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Cited by 8Health Sciences Research and EducationHealth Policy Implementation ScienceDental Education, Practice, Research

Web-based intervention to improve the evidence-practice gap in minimal intervention dentistry: Findings from a dental practice-based research network

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Kakudate, Naoki, Yokoyama, Yoko, Sumida, Futoshi, Matsumoto, Yuki, Takata, Tomoka, Gordan, Valeria V., Gilbert, Gregg H.·2021·Journal of Dentistry
DOI 10.1016/j.jdent.2021.103854PMC PMC8616826
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Abstract

Objectives To determine whether: the evidence-practice gap (EPG) in minimal intervention dentistry (MID) can be improved by a tailored web-based intervention, and specific clinical situations might impede implementing MID. Methods We conducted a before-after intervention study and a qualitative study. Two web-based questionnaire surveys were conducted among 197 Japanese dentists. In the first questionnaire, a baseline EPG was measured using six questionnaire items. Subsequently, feedback material about the EPG was electronically prepared, including results of the first questionnaire, international comparisons with a previous study from the US, and a summary of recent evidence on MID. In the second questionnaire, the EPG was re-measured after participants read the material. The primary outcome was mean overall concordance between published evidence and the dentist's clinical practice for all six questions. During the second questionnaire, we performed qualitative content analysis using free-text responses to a question about difficult situations encountered when conducting MID. Results Regarding before and after comparisons of concordance between the first and second questionnaires, mean overall concordance improved significantly, from 66% to 89% (p<0.001). Qualitative content analysis identified five difficult situations: "cases where decision making for treatment and prognosis is difficult", "inadequate practice resources", "limitations on patient visit and treatment period", "discrepancy between MID and the patient's values", and "limitations on health insurance and social understanding". Conclusions These results suggest that it is possible to reduce the EPG in MID using a web-based educational intervention among Japanese dentists. Qualitative content analysis revealed five difficult situations that might hinder implementation of MID. Clinical significance Although this intervention demonstrated educational effects, perfect concordance was not achieved by all participants. This is possibly associated with the five situations that participants reported facing when conducting MID. Creating an environment to improve these situations may facilitate a reduction in the EPG.

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  • Impact on everyday practice can be the key research question for some studies, although the typical goal is to contribute to the evidence base in a manner similar to individual "R01" studies or clinical trials.

    “Impact on everyday practice can be the key research question for some studies [30-32], although the typical goal is to contribute to the evidence base in a manner similar to individual “R01” studies or clinical trials.”

    From Structure, function, and productivity from the National Dental Practice-Based Research Network. (2022) · cites this paper as [30]

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References 45 · Cited by 8

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Authors
Kakudate, N., Yokoyama, Y., Sumida, F., Matsumoto, Y., Takata, T., Gordan, V. V., & Gilbert, G. H.
Affiliations
  • Kyushu Dental University (JP)
  • Keio University (JP)
  • University of Florida (US)
  • University of Alabama at Birmingham (US)
Corresponding author
Kakudate, Naoki
ORCID
Venue
Journal of Dentistry
Publisher
Elsevier BV
Published
2021-12
Volume
115
Pages
103854
ISSN
0300-5712 (ISSN-L)
DOI
10.1016/j.jdent.2021.103854
PMC
PMC8616826
OpenAlex
W3208214907
Cited by
8
References
45
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2
FWCI
1.69
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Dentistry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (U19-DE-22516, U19-DE-28717)
  • Japan Society for the Promotion of Science (JP16K11866)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Health Professions › General Health Professions › Dental Education, Practice, Research
Keywords
knowledge-practice gap, minimal intervention dentistry, web-based educational intervention, dental education, implementation barriers, patient values, Japanese dentists
MeSH terms
Professional Practice Gaps, Internet-Based Intervention, Dentistry, Humans, Surveys and Questionnaires

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