Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines

Objectives: To explore perceived barriers to and facilitators for using research evidence to inform guidelines and policies in oral health (OH) reported by guideline developers and policymakers. Methods: An abductive reasoning approach utilising in-depth semi-structured interviews was used. Intervie...

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Autores: Verdugo-Paiva, Francisca|||0000-0003-0199-9744, Wallach, M.|||0000-0001-7292-2440, Ortuño, D.|||0000-0001-5425-5779, Glick, M.|||0000-0003-4236-5385, Carrasco-Labra, Alonso|||0000-0003-3546-3526
Formato: artículo
Fecha de publicación:2025
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:318765
Acesso em linha:https://ddd.uab.cat/record/318765
https://dx.doi.org/urn:doi:10.1111/cdoe.70007
Access Level:acceso abierto
Palavra-chave:Clinical practice guidelines
Evidence-based dentistry
Evidence-informed guidelines
Oral health policies
Qualitative research
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network_name_str España
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dc.title.none.fl_str_mv Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
An International Qualitative Study
title Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
spellingShingle Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
Verdugo-Paiva, Francisca|||0000-0003-0199-9744
Clinical practice guidelines
Evidence-based dentistry
Evidence-informed guidelines
Oral health policies
Qualitative research
title_short Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
title_full Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
title_fullStr Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
title_full_unstemmed Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
title_sort Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and Guidelines
dc.creator.none.fl_str_mv Verdugo-Paiva, Francisca|||0000-0003-0199-9744
Wallach, M.|||0000-0001-7292-2440
Ortuño, D.|||0000-0001-5425-5779
Glick, M.|||0000-0003-4236-5385
Carrasco-Labra, Alonso|||0000-0003-3546-3526
author Verdugo-Paiva, Francisca|||0000-0003-0199-9744
author_facet Verdugo-Paiva, Francisca|||0000-0003-0199-9744
Wallach, M.|||0000-0001-7292-2440
Ortuño, D.|||0000-0001-5425-5779
Glick, M.|||0000-0003-4236-5385
Carrasco-Labra, Alonso|||0000-0003-3546-3526
author_role author
author2 Wallach, M.|||0000-0001-7292-2440
Ortuño, D.|||0000-0001-5425-5779
Glick, M.|||0000-0003-4236-5385
Carrasco-Labra, Alonso|||0000-0003-3546-3526
author2_role author
author
author
author
dc.subject.none.fl_str_mv Clinical practice guidelines
Evidence-based dentistry
Evidence-informed guidelines
Oral health policies
Qualitative research
topic Clinical practice guidelines
Evidence-based dentistry
Evidence-informed guidelines
Oral health policies
Qualitative research
description Objectives: To explore perceived barriers to and facilitators for using research evidence to inform guidelines and policies in oral health (OH) reported by guideline developers and policymakers. Methods: An abductive reasoning approach utilising in-depth semi-structured interviews was used. Interviewed individuals had a high-level understanding of the processes involved in developing OH evidence-informed guidelines and policy documents, including methodological steps and workflow. Purposive sampling was used to select participants with experience generating national or regional documents from different continents. Interviews were recorded and transcribed verbatim. After validation, data were analysed thematically using NVivo software. Transcriptions were coded and collated into themes and subthemes, with coding saturation achieved after coding all transcripts and confirming that no new codes emerged. Results: Participants worked in seven organisations across Europe, North America, and South America, including professional associations, scientific societies, governmental, and global organisations. Participants' perceptions were classified into seven main themes: research evidence (availability of evidence synthesis, direct and local evidence, certainty of the evidence and emerging research evidence), guidelines and policy documents (accessibility to guidelines, documents terminology, question scope and methodological rigour), organisational and system-level (costs, availability and accessibility to needed expertise, workload, health system characteristics, circumstances and events, and pressures), contact and collaboration (relationship with non-governmental organisations, research centers, governmental institutions and users), guidelines and policies users (evidence-informed decision-making (EIDM) expertise, attitudes toward EIDM, inclusion of patients' perspectives), guideline developers and policymakers (attitudes toward EIDM, autonomy, responsibility and expectations, and self-Interested behaviour), and others (OH in the context of overall health and use of technology). Several reported barriers were specific to the OH field, including dental professionals' resistance to changing practice (acquiring new dental materials), absence of patient advocacy organisations in OH, an overemphasis on personalised treatment planning, overvaluation of surrogated outcomes, challenges with dental device regulations, limitations in incorporating economic evaluation for decision-making at a population level, disconnect between evidence-based care and coverage, low priority given to OH by authorities and the public, and lack of communication between dental and non-dental professionals. Conclusions: Understanding particular challenges hindering the integration of research evidence into guideline and policy document development processes is critical to improving their quality. Similarly, awareness of facilitators can aid in formulating strategies to enhance this process and counter barriers. Trial Registration: Open Science Framework (DOI: 10.17605/OSF.IO/W4KG7).
publishDate 2025
dc.date.none.fl_str_mv 2
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/318765
https://dx.doi.org/urn:doi:10.1111/cdoe.70007
url https://ddd.uab.cat/record/318765
https://dx.doi.org/urn:doi:10.1111/cdoe.70007
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Barriers to and Facilitators for the Use of Research Evidence in Oral Health Policies and GuidelinesAn International Qualitative StudyVerdugo-Paiva, Francisca|||0000-0003-0199-9744Wallach, M.|||0000-0001-7292-2440Ortuño, D.|||0000-0001-5425-5779Glick, M.|||0000-0003-4236-5385Carrasco-Labra, Alonso|||0000-0003-3546-3526Clinical practice guidelinesEvidence-based dentistryEvidence-informed guidelinesOral health policiesQualitative researchObjectives: To explore perceived barriers to and facilitators for using research evidence to inform guidelines and policies in oral health (OH) reported by guideline developers and policymakers. Methods: An abductive reasoning approach utilising in-depth semi-structured interviews was used. Interviewed individuals had a high-level understanding of the processes involved in developing OH evidence-informed guidelines and policy documents, including methodological steps and workflow. Purposive sampling was used to select participants with experience generating national or regional documents from different continents. Interviews were recorded and transcribed verbatim. After validation, data were analysed thematically using NVivo software. Transcriptions were coded and collated into themes and subthemes, with coding saturation achieved after coding all transcripts and confirming that no new codes emerged. Results: Participants worked in seven organisations across Europe, North America, and South America, including professional associations, scientific societies, governmental, and global organisations. Participants' perceptions were classified into seven main themes: research evidence (availability of evidence synthesis, direct and local evidence, certainty of the evidence and emerging research evidence), guidelines and policy documents (accessibility to guidelines, documents terminology, question scope and methodological rigour), organisational and system-level (costs, availability and accessibility to needed expertise, workload, health system characteristics, circumstances and events, and pressures), contact and collaboration (relationship with non-governmental organisations, research centers, governmental institutions and users), guidelines and policies users (evidence-informed decision-making (EIDM) expertise, attitudes toward EIDM, inclusion of patients' perspectives), guideline developers and policymakers (attitudes toward EIDM, autonomy, responsibility and expectations, and self-Interested behaviour), and others (OH in the context of overall health and use of technology). Several reported barriers were specific to the OH field, including dental professionals' resistance to changing practice (acquiring new dental materials), absence of patient advocacy organisations in OH, an overemphasis on personalised treatment planning, overvaluation of surrogated outcomes, challenges with dental device regulations, limitations in incorporating economic evaluation for decision-making at a population level, disconnect between evidence-based care and coverage, low priority given to OH by authorities and the public, and lack of communication between dental and non-dental professionals. Conclusions: Understanding particular challenges hindering the integration of research evidence into guideline and policy document development processes is critical to improving their quality. Similarly, awareness of facilitators can aid in formulating strategies to enhance this process and counter barriers. Trial Registration: Open Science Framework (DOI: 10.17605/OSF.IO/W4KG7). 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/318765https://dx.doi.org/urn:doi:10.1111/cdoe.70007reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3187652026-06-06T12:50:31Z
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