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

Watson, S. et al. (2020) Development of a core outcome set for oral health services research involving dependent older adults (DECADE): a study protocol. Trials, 21, 599. (doi: 10.1186/s13063-020-04531-8) (PMID:32611443) (PMCID:PMC7329504)

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Abstract

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.

Item Type:Articles
Additional Information:The study is financially supported by the Dunhill Medical Trust (grant ref: RPGF1806\56).
Keywords:Study Protocol, Aged, Frail elderly, Oral health, Consensus, Delphi technique.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Sherriff, Dr Andrea
Authors: Watson, S., McMullan, J., Brocklehurst, P., Tsakos, G., Watt, R. G., Wassall, R. R., Sherriff, A., Ramsay, S. E., Karki, A. J., Tada, S., Lappin, C., Donaldson, M., and McKenna, G.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Journal Name:Trials
Publisher:BioMed Central
ISSN:1745-6215
ISSN (Online):1745-6215
Copyright Holders:Copyright © The Author(s) 2020
First Published:First published in Trials 21:599
Publisher Policy:Reproduced under a Creative Commons licence

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
303779Development of a core outcome set for oral health services research involving dependent older adultsAndrea SherriffDunhill Medical Trust (DUNHILLM)RPGF1806/56Med - Dental School