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Development of a core outcome set for oral health services research involving dependent older adults (DECADE): A study protocol

Lookup NU author(s): Dr Rebecca Wassall, Professor Sheena Ramsay

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Abstract

© 2020 The Author(s).Background: Oral healthcare service provision for dependent older adults is often poor. For dental services to provide more responsive and equitable care, evidence-based approaches are needed. To facilitate future research, the development and application of a core outcome set would be beneficial. The aim of this study is to develop a core outcome set for oral health services research involving dependent older adults. Methods: A multi-step process involving consensus methods and including key stakeholders will be undertaken. This will involve identifying potentially relevant outcomes through a systematic review of previous studies examining the effectiveness of strategies to prevent oral disease in dependent older adults, combined with semi-structured interviews with key stakeholders. Stakeholders will include dependent older adults, family members, carers, care-home managers, health professionals, researchers, dental commissioners and policymakers. To condense and prioritise the long list of outcomes generated by the systematic review and semi-structured interviews, a Delphi survey consisting of several rounds with key stakeholders, as mentioned above, will be undertaken. The 9-point Likert scale proposed by the GRADE Working Group will facilitate this consensus process. Following the Delphi survey, a face-to-face consensus meeting with key stakeholders will be conducted where the stakeholders will anonymously vote and decide on what outcomes should be included in the finalised core outcome set. Discussion: Developing a core set of outcomes that are clinically and patient-centred will help improve the design, conduct and reporting of oral health services research involving dependent older adults, and ultimately strengthen the evidence base for high-quality oral health care for dependent older adults. Trial registration: The study was registered with the COMET initiative on 9 January 2018 http://www.cometinitiative.org/studies/details/1081?result=true.

Publication metadata

Author(s): Watson S, McMullan J, Brocklehurst P, Tsakos G, Watt RG, Wassall RR, Sherriff A, Ramsay SE, Karki AJ, Tada S, Lappin C, Donaldson M, McKenna G

Publication type: Article

Publication status: Published

Journal: Trials

Year: 2020

Volume: 21

Issue: 1

Online publication date: 01/07/2020

Acceptance date: 18/06/2020

Date deposited: 20/07/2020

ISSN (electronic): 1745-6215

Publisher: BioMed Central

URL: https://doi.org/10.1186/s13063-020-04531-8

DOI: 10.1186/s13063-020-04531-8

PubMed id: 32611443

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