2023 AADOCR/CADR Annual Meeting
The 2023 AADOCR/CADR Annual Meeting & Exhibition provided dental, oral, and craniofacial health scientists with the opportunity to present, discuss, and critique their latest and most cutting-edge research at a 100% in-person gathering in Portland, Oregon. The meeting was attended by 2,054 individuals from 39 countries.The recordings in this library from the meeting are a selection of the science that was presented at the Annual Meeting. These recordings give you the opportunity to participate in the meeting and hear from leading researchers. The recordings include IADR Distinguished Lecture Series speakers and symposia from a collection of scientific groups and networks.
This session can be purchased as part of the full meeting recordings within the product bundles
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Session Description
This symposium presents the findings from a cluster-randomized, stepped-wedge clinical trial in 16 dental clinics. The trial evaluated the effectiveness of a deliberative loop intervention in increasing providers’ adherence to an evidence-based clinical practice guideline based on the ADA’s pit-and-fissure dental sealant guideline. Previously in these clinics, we found sealants were the least frequently adopted approach to managing non-cavitated occlusal carious lesions (NCCLs). We also found that the organization had no clearly articulated strategies for the implementation of this guideline but instead relied on passive dissemination, continuing education, and clinical champions. As framed by the COM-B model of behavior change, this lack of infrastructure is a barrier of capability. According to Deliberative Democracy theory, the collective wisdom of those who would be affected by a policy can be engaged and expanded to identify solutions to policy problems. We engaged clinic staff in a three-step deliberative loop process providing clinic staff with background materials, facilitating small group discussions, and presenting an opportunity to share their informed opinions with clinic leadership. We hypothesized that the deliberative loop intervention would address the barrier of capability, leading providers to place sealants on more eligible NCCLs following their participation in the intervention compared with prior to their participation. Furthermore, we hypothesized that having an informed opinion and voice would mediate the relationship between experiencing the intervention and placing sealants. The intervention did not improve the rate of sealant placement, stakeholders’ perceptions of voice, or opinion. Future directions will be discussed.
Learning Objectives
Saturday, March 18, 2023
Presenters
Behavioral, Epidemiologic, and Health Services Research, Evidence-based Dentistry Network, Clinical and Translational Science Network, Cariology Research
CE Credits
1.5 Hours
Financial Interest Disclosure:
None
This symposium presents the findings from a cluster-randomized, stepped-wedge clinical trial in 16 dental clinics. The trial evaluated the effectiveness of a deliberative loop intervention in increasing providers’ adherence to an evidence-based clinical practice guideline based on the ADA’s pit-and-fissure dental sealant guideline. Previously in these clinics, we found sealants were the least frequently adopted approach to managing non-cavitated occlusal carious lesions (NCCLs). We also found that the organization had no clearly articulated strategies for the implementation of this guideline but instead relied on passive dissemination, continuing education, and clinical champions. As framed by the COM-B model of behavior change, this lack of infrastructure is a barrier of capability. According to Deliberative Democracy theory, the collective wisdom of those who would be affected by a policy can be engaged and expanded to identify solutions to policy problems. We engaged clinic staff in a three-step deliberative loop process providing clinic staff with background materials, facilitating small group discussions, and presenting an opportunity to share their informed opinions with clinic leadership. We hypothesized that the deliberative loop intervention would address the barrier of capability, leading providers to place sealants on more eligible NCCLs following their participation in the intervention compared with prior to their participation. Furthermore, we hypothesized that having an informed opinion and voice would mediate the relationship between experiencing the intervention and placing sealants. The intervention did not improve the rate of sealant placement, stakeholders’ perceptions of voice, or opinion. Future directions will be discussed.
Learning Objectives
- Describe Deliberative Democracy theory and the deliberative loop process
- Describe the effect of the intervention on sealant placement rates for NCCLs and the cost effectiveness of the intervention
- List barriers to guideline adherence and restate implications of the dental clinic setting for staff adoption of the citizen role and raising their voice
Saturday, March 18, 2023
Presenters
- Deborah E. Polk - Effect of the Intervention on the Rate of Sealant Placement and Mediators
- Jeffrey L Fellows - Cost Effectiveness of the DISGO Implementation Intervention
- Inga Gruss - Barriers Preventing the Adoption of the Evidence-Based Clinical Practice Guideline
- Timothy Dawson - Adopting an Organizational Citizen Role and Raising One's Voice
Behavioral, Epidemiologic, and Health Services Research, Evidence-based Dentistry Network, Clinical and Translational Science Network, Cariology Research
CE Credits
1.5 Hours
None
