Developing clinical practice guidelines for caries prevention and management for pre-school children through the ADAPTE process and Delphi consensus

Gillian H M Lee, Colman McGrath, Cynthia K Y Yiu, Gillian H M Lee, Colman McGrath, Cynthia K Y Yiu

Abstract

Background: This study aims to develop consensus evidence-based clinical guidelines for caries prevention and management by caries risk assessment for pre-school children in Hong Kong.

Methods: Employing the ADAPTE process, guidelines for caries prevention and management by caries risk assessment for pre-school children with a preliminary list of 91 recommendations was complied. External review of the guidelines was conducted by a panel of 41 reviewers from the Hong Kong Society of Paediatric Dentistry using a two-round web-based Delphi process. The reviewers were invited to contribute any comments on the draft-adapted guidelines and rated their agreement with each recommendation using a 9-point Likert scale. During the second round, 36 participants received anonymous feedback from the first round and assessed a narrowed list of 28 recommendations. Recommendations were retained and classified according to the median score and rating percentages by the reviewers.

Results: A total of 70 out of 91 recommendations were retained (five reached high consensus, 65 reached consensus), and 21 recommendations were discarded. Recommendations and guidelines were outlined.

Conclusions: Caries prevention and management guidelines for pre-school children were developed for use in Hong Kong using the ADAPTE process and Delphi consensus to develop evidence-based recommendations. This can facilitate the translation of guidelines into dental practice.

Keywords: ADAPTE; Caries risk assessment; Children; Delphi consensus; Dental caries; Guidelines; Guidelines development; Oral health; Prevention.

Figures

Fig. 1
Fig. 1
Classification of recommendations according to the overall median score and percentage of ratings by external reviewers in the first and second round of Delphi surveys
Fig. 2
Fig. 2
Recommendations and external reviewers’ participation flow chart

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Source: PubMed

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