How primary care dentists perceive and are influenced by research

Hopper, Louise; Morris, Louise; Tickle, Martin

doi:10.1111/j.1600-0528.2010.00578.x

Cited by 17 publications

(26 citation statements)

References 29 publications

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“…These general dental practices were already busy and few of them had participated in research before. 6,7 Why attempt such a challenge? For the primary care dentist faced with the prospect of managing a child with caries, there is little direct evidence to guide their decisions.…”

Section: Introductionmentioning

confidence: 99%

Participant recruitment to FiCTION, a primary dental care trial – survey of facilitators and barriers

et al. 2014

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Participant recruitment to FiCTION, a primary dental care trial -survey of facilitators and barriers Keightley, Alexander; Clarkson, Janet; Maguire, A.; Speed, C.; Innes, Nicola General rightsCopyright and moral rights for the publications made accessible in Discovery Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from Discovery Research Portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain.• You may freely distribute the URL identifying the publication in the public portal. Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Objective: To identify reasons behind a lower than expected participant recruitment rate within the FiCTION trial, a multi-centre paediatric primary dental care randomised controlled trial (RCT). Subjects (materials) and methods:An online survey, based on a previously published tool, consisting of both quantitative and qualitative responses, completed by staff in dental practices recruiting to FiCTION. Ratings from quantitative responses were aggregated to give overall scores for factors related to participant recruitment. Qualitative responses were independently grouped into themes.Results: 39 anonymous responses were received. Main facilitators related to the support received from the central research team and importance of the research question. The main barriers related to low child eligibility rates and the integration of trial processes within routine workloads. Conclusions:These findings have directed strategies for enhancing participant recruitment at existing practices and informed recruitment of further practices. The results help provide a profile of the features required of practices to successfully screen and recruit participants. Future trials in this setting should consider the level of interest in the research question within practices, and ensure trial processes are as streamlined as possible. Research teams should actively support practices with participant recruitment and maintain enthusiasm amongst the entire practice team.

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Section: Introductionmentioning

confidence: 99%

Participant recruitment to FiCTION, a primary dental care trial – survey of facilitators and barriers

et al. 2014

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“…Most researchers in this area have focused on the facilitators and barriers to implementing EBD in practice (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). The published research suggests that dentists are apprehensive and fear losing autonomy, which delays the adoption of EBD in practice (6,8,9,13).…”

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confidence: 99%

“…The published research suggests that dentists are apprehensive and fear losing autonomy, which delays the adoption of EBD in practice (6,8,9,13). Dentists claim that they lack time to seek out research evidence, and argue that this evidence does not provide clear answers to important clinical questions (2,6,8,9,(12)(13)(14). Some studies have suggested that dentists' clinical performance does not change as a result of being provided with evidence-based knowledge (7,(15)(16)(17); others that evidence-based dental care is more likely to be adopted if already used by dentists' peers (10).…”

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confidence: 99%

How do dentists and their teams incorporate evidence about preventive care? An empirical study

Sbaraini

Carter

Evans

et al. 2013

Comm Dent Oral Epid

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Objectives: To identify how dentists and their teams adopt evidence-based preventive care.\ud Methods: A qualitative study using grounded theory methodology was conducted. We interviewed 23 \ud participants working in eight dental practices about their experience and work processes, while \ud adopting evidence-based preventive care. During the study, Charmaz’s grounded theory methodology \ud was employed to examine the social process of adopting preventive dental care in dental practices. \ud Charmaz’s iteration of the constant comparative method was used during the data analysis. This \ud involved coding of interview transcripts, detailed memo-writing and drawing diagrams. The transcripts \ud were analysed as soon as possible after each round of interviews in each dental practice. Coding was \ud conducted primarily by AS, supported by team meetings and discussions when researchers \ud compared their interpretations.\ud Results: Participants engaged in a slow process of adapting evidence-based protocols and guidelines \ud to the existing logistics of the practices. This process was influenced by practical, philosophical, and \ud historical aspects of dental care, and a range of barriers and facilitators. In particular, dentists spoke \ud spontaneously about two deeply held ‘rules’ underpinning continued restorative treatment, which \ud acted as barriers to provide preventive care: (i) dentists believed that some patients were too \ud ‘unreliable’ to benefit from prevention; and (ii) dentists believed that patients thought that only tangible \ud restorative treatment offered ‘value for money’. During the adaptation process, some dentists and \ud teams transitioned from their initial state – selling restorative care – through an intermediary stage –\ud learning by doing and educating patients about the importance of preventive care – and finally to a \ud stage where they were offering patients more than just restorative care. Resources were needed for \ud the adaptation process to occur, including: the ability to maintain the financial viability of the practice, \ud appropriate technology, time, and supportive dental team relationships.\ud Conclusions: The findings from this study show that with considerable effort, motivation and \ud coordination, it is possible for dental practices to work against the dental ‘mainstream’ and implement \ud prevention as their clinical norm. This study has shown that dental practice is not purely scientific, but\ud it includes cultural, social, and economic resources that interfere with the provision of preventive care.NHMRC Project Grant 63271

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“…The latter theme and its codes have been reported separately 21 so this paper is limited to the first six codes associated with undertaking prospective studies and clinical trials in practice. For the busy practitioner, involvement in clinical research was seen as yet another burden, especially if patients' treatments were delayed because of the need to follow the protocol.…”

Section: Resultsmentioning

confidence: 99%

A qualitative investigation of the views of primary care dentists on participating in prospective studies in the North-West of England

Hopper¹,

Morris²,

Brocklehurst³

et al. 2011

Br Dent J

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How primary care dentists perceive and are influenced by research

Abstract: Dentists wanted concise, timely evidence-based guidance to aid their management of patients. Further research needs to be undertaken to understand how to develop an evidence-based culture in primary dental care.

Cited by 17 publications

References 29 publications

Participant recruitment to FiCTION, a primary dental care trial – survey of facilitators and barriers

Participant recruitment to FiCTION, a primary dental care trial – survey of facilitators and barriers

How do dentists and their teams incorporate evidence about preventive care? An empirical study

A qualitative investigation of the views of primary care dentists on participating in prospective studies in the North-West of England

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