Title: 0259 - ADVOCATE Field Studies: Using Academic Detailing to Improve Oral Health Care


Fatiha Baâdoudi (Presenter)

Denise Duijster, ACTA
Fatima Ali, ACTA
Neal Maskrey, ACTA
ADVOCATE consortium, ACTA
Geert van der Heijden, ACTA


Objectives: Objective: Academic Detailing is an educational outreach that can be deployed to improve quality of care. This study describes the results of the ADVOCATE Field Studies; a proof of concept study aimed at evaluating whether Academic Detailing, reinforced with feedback information, can be used to intrinsically motivate general dental practitioners (GDPs) towards more prevention-oriented, patient-centred, and evidence-based oral health care delivery.

Methods: Methods: Six groups of GDPs were recruited; two groups of 6-8 GDPs in each of three countries - the Netherlands, Germany and Denmark. Each group attended four academic detailing group (ADG) meetings for open discussions, using comparative feedback data to stimulate debate about dental practice performance and care delivery. Feedback data derived from both administrative health insurance records and patient questionnaires were presented in an electronic dashboard. ADGs were moderated by an academic detailer to facilitate reflective, non-judgmental group discussions. To evaluate the feasibility, acceptability and usefulness of the approach, qualitative data were collected through focus group interviews, evaluation forms, an online discussion forum, field notes and debriefs of ADG meetings. Data were analysed using conventional and directed content analysis.

Results: Results: In total, 38 GDPs participated in the focus group interviews. Results suggested that Academic Detailing with feedback information is acceptable as a useful method for self-evaluating care delivery and to set goals for improving care delivery. Data collection of patient-reported information from the questionnaires was perceived as important and useful. Initial issues presented were on dental practices having difficulties with integrating data collection in their daily routine. Several technical issues were presented concerning the dashboard.

Conclusions: Conclusion: These preliminary results support the feasibility of implementing Academic Detailing with feedback data with the potential of improving oral health care.

This abstract is based on research that was funded entirely or partially by an outside source:
The ADVOCATE project has received funding from the European Commission’s Horizon 2020 research and innovation program under grant agreement 635183

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: none

Group Authors: Advocate consortium