Evidence map›Paper›PMID 36947522›Full record

ArticlePloS one2023

A conceptual model on caregivers' hesitancy of topical fluoride for their children.

Donald L Chi, Darragh Kerr, Daisy Patiño Nguyen, Mary Ellen Shands, Stephanie Cruz, Todd Edwards, Adam Carle, Richard Carpiano, Frances Lewis

Open access · goldFull text read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
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

9 authors at 3 institutions in 1 country.

Donald L ChiDepartment of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, United States of America.ORCID 0000-0003-2289-7747
Darragh KerrDepartment of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, United States of America.
Daisy Patiño NguyenDepartment of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, United States of America.
Mary Ellen ShandsDepartment of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, United States of America.
Stephanie CruzDepartment of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Washington, United States of America.
Todd EdwardsDepartment of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, United States of America.
Adam CarleJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States of America.
Richard CarpianoUniversity of California Riverside, School of Public Policy, Riverside, California, United States of America.
Frances LewisDepartment of Child, Family and Population Health Nursing, University of Washington School of Nursing, Seattle, Washington, United States of America.
University of Washington · USCincinnati Children's Hospital Medical Center · USUniversity of California, Riverside · US

Funding

Comprehensive Training in Inter-Disciplinary Oral Health ResearchT90DE021984 · NIDCR · UNIVERSITY OF WASHINGTON · PI Robert Aaron Cornell · 2012 to 2026
$7.9M
Developing Topical Fluoride Hesitancy Measures for Causal Modeling and Intervention ResearchR01DE026741 · NIDCR · UNIVERSITY OF WASHINGTON · PI CHI, DONALD LESLIE · 2018 to 2021
$1.7M
NIDCR NIH HHS R01 DE026741NIDCR NIH HHS T90 DE021984
6 · The paper itself

Abstract

backgroundTopical fluoride hesitancy is a well-documented and growing public health problem. Despite extensive evidence that topical fluoride is safe and prevents tooth decay, an increasing number of caregivers are hesitant about their children receiving topical fluoride, leading to challenges in clinical settings where caregivers refuse preventive care. PURPOSE: To explore the determinants of topical fluoride hesitancy for caregivers with dependent children.

methodsIn this qualitative study, we interviewed 56 fluoride-hesitant caregivers to develop an inductive conceptual model of reasons why caregivers are hesitant.

resultsThe core construct of the conceptual model of topical fluoride hesitancy centered on caregivers "wanting to protect and not mess up their child". Six domains comprised this core construct: thinking topical fluoride is unnecessary, wanting to keep chemicals out of my child's body, thinking fluoride is harmful, thinking there is too much uncertainty about fluoride, feeling pressured to get topical fluoride, and feeling fluoride should be a choice.

conclusionsTopical fluoride hesitancy is complex and multifactorial. Study findings provide insight for future efforts to understand and optimize caregivers' preventive care decision making.

Indexed as

CaregiversFluorides, TopicalChildEmotionsFluoridesHumansUncertaintyFluoridesFluorides, Topical

Identifiers

PMID36947522
PMCPMC10032489
OpenAlexW4353018909

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read18
identifiers read3
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.