Mougeot, J.-L., Davis, J., Zhao, J. et al. (6 more authors) (2020) Methodology for the development of a national Dental Practice-Based Research Network survey on dentist’s beliefs and behaviors concerning antibiotic prophylaxis. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 130 (2). e29-e37. ISSN 2212-4403
Abstract
Background Dentists are high prescribers of antibiotics for both treatment and prevention of infection, although there are few guidelines to aid clinicians. Given the worldwide concerns about unnecessary use of antibiotics, there is a need for a better understanding of dentists’ use of these drugs for antibiotic prophylaxis (AP) to prevent distant site infections (i.e., infective endocarditis and prosthetic joint infection).
Objective The aim of this study was to develop and implement an effective, self-reporting, cross-sectional, survey instrument that optimized the response rate and maximized reliability and validity for determining the beliefs and behaviors of a large and nationally representative group of generalist and specialist dentists concerning their use of AP.
Study Design A 15-question survey (58 items) was developed in a structured process by a multidisciplinary team and configured for automated online dissemination to 3584 national Dental Practice-Based Research Network (DPBRN; hitherto referred to as “Network”) practitioners. The implementation phase consisted of 3 waves of greater than 1000 Network members. Additionally, 47 randomly selected dentists were surveyed twice to assess test–retest reliability.
Results Of 3584 eligible Network members, 2169 (60.5%) completed the survey. The age and geographic distributions of responders was similar to those of dentists in the 2019 American Dental Association census. Furthermore, test–retest weighted kappa values for the survey were acceptable (median 0.56; interquartile range 0.42–0.64).
Conclusions We developed a highly structured survey with a high response rate and good reliability that will allow us to obtain unique data on dentists’ beliefs and practices regarding AP prescribing.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 Elsevier Inc. This is an author produced version of a paper subsequently published in Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Clinical Dentistry (Sheffield) |
Funding Information: | Funder Grant number NATIONAL INSTITUTES OF HEALTH - UNITED STATES OF AMERICA 5U19DE022516-05 NATIONAL INSTITUTES OF HEALTH - UNITED STATES OF AMERICA 5U19DE022516-04 NATIONAL INSTITUTES OF HEALTH - UNITED STATES OF AMERICA 5U19DE022516-04 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 04 Mar 2020 10:14 |
Last Modified: | 12 Jun 2021 00:38 |
Status: | Published |
Publisher: | Elsevier |
Refereed: | Yes |
Identification Number: | 10.1016/j.oooo.2020.03.004 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:157969 |
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Filename: Manuscript Methods AP Study 01-23-2020 REVISED.pdf
Licence: CC-BY-NC-ND 4.0
Filename: Statement of Clinical Relevance 01-06-2019 PBL JLM.pdf
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Filename: Suppl. File 1 - Table SI DPBRN AP Study 01-06-2020.pdf
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Filename: Image Figure I - DPBRN AP Study 01-02-2019 JLM.tif
Licence: CC-BY-NC-ND 4.0