Developing clinical practice guidelines for caries prevention and management for pre-school children through the ADAPTE process and Delphi consensus
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Gillian H M Lee1, Colman McGrath2, Cynthia K Y Yiu3
1Paediatric Dentistry, Faculty of Dentistry, University of Hong Kong, 2/F, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong, China. lee.gillian@gmail.com.
Insights
Evidence-based clinical guidelines for preventing and managing caries in Hong Kong
Area of Science:
- Pediatric Dentistry
- Public Health
Background:
- Caries prevention and management in pre-school children requires updated clinical guidelines.
- A specific need exists for Hong Kong's pre-school population.
Purpose of the Study:
- To develop consensus evidence-based clinical guidelines for caries prevention and management.
- Guidelines will be based on caries risk assessment for pre-school children in Hong Kong.
Main Methods:
- The ADAPTE process was used to compile preliminary recommendations.
- A two-round Delphi process with 41 external reviewers from the Hong Kong Society of Paediatric Dentistry was conducted.
- Recommendations were refined based on reviewer feedback and consensus ratings.
Main Results:
- Out of 91 initial recommendations, 70 were retained (5 with high consensus, 65 with consensus).
- 21 recommendations were discarded.
- The finalized guidelines and recommendations were outlined.
Conclusions:
- Consensus evidence-based clinical guidelines for pediatric caries prevention and management were successfully developed for Hong Kong.
- The ADAPTE process and Delphi consensus ensured the recommendations are evidence-based.
- These guidelines aim to facilitate the translation of best practices into dental practice.
Background:
This study aims to develop consensus evidence-based clinical guidelines for caries prevention and management by caries risk assessment for pre-school children in Hong Kong.
Methods:
Employing the ADAPTE process, guidelines for caries prevention and management by caries risk assessment for pre-school children with a preliminary list of 91 recommendations was complied. External review of the guidelines was conducted by a panel of 41 reviewers from the Hong Kong Society of Paediatric Dentistry using a two-round web-based Delphi process. The reviewers were invited to contribute any comments on the draft-adapted guidelines and rated their agreement with each recommendation using a 9-point Likert scale. During the second round, 36 participants received anonymous feedback from the first round and assessed a narrowed list of 28 recommendations. Recommendations were retained and classified according to the median score and rating percentages by the reviewers.
Results:
A total of 70 out of 91 recommendations were retained (five reached high consensus, 65 reached consensus), and 21 recommendations were discarded. Recommendations and guidelines were outlined.
Conclusions:
Caries prevention and management guidelines for pre-school children were developed for use in Hong Kong using the ADAPTE process and Delphi consensus to develop evidence-based recommendations. This can facilitate the translation of guidelines into dental practice.
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