; D Brad Rindal; Jeffrey L Fellows; Vibeke Qvist; Gerald Anderson; Donald Worley;
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-10-05
Journal Detail:
Title:  Community dentistry and oral epidemiology     Volume:  41     ISSN:  1600-0528     ISO Abbreviation:  Community Dent Oral Epidemiol     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-18     Completed Date:  2013-08-26     Revised Date:  2014-04-02    
Medline Journal Info:
Nlm Unique ID:  0410263     Medline TA:  Community Dent Oral Epidemiol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  143-53     Citation Subset:  D; IM    
Copyright Information:
© 2012 John Wiley & Sons A/S.
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MeSH Terms
Descriptor/Qualifier:
Air Abrasion, Dental / methods
Attitude of Health Personnel
Community-Based Participatory Research*
Composite Resins / chemistry
Dental Amalgam / chemistry
Dental Caries / prevention & control,  radiography,  therapy*
Dental Caries Susceptibility / physiology
Dental Cavity Preparation / instrumentation
Dental Enamel / radiography
Dental Materials / chemistry
Dental Polishing / methods
Dental Prosthesis Repair
Dental Restoration, Permanent / classification,  methods*
Dentin / radiography
Dentist's Practice Patterns
Evidence-Based Dentistry*
Female
Follow-Up Studies
Humans
Male
Patient Care Planning
Pit and Fissure Sealants / therapeutic use
Questionnaires
Retreatment
Grant Support
ID/Acronym/Agency:
U01 DE016746/DE/NIDCR NIH HHS; U01 DE016747/DE/NIDCR NIH HHS; U01-DE-16746/DE/NIDCR NIH HHS; U01-DE-16747/DE/NIDCR NIH HHS; U19 DE022516/DE/NIDCR NIH HHS; U19-DE-22516/DE/NIDCR NIH HHS
Chemical
Reg. No./Substance:
0/Composite Resins; 0/Dental Materials; 0/Pit and Fissure Sealants; 8049-85-2/Dental Amalgam
Comments/Corrections
Comment In:
J Evid Based Dent Pract. 2013 Dec;13(4):163-4   [PMID:  24237740 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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