N/A
Completed N=896
An Implementation Strategy for the Adoption of an Evidence-Based Guideline for Pit-and-Fissure Sealants
Pit-and-Fissure Sealants
Source: ClinicalTrials.gov NCT04682730 ↗
Enrolled (actual)
896
Serious AEs
—
Results posted
Mar 2023
Primary outcomePrimary: Change in Providers' Rates of Placing or Treatment Planning Sealants for Occlusal NCCLs — 137; 95 Teeth — p=0.18
Summary
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change in Providers' Rates of Placing or Treatment Planning Sealants for Occlusal NCCLs |
137; 95 | 0.18 |
| SECONDARY Total Program Costs |
125,521 | — |
| SECONDARY Cost Per Clinic |
7845 | — |
| SECONDARY Cost Per Member Per Month (PMPM) |
0.039 | — |
| SECONDARY Annualized Costs for Guideline Implementation Interventions |
125,521 | — |
| SECONDARY NCCL Treatment Costs- Total Program Costs Per Sealant |
1321 | — |
| SECONDARY NCCL Treatment Costs- Total Program Costs Per Sealant Per Clinic |
1321 | — |
| SECONDARY NCCL Treatment Costs- Per Sealant Per Member Per Month (PMPM) |
0.0004 | — |
| SECONDARY Sealant Treatment Plan Resolution |
89 | — |
| SECONDARY Cost Effectiveness |
— | — |
Eligibility Criteria
Inclusion Criteria
- Employed by Kaiser Permanente Northwest Dental or Permanente Dental Associates
- Work in a Kaiser Permanente Northwest dental clinic
Exclusion Criteria
- none
Data sourced from ClinicalTrials.gov (NCT04682730). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.