An Implementation Strategy for the Adoption of an Evidence-Based Guideline for Pit-and-Fissure Sealants

Completed · Not applicable

Conditions studied: Pit-and-Fissure Sealants

In brief

The purpose of this implementation science study is to determine whether Deliberative Loops are effective in increasing providers' adherence to the non-cavitated caries component of the American Dental Association's pit-and-fissure sealant evidence-based clinical practice guideline. The investigators use a stepped wedge design to randomly assign dental clinics to the Deliberative Loop intervention. In a Deliberative Loop, stakeholders receive background information, participate in a facilitated discussion, and share their views with leadership. The Deliberative Loop intervention is designed to help stakeholders form informed opinions; in this study, stakeholders will be forming informed opinions about the implementation interventions they think will increase their clinic's adherence to the guideline. The investigators hypothesize that compared with the pre-intervention period, following the intervention, providers will place or treatment plan sealants for significantly more occlusal non-cavitated carious lesions.

Key facts

Study ID

NCT04682730

Run by

University of Pittsburgh

People needed

896

Starts

2021-01-01

Expected to finish

2022-01-26

Last updated by the study team

2023-07-12

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Employed by Kaiser Permanente Northwest Dental or Permanente Dental Associates
• Work in a Kaiser Permanente Northwest dental clinic

You may not qualify if…

• none

Where it is running

• Kaiser Permanente Center for Health Research — Portland, Oregon, United States

Full record on ClinicalTrials.gov

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