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Updated: May 7, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Multifaceted and mixed didactic-interactive methods are more effective ways to learn and change behaviour.
1Department of Adult Oral Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, and Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Continuing professional development (CPD) in dentistry can improve clinician behavior and knowledge. Multi-method interventions show the most promise for significant practice change.
Area of Science:
- Dental education research
- Continuing professional development (CPD)
- Health professions education
Background:
- Continuing professional development (CPD) is crucial for maintaining and enhancing dental practitioner skills.
- Evaluating the effectiveness of various CPD interventions on learning, behavior, and patient outcomes is essential.
- Evidence-based assessment of CPD impact is needed to optimize educational strategies in dentistry.
Purpose of the Study:
- To systematically review randomized controlled trials and quasi-experimental studies on dental continuing professional development (CPD).
- To assess the impact of CPD interventions on learning gains, behavior change, and patient outcomes among dental professionals.
- To identify effective CPD strategies for improving dental practice.
Main Methods:
- Comprehensive literature search of multiple electronic databases (1986-present) including Cochrane Library, Medline, Embase, ERIC, Index to Theses, and ZETOC.
- Inclusion of randomized controlled trials or quasi-experimental designs evaluating CPD in dentistry, with no language restrictions.
- Data extraction by two reviewers, thematic grouping of studies, and quality assessment using a CONSORT-based system; narrative synthesis of results.
Main Results:
- Ten studies met the inclusion criteria; eight were of moderate to high quality.
- No studies measured direct patient outcomes; however, multifaceted interventions influenced antibiotic prescribing habits and self-reported patient care.
- CPD interventions like courses, workshops, and computer-assisted learning showed some effect on knowledge but not consistently on behavior.
Conclusions:
- Multifaceted and multi-phased dental continuing professional development (CPD) interventions demonstrate potential for significant impact on practitioner behavior.
- Further research is needed to quantify the effects of CPD on patient outcomes.
- Optimizing CPD design can lead to improved clinical practice and potentially better patient care.
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