Developing clinical practice guidelines for dental caries management for the Malaysian population through the ADAPTE trans-contextual adaptation process

Anuwar, Ainol Haniza Kherul and Ab-Murat, Norintan (2021) Developing clinical practice guidelines for dental caries management for the Malaysian population through the ADAPTE trans-contextual adaptation process. Oral Health and Preventive Dentistry, 19 (1). pp. 217-227. ISSN 1602-1622, DOI https://doi.org/10.3290/j.ohpd.b1179509.

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Abstract

Purpose: To develop an evidence-based Clinical Practice Guideline (CPG) on caries management for the Malaysian population using the ADAPTE trans-contextual adaptation framework. Materials and Methods: A systematic search was conducted to identify all CPGs related to caries management on guideline repository websites and other platforms. The search findings were screened and the quality of the identified guidelines was evaluated using the AGREE II tool. The currency and the content of the recommendations were assessed by multidisciplinary experts for local adaptation. Results: Following an extensive assessment, six high-quality CPGs were selected for adaptation. Subsequent to the content assessment, the multidisciplinary experts agreed to adopt 24 recommendations, adapt 55, and exclude two recommendations. The adaptation process generated 21 recommendations for caries management in Malaysia. The formulation of the final evidence-based recommendations for caries management in Malaysia was based on the feedback given by the external reviewers. Conclusion: The use of the trans-contextual adaptation process is feasible for the development of local guidelines when there are scarce resources and insufficient local evidence. The involvement of the multidisciplinary experts ensures the comprehensiveness of the CPG in terms of its quality and validity and subsequently promotes adherence and ownership of the CPG at the local settings.

Item Type: Article
Funders: None
Uncontrolled Keywords: Adaptation;ADAPTE; Caries management; Clinical practice guidelines; Evidence-based
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry
Depositing User: Ms Zaharah Ramly
Date Deposited: 08 Apr 2022 07:08
Last Modified: 12 Apr 2022 04:45
URI: http://eprints.um.edu.my/id/eprint/26932

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