Evidence map›Paper›PMID 29409648›Full record

ArticleApplied ergonomics2018

A systems approach using the functional resonance analysis method to support fluoride varnish application for children attending general dental practice.

Al Ross, Andrea Sherriff, Jamie Kidd, Wendy Gnich, Janet Anderson, Leigh Deas, Lorna Macpherson

Open access · hybridAbstract read
In one paragraph

Article in Applied ergonomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Al RossGlasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, UK. Electronic address: alastair.ross@gla.ac.uk.
Andrea SherriffGlasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, UK. Electronic address: andrea.sherriff@gla.ac.uk.
Jamie KiddGlasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, UK. Electronic address: jamie.kidd@gla.ac.uk.
Wendy GnichGlasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, UK. Electronic address: wendy.gnich@gla.ac.uk.
Janet AndersonFlorence Nightingale Faculty of Nursing and Midwifery, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK. Electronic address: janet.anderson@kcl.ac.uk.
Leigh DeasPublic Dental Services, NHS Lanarkshire, Hospital Street, Coatbridge, ML5 4DN, UK. Electronic address: l.deas@nhs.net.
Lorna MacphersonGlasgow Dental School, School of Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, UK. Electronic address: lorna.macpherson@gla.ac.uk.
University of Glasgow · GBKing's College London · GBNHS Lanarkshire · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAll children attending General Dental Practice in Scotland are recommended to receive twice-yearly applications of sodium fluoride varnish to prevent childhood caries, yet application is variable. Development of complex interventions requires theorizing and modelling to understand context. This study applies the Functional Resonance Analysis Method (FRAM) to produce a sociotechnical systems model and identify opportunities for intervention to support application.

methodsThe FRAM was used to synthesise data which were: routine monitoring of fluoride varnish application in 2015/16; a longitudinal survey with practitioners (n = 1090); in-depth practitioner and key informant interviews (n = 43); and a 'world café' workshop (n = 56).

resultsWe describe a detailed model of functions linked to application, and use this to make recommendations for system-wide intervention.

conclusionsRigorous research is required to produce accessible models of complex systems in healthcare. This novel paper shows how careful articulation of the functions associated with fluoride varnish application can support future improvement efforts.

Indexed as

Systems AnalysisCariostatic AgentsChildDental CariesFemaleGeneral Practice, DentalGuideline AdherenceHumansMalePractice Guidelines as TopicPractice Patterns, Dentists'ScotlandSodium FluorideCariostatic AgentsSodium FluorideComplexityDentistryHealthcareSociotechnical systems

Identifiers

PMID29409648
PMCPMC5817000
OpenAlexW2776165454

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.