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Engaging Stakeholders in Patient-Centered Outcomes Research Regarding School-Based Sealant Programs
Engaging stakeholders is crucial for planning effective oral health research. Their input ensures patient-centered outcomes and addresses concerns for studies comparing silver diamine fluoride (SDF) and sealants.
Area of Science:
- Dental Public Health
- Clinical Trial Design
- Qualitative Research Methods
Background:
- School-based sealant programs are vital for pediatric oral health.
- Silver diamine fluoride (SDF) is an emerging alternative to traditional sealants.
- Stakeholder engagement is increasingly recognized as essential for patient-centered research.
Purpose of the Study:
- To describe lessons learned from stakeholder engagement in planning a randomized clinical trial.
- The trial compares silver diamine fluoride (SDF) versus sealants in a school setting.
- Focus on optimizing a school-based delivery system for oral health interventions.
Main Methods:
- Qualitative study involving 18 caregivers and community stakeholders.
- Utilized semi-structured interviews based on Patient-Centered Outcomes Research Institute (PCORI) standards.
- Content analytic methods were employed for data analysis.
Main Results:
- Stakeholders deemed a study comparing SDF and sealants clinically relevant.
- Caregivers emphasized child-centered outcomes (e.g., reducing dental anxiety) alongside caries prevention.
- Identified concerns (staining, safety) and proposed mitigation strategies (engagement, consent, monitoring).
Conclusions:
- Early stakeholder involvement is essential for patient-centered research in oral health.
- Incorporating diverse perspectives enhances research questions, outcomes, and dissemination plans.
- Effective planning is key for school-based oral health intervention trials.
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