Behaviour Support in Dentistry Core Outcomes (BeSiDe-CO): A Core Outcome Set Development Study.

IF 2.9 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Caoimhin Mac Giolla Phadraig, Isabel C Olegário, Shaelynn Hsu, Maryam Al Zayer, Aisyah Binti Ahmad Fisal, Alison Dougall, Gareth B Kitchen, Henry F Duncan, Sarah Baker, Sharat Pani, Sreekanth Kumar Mallineni, Mandy Daly, Andrew Geddis-Regan
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引用次数: 0

Abstract

Objectives: To develop a Core Outcome Set suitable for adults and children for use in studies of Dental Behaviour Support (DBS) techniques, including non-pharmacological DBS, sedation and General Anaesthesia research.

Methods: Two systematic reviews generated a preliminary list of candidate outcomes that were shared with Key Stakeholders (KSG) and Public Patient Involvement (PPI) groups, who shortlisted outcomes for further exploration. Patients, carers, clinicians, and researchers were invited to participate in a Delphi panel. A modified e-Delphi was used to generate prioritisation and consensus across outcomes. A subsequent series of consensus meetings with panellists, patient groups and professional stakeholder groups determined the final outcomes within the COS.

Results: Twenty-three candidate outcomes were rated by 88 panellists in Round 1. The attrition rate between Rounds 1 and 3 was 21.6%. Thirty-four to 32 panellists attended the consensus meetings. The BeSiDe core outcome set for Dental Behaviour Support consisted of nine outcomes: acceptability, adverse effect, anxiety, behavioural response, cost, pain, therapeutic alliance, time and treatment completion. An additional subset of three core outcomes for use in pharmacological DBS studies was agreed upon: recovery, sedation effect and physiological monitoring. Each outcome was presented with a plain-language label and description to support consistent interpretation across stakeholders.

Conclusions: A core outcome set to be used across all DBS studies was produced covering both adults and children, with supplementary additional outcomes available to use in studies exploring only pharmacological DBS approaches. The list is for use in research, though there is obvious transferability to clinical practice.

Trial registration: COMET Initiative database (Study ID: 2101), registered September 2022.

牙科核心结果中的行为支持(除了co):一项核心结果集发展研究。
目的:开发一个适用于成人和儿童的核心结果集,用于牙科行为支持(DBS)技术的研究,包括非药物DBS、镇静和全身麻醉研究。方法:两项系统评价产生了候选结果的初步列表,并与关键利益相关者(KSG)和公众患者参与(PPI)团体共享,后者将候选结果列入候选名单以供进一步探索。患者、护理人员、临床医生和研究人员被邀请参加德尔菲小组。修改后的e-Delphi用于产生优先级和共识的结果。随后与小组成员、患者团体和专业利益相关者团体举行的一系列共识会议决定了COS的最终结果。结果:在第一轮中,88名小组成员对23个候选结果进行了评估。第一轮和第三轮之间的流失率为21.6%。34至32名小组成员参加了协商一致会议。牙科行为支持的side核心结果集包括9个结果:可接受性、不良反应、焦虑、行为反应、成本、疼痛、治疗联合、时间和治疗完成。在DBS药理学研究中使用的另外三个核心结果子集已达成一致:恢复,镇静效果和生理监测。每个结果都有一个简单的语言标签和描述,以支持利益相关者之间一致的解释。结论:产生了一个适用于所有DBS研究的核心结果集,涵盖成人和儿童,以及仅用于探索药物DBS方法的研究的补充附加结果。该清单仅供研究使用,但也可明显转移到临床实践中。试验注册:COMET Initiative数据库(研究ID: 2101),注册于2022年9月。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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