Burgette Jacqueline M, Isett Kimberley R, Rosenblum Simone, Doshi Ameet, Melkers Julia
Departments of Dental Public Health and Pediatric Dentistry, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Biden School of Public Policy and Administration, the University of Delaware, Newark, Delware, USA.
J Dent Educ. 2021 Jun;85(6):812-820. doi: 10.1002/jdd.12564. Epub 2021 Feb 17.
We examined whether evidence-based practice (EBP) during dental school was associated with the increased use of peer-reviewed literature during subsequent clinical practice for National Dental Practice-Based Research Network (PBRN) dentists. We also sought to understand whether this association was moderated by being a dental specialist.
We analyzed cross-sectional data from 1228 dentists participating in the PBRN. We used logistic regression to examine the association between self-reported EBP training during dental school and the use of peer-reviewed journals in clinical practice, controlling for the number of years since dental school graduation and dental practice type. We stratified the data by dental specialists and examined effect modification using the Breslow-Day test for homogeneity of the odds ratio.
The prevalence of peer-reviewed journal use by PBRN dentists in clinical practice was 87% (n = 1070) with no statistical evidence of effect modification by dental specialists on the EBP peer-reviewed journal use relationship (p > 0.05). After controlling for years since dental school graduation and dental practice type, dentists who self-reported EBP training during dental school had greater odds of using peer-reviewed journals in clinical practice than dentists who did not self-report EBP training during dental school (OR, 1.47; 95%CI = 1.01, 2.15).
The use of peer-reviewed published literature by PBRN dentists who had EBP predoctoral training is one important step in the EBP process by which practicing dentists can implement evidence-based findings, interventions, and policies into routine health care and public health settings. These findings add to the body of support for EBP curricula in dental education.
我们研究了牙科学校期间的循证实践(EBP)是否与国家基于牙科实践的研究网络(PBRN)牙医在随后临床实践中更多地使用同行评审文献相关。我们还试图了解这种关联是否因是否为牙科专科医生而有所不同。
我们分析了1228名参与PBRN的牙医的横断面数据。我们使用逻辑回归来研究牙科学校期间自我报告的EBP培训与临床实践中同行评审期刊使用之间的关联,并控制自牙科学校毕业以来的年数和牙科实践类型。我们按牙科专科医生对数据进行分层,并使用Breslow-Day检验来检验比值比同质性,以检查效应修正情况。
PBRN牙医在临床实践中使用同行评审期刊的比例为87%(n = 1070),没有统计学证据表明牙科专科医生对EBP与同行评审期刊使用关系有效应修正作用(p > 0.05)。在控制了自牙科学校毕业以来的年数和牙科实践类型后,在牙科学校期间自我报告接受过EBP培训的牙医在临床实践中使用同行评审期刊的可能性比未自我报告接受过EBP培训的牙医更高(OR,1.47;95%CI = 1.01,2.15)。
接受过EBP博士前培训的PBRN牙医使用同行评审发表文献是EBP过程中的重要一步,通过这一步,执业牙医可以将循证研究结果、干预措施和政策应用于常规医疗保健和公共卫生环境中。这些发现为牙科教育中的EBP课程提供了更多支持。