ArticleAcademic pediatrics2024
Barriers and Facilitators to Optimal Fluoride Varnish Application.
Article in Academic pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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.
Who cites it
8 citing papers in PubMed.
- Evaluating the use of the consolidated framework for implementation research in primary care settings: a systematic review.Implementation science communications · 2026Review
- Evaluation of preventive methods used to interrupt the progression of early caries lesions.Journal of clinical and experimental dentistry · 2025Review
- Insurance Denials for Fluoride Varnish and Well-Child Visits.JAMA network open · 2025Article
- Barriers and Facilitators to Providing Preventive Dental Care for Young Children in Dental Settings.Journal of public health dentistry · 2025Article
- Barriers and Facilitators to Delivery of Fluoride Varnish Application in Pediatric Well-Child Visits: A Post-Implementation Analysis.Global implementation research and applications · 2025Article
- A cross-sectional study of physicians on fluoride-related beliefs and practices, and experiences with fluoride-hesitant caregivers.PloS one · 2024Article
- Integrating Fluoride Varnish Delivery in Primary Care: Insights from a Workflow and Cost Analysis.Academic pediatricsArticle
- Changes in Children's Receipt of Fluoride Varnish During Medical Visits and the COVID-19 Pandemic.Academic pediatricsArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveNational guidelines recommend that all children under age six receive fluoride varnish (FV) in medical settings. However, application rates remain low. This study aimed to update understanding of barriers and facilitators to guideline concordant FV application.
methodsWe conducted virtual semi-structured interviews with a purposive sample (eg, FV application rates, geographic location, practice size and type) of pediatric primary care clinicians and medical assistants in Massachusetts between February 1 and June 30, 2022. The Consolidated Framework for Implementation Research (CFIR) served as the study's theoretical framework and data were analyzed using a modified grounded theory approach.
resultsOf the 31 participants, 90% identified as White and 81% as female. Major themes, which linked to four CFIR domains, included: variation in perceived adequacy of reimbursement; differences in FV application across practice types; variation in processes, protocols, and priorities; external accountability for quality of care; and potential levers for change. Important subthemes included challenges for small practices; role of quality measures in delivering guideline-concordant preventive oral health care; and desire for preventive care coordination with dentists.
conclusionsThis study suggests that potential barriers and facilitators to guideline concordant FV application exist at multiple levels that may warrant further study. Examples include testing the effectiveness of quality measures for FV application and testing strategies for implementing consistent processes and protocols for improving FV application rates.
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Registered trials
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.