EVIDENCE-BASED PRACTICE PROGRAM

RESEARCH PROGRAM

Evidence-Based Practice: Research Program

The overarching aim of biomedical science is to positively impact the health of society.  This requires that new knowledge be integrated into medical and dental education programs, clinicians’ offices, and public educational programs.  There is clear evidence that new knowledge is not being efficiently transferred and implemented in these three areas.  The San Antonio Evidence-Based Practice CATs Initiative includes an active research component addressing this problem.  These research activities fall broadly into the following three domains.

1.  Program Development, Implementation and Evaluation

Our NIH R25 Education Research Grant supported the development, implementation, and initial evaluation of an EBP teaching program in a dental school setting.  This required the development of new courses for students, faculty development programs, and instruments to measure the impact of the program on both faculty and students.
During the initial stages of the project, we developed and tested an instrument to assess Evidence-Based Practice Knowledge, Attitudes, Access, and Confidence (KACE).  The KACE is an objective instrument to assess the ability to critically appraise research literature; attitudes towards evidence-based practice, frequency and methods used to access literature, and confidence in critical appraisal skills.  Our studies documented the reliability, validity, and sensitivity of the KACE, and it now is available for use in other dental schools  (see Hendricson et.al 2011 below).  At our institution, the KACE reveals significant improvements in the four target behaviors following exposure to the education program. We currently are testing a second instrument, the Assessment of Capacity in Evidence Search (ACES), which assesses mastery and use of evidence-based practice principles in the clinic setting. 
The third method used in program evaluation is focus groups led by an educational researcher experienced in qualitative research.  Focus groups were scheduled throughout the academic cycle.

2.  Information Science

Biomedical science information cannot positively influence the health of society without effective means to classify, store, and retrieve new information.  In collaboration with the UT Health Science Center San Antonio Dolph Briscoe, Jr. Library staff, we have undertaken a series of studies focusing on strategies for locating, evaluating, and using research evidence.  Studies have included the comparison of search strategies and search engines, tracking trends in scientific publication, and identifying limitations in computerized literature retrieval systems.
Our research on information science fulfills both a research and an educational objective.  We involve dental students in these projects as much as possible.  Student researchers reinforce their evidence-based practice skills by conducting information science research.

3.  Diffusion of Innovation

The aim of this research component is to study theoretical models and practical strategies to speed the movement of new biomedical knowledge into clinical practice.  Through a summer program we call Faculty, Alumni, Student Team CATs (FAST CATs), we are testing the technique of “academic detailing” to stimulate the adoption of innovative products and techniques.  Dental students who volunteer for this optional program receive advanced training in evidence-based practice skills and human relations.  They then visit community dentists to promote the adoption of new treatment modalities and identify the real-world obstacles to their adoption.  Students interview the dentists and gather information needed to answer a research question.  Click (here) to learn more about FAST CATs.

PUBLCATIONS:

J.D. Rugh, N. Sever, B.J. Glass, S.R. Matteson. Transferring Evidence-Based Information from Dental School to Practitioners: A Pilot “Academic Detailing” Program Using Dental Students. Journal of Dental Education 2011, 75(10):1316-1322.

J.D. Rugh, W.D. Hendricson, B.J. Glass, J.P. Hatch, S. T. Deahl II, G. Guest, R. Ongkiko, K. Gureckis, A.A. Jones, W.F. Rose, P. Gakunga, D. Stark, and B. Steffensen.  Teaching Evidence-Based Practice at the University of Texas Health Science Center at San Antonio Dental School.  Texas Dental Journal, Vol. 128(2): 187-190, 2011.

W.D. Hendricson, J.D. Rugh, J.P. Hatch, D.L. Stark, T. Deahl, and E.R. Wallmann.  Validation of an Instrument to Assess Evidence-Based Practice (EBP) Knowledge, Attitudes, Access and Confidence.  Journal of Dental Education, Vol. 75(2): 131-144, 2011.

J.D. Rugh, W.D. Hendricson, J.P. Hatch, and B.J. Glass.  Keeping Up-to-Date:  The San Antonio CATs Initiative.  Journal of the American College of Dentists, Vol. 77(2): 16-21, 2010.

J.P. Hatch and J.D. Rugh.  The Science Transfer Series:  Keeping Up-To-Date.  Revista Odonto Ciência, 25, 5-7, 2010.

RESEARCH, ABSTRACTS & POSTERS:

J.K. Ryan and J.D. Rugh. Trends in Orthodontic Research Over the Last Fifty Years. J Dent Res 91(Special Iss A):414, 2012. AADR 41st Annual Meeting, Tampa, FL.

M.C. Key, J.D. Rugh, and J.P. Hatch. Accuracy of PubMed Classification of Orthodontic Randomized Controlled Trials. J Dent Res 91(Special Iss A):415, 2012. AADR 41st Annual Meeting, Tampa, FL.

C.R. Phillips, J.D. Rugh, J.P. Hatch, and S. Matteson. Student Opinions About Real World Barriers to Implementing Evidence-Based Practice. J Dent Res 91(Special Iss A):893, 2012. AADR 41st Annual Meeting, Tampa, FL.

C.C. Kartaltepe, J.D. Rugh, J.P. Hatch, and E.J. Kartaltepe. Biomedical Literature Searching: PubMed MeSH vs. Clinical Queries. J Dent Res 91(Special Iss A):885, 2012. AADR 41st Annual Meeting, Tampa, FL.

S.L. Shin. Endodontics Meta-Analyses: Accuracy of National Library of Medicine's Classification. J Dent Res 91(Special Iss A):974, 2012. AADR 41st Annual Meeting, Tampa, FL.

J. Philip, J.D. Rugh, J.P. Hatch, V. Raj, C. Kartaltepe, and E.J. Kartaltepe. Comparison of Clinical Queries and EviDents for Orthodontic Literature Searches. J Dent Res 91(Special Iss A):416, 2012. AADR 41st Annual Meeting, Tampa, FL.

S.L. Shin, J.D. Rugh, and J.P. Hatch. “Endodontic Meta-analyses: Accuracy of National Library of Medicine’s Classification.” Hinman Student Research Symposium, Memphis, TN, October 28-30, 2011.

S.L. Shin, J.D. Rugh, J.P. Hatch, and A.E. Myatt. “Accuracy of National Library of  Medicine’s Classification of Orthodontics.” American Dental Association 47th Annual  Dental Students Conference on Research, Gaithersburg, MD. May15-17, 2011.

S.L. Shin, J.D. Rugh, A.E. Myatt and J.P. Hatch. “Orthodontic Meta-analyses: Accuracy of National Library of Medicine’s Classification.” Abstract #0282. AAO Annual Meeting, Chicago, IL. May 13-17, 2011.

S.L. Shin, J.D. Rugh, A.E. Myatt and J.P. Hatch. Accuracy of Library of Medicine’s Classification for Meta-Analysis Related to Orthodontics. Dental Science Symposium, San Antonio, TX, April 13, 2011.

E.R. Wallmann, J.D. Rugh, J.P. Hatch, and W.D. Hendricson.  An Alternative Method to Evaluate Knowledge Change Using KACE Questionnaire.  J Dent Res 90(Special Iss A): S2126, 2011.  IADR 89th General Session, San Diego, CA www.dentalresearch.org

S. Daruwalla, J.D. Rugh, J.P. Hatch, A.E. Myatt, and A.J. Fohn.  MEDLINE Indexing Time for Dental Specialty Articles.  J Dent Res 90(Special Iss A):S2118, 2011.  IADR 89th General Session, San Diego, CA www.dentalresearch.org

A.J. Fohn, J.D. Rugh, S. Daruwalla, A.E. Myatt, and J.P. Hatch.  Trends in MEDLINE Indexing Lag Time for Four Dental Specialties. J Dent Res 90(Special Iss A):S2122, 2011.  IADR 89th General Session, San Diego, CA www.dentalresearch.org

C.C. Kartaltepe, J.D. Rugh, J.P. Hatch, A.E. Myatt, and R. Badgett.  Biomedical Literature Searching:  PubMed vs. EviDents.  J Dent Res 90(Special Iss A):S2119, 2011.  IADR 89th General Session, San Diego, CA www.dentalresearch.org

V. Raj, J.D. Rugh, M. Enriquez, and E. Kartaltepe.  PubMed Search Success Rates for High vs. Low Level Evidence.  J Dent Res 90(Special Iss A):2120, 2011.  IADR 89th General Session, San Diego, CA www.dentalresearch.org

S. L. Shin, J.D. Rugh, J.P. Hatch, and A.E. Myatt.  Accuracy of National Library of Medicine’s Classification of Orthodontics Meta-Analyses.  J Dent Res 90(Special Iss A):S2926, 2011.  IADR 89th General Session, San Diego, CA www.dentalresearch.org

J.D. Rugh, N. Sever, W.D. Hendricson, R.R. Parma, K. Gureckis, B.J. Glass, S.R. Matteson, and J.P. Hatch.  An Academic Detailing Program to Enhance the Diffusion of Innovation.  3rd Annual AADR Fall Focused Symposium:  Salivary Diagnostics: Scientific & Clinical Frontiers.  Arlington, VA, November 12-13, 2010.

C.M. Riggs, J.D. Rugh, A. Myatt, and J.P. Hatch.  Accuracy of MEDLINE Indexing for Dental-Related Randomized Controlled Trials.  J Dent Res 89(Special Iss A):1118, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

S.L. Shin, J.D. Rugh, A.E. Myatt, and J.P. Hatch.  Accuracy of Library of Medicine’s Classification for Meta-Analysis Related to Orthodontics.  Hinman Student Research Symposium, Memphis, TN, October 29-31, 2010.

W.D. Hendricson, J.D. Rugh, J.P. Hatch, and D.L. Stark.  Evaluation of EBP Knowledge, Attitudes, Access and Confidence.  J Dent Res 89(Special Iss A): 891, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

J.D. Rugh, J.P. Hatch, and W.D. Hendricson.  Assessing Outcomes of Research Methods Courses.  J Dent Res 89(Special Iss A): 673, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

E.R. Wallmann, J.D. Rugh, J.P. Hatch, S.R. Matteson, and S.T. Deahl, II.  Commonly Reported Statistics in Three Dental Journals.  J Dent Res 89(Special Iss A): 881, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

A.A. Jones and J.D. Rugh.  Classroom Exercise for Evaluating Evidence-Based Practice Skills.  Sixth Annual Innovations in Health Science Education Conference, Austin, TX, February 18-19, 2010.

S. McLin, E.R. Wallmann, J.D. Rugh, W.D. Hendricson, and J.P. Hatch.  Relationships of EBP Knowledge, Attitudes, and Confidence in Dental Students.  J Dent Res 89(Special Iss B): 2010.  IADR/AADR 88th General Session, Barcelona, Spain www.dentalresearch.org

E.R. Wallmann, S. McLin, J.D. Rugh, W.D. Hendricson, and J.P. Hatch.  EBP Course Increases Knowledge, Attitudes, and Confidence in Dental Students.  J Dent Res Issue 89(Special Iss B): 2010.  IADR/AADR 88th General Session, Barcelona, Spain www.dentalresearch.org

J.D. Rugh, N. Sever, W.D. Hendricson, R.R. Parma, K. Gureckis, J.P. Hatch, and B.J. Glass.  Academic Detailing in Private Professional Practice:  A CATs Pilot Project.  Sixth Annual Innovations in Health Science Education Conference, Austin, TX, February 18-19, 2010.

C. Mueller, J.D. Rugh, and J.P. Hatch.  Trends in Sources of New Knowledge for Dental Practitioners.  J Dent Res 89(Special Iss A):300, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

R.R. Parma, J.D. Rugh, J.P. Hatch, C. Mueller, and K.M. Gureckis.  Comparison of Sources of New Knowledge of Adopters vs. Non-Adopters.  J Dent Res 89(Special Iss A):882, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

J.D. Rugh, T. Goggins, and J. P. Hatch.  Practitioners’ Perceptions of Knowledge Half-Life and Adoption of New Concepts.  J Dent Res 89(Special Iss A):302, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

J.D. Rugh, N. Sever, W.D. Hendricson, R. Parma, K.M. Gureckis, J.P. Hatch, and M.R. Hernandez.  Facilitating Student Encounters in an Academic Detailing Program.  J Dent Res 89(Special Iss A):304, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

J.C. Francis, J.D. Rugh, and J.P. Hatch.  Are Trends in Clinical Orthodontics Practice Correlated with Research Findings?  J Dent Res 89(Special Iss A):412, 2010.  AADR 39th Annual Meeting, Washington, DC www.dentalresearch.org

J.D. Rugh, R.K. Klepac, W.D. Hendricson, J.P. Hatch, G.F. Guest, D. Stark, and B.J. Glass.  CATs:  Enhancing the Integration of Science in a Professional Curriculum. Association of Psychologists in Academic Health Centers, 4th National Conference, St. Louis, MO, October 16, 2009.

J.D. Rugh, T. Goggins, and J.P. Hatch.  Practitioners’ Perceptions of the Half-Life of Dental School Knowledge.  UTHSCSA Dental Science Symposium, April 15, 2009.

J.D. Rugh, N. Sever, W.D. Hendricson, J.A. Johnson, R.R. Parma, K.M. Gureckis, J.B. Summitt, and J.P. Hatch.  Pilot Program of Academic Detailing in Dentistry.  UTHSCSA Dental Science Symposium, San Antonio, TX, April 15, 2009.

J.D. Rugh, N.M. Sever, W.D. Hendricson, R.R. Parma, K.M. Gureckis, J.B. Summitt, and J.P. Hatch.  Pilot Test of an Academic Detailing Program in Dentistry.  Summer Institute on Evidence-Based Practice, 8th Annual Meeting, San Antonio, TX, July 9-11, 2009.  (Abstract #59, p. 216)

J.D. Rugh, R.K. Klepac, N. Sever, W.D. Hendricson, R.R. Parma, K.M. Gureckis, and J.P. Hatch.  Encouraging the Integration of Current Scientific Findings in Private Professional Practice:  A Pilot Project.  Association of Psychologists in Academic Health Centers, 4th National Conference, St. Louis, MO, October 16, 2009.

E.R. Wallmann, W.D. Hendricson, D.L. Stark, J.P. Hatch, and J.D. Rugh.  Relationships of EBP Knowledge, Attitudes, Access, and Confidence in Skills.  UTHSCSA Dental Science Symposium, April 15, 2009.

E.R. Wallmann, W.D. Hendricson, D. Stark, J.P. Hatch, and J.D. Rugh.  Relationships of EBP Knowledge, Attitudes, Access, and Confidence in Skills.  J Dent Res 88(Special Iss A): 668, 2009.  IADR/AADR/CADR 87th General Session, Miami, FL www.dentalresearch.org

J. Rugh, W. Hendricson, J. Hatch, G. Guest, B. Glass, and L. Levy.  Bridging Oral Health Science, Education & Practice:  A CATs Initiative.  Innovations in Health Science Education, 5th Annual Conference, Austin, TX, February 5-6, 2009.

R.R. Parma, J.D. Rugh, J.P. Hatch, J.B. Summitt, and K.M. Gureckis.  Impediment to Acceptance of Sealants for Suspected Fissure Caries Lesions. J Dent Res 88(Special Iss A):2516, 2009.  IADR/AADR/CADR 87th General Session, Miami, FL www.dentalresearch.org

J.D. Rugh, T. Goggins, and J.P. Hatch.  Practitioners’ Perceptions of the Half-Life of Dental School Knowledge. J Dent Res 88(Special Iss A):2016, 2009.  IADR/AADR/CADR 87th General Session, Miami, FL www.dentalresearch.org

J.D. Rugh, N. Sever, W.D. Hendricson, J.A. Johnson, R.R. Parma, K.M. Gureckis, J.B. Summitt, and J.P. Hatch.  Pilot Test of an Academic Detailing Program in Dentistry.  J Dent Res 88(Special Iss A):2022, 2009.  IADR/AADR/CADR 87th General Session, Miami, FL www.dentalresearch.org

G.F. Guest, R.M. Weed, and J.D. Rugh.  The Integration of Evidence-based Dentistry and Critically Appraised Problems in the Patient Care Process.  Journal of Dental Education, 72(2):240, 2008.

E.R. Wallmann, W.D. Hendricson, J.P. Hatch, and J.D. Rugh.  Relationship Between Faculty Knowledge and Teaching of Evidence Based Practice.  J Dent Res 87(Special Iss B):1939, 2008.  IADR/CADR 86th General Session, Toronto, ON, Canada www.dentalresearch.org

PRESENTATIONS:

S.L. Shin & H.E. Lindskog. Evidence-Based Practice: CATs/FAST CATs Program & Students’ Research on Information Science. UTHSCSA Dental School Faculty Development Day. San Antonio, TX, October 11, 2011.

J. D. Rugh.  An Educational Strategy to Deal with the Information Explosion in Dental Education and Practice: The CATs Initiative.  Univ. of Colorado, School of Dental Medicine. Denver Co. Aug 25, 2011.

J. D. Rugh.  Teaching EBP & Life-Long learning Skills: The CATs Initiative.  Roseman University of Health Sciences, South Jordan, Utah. Aug 18, 2011

J.D. Rugh. EBD in Dental Schools: The San Antonio "CATs Initiative." American Dental Association - 2011 EBD Champions Conference, Chicago, IL, July 30, 2011.

S.L. Shin & H.E. Lindskog. UTHSCSA Dental School EBD Program, Information Science & CATs/FAST CATs Program. ADA EBD Champions Conference. Chicago, IL. July 28-30, 2011.

S.L. Shin & H.E. Lindskog. CATs & FAST CATs Program at UTHSCSA Dental School. 21st Annual South Padre Island Dental Education Course (CDE), South Padre Island, TX, July 22-23, 2011.

J.D. Rugh.  Critically Appraised Topics:  an NIH-Funded Project.  Academic Center for Evidence-Based Practice, Summer Institute on Evidence-Based Practice, San Antonio, TX, July 7, 2010.

J.D. Rugh.  Other Voices:  Integration of Research and Scholarships within the Dental Curriculum Revisited.  ADEA Annual Session Symposium, Washington, DC, March 3, 2010.

J.D. Rugh.  Critically Appraised Topics (CATs) in the Dental Curriculum.  Oregon Health Sciences University School of Dentistry, Portland, OR, August 12, 2009.

J.D Rugh.  EBP/CATs Initiative:  Progress Report & Vision for the Future.  UTHSCSA Faculty Advance/Faculty Development Program, San Antonio, TX, May 29, 2009.

J.D. Rugh.  Strategies to Deal with the Information Explosion in Dental Education & Practice, Dental School Faculty Ground Rounds, UTHSCSA, San Antonio, TX, February 27, 2009.

J.D. Rugh.  Teaching & Assessing Search and Critical Appraisal Skills.  (Symposium titled “Using Probiotics to Teach Evidence-Based Dentistry, Sponsored by Biochemistry, Nutrition & Microbiology Group) 86th ADEA Annual Session, Phoenix, AZ, March 2009.

J.D. Rugh.  Strategies to Deal with the Information Explosion in Dental Education & Practice.  Marquette University School of Dentistry, Milwaukee, WI, December 18, 2008.

J.D. Rugh.  Strategies to Deal with the Information Explosion in Education & Practice:  A CATs Initiative.  University of the Incarnate Word, School of Nursing & Health Professions, San Antonio, TX, November 17, 2008.

J.D. Rugh.  Assessment of Student Search and Critical Appraisal Skills.  Texas A & M Health Science Center, Baylor College of Dentistry, Dallas, TX, October 7, 2008.

J.D. Rugh.  Dental Practice, Research and Education:  Building Bridges for Tomorrow.  (Distinguished Scientist Lecture, 2008), Dental Science Symposium, UTHSCSA Dental School, San Antonio, TX, April 16, 2008

J.D. Rugh.  Evidence Based Dentistry:  CATs Initiative.  ADEA Annual Session, Dallas, TX, March 31, 2008.

J.D. Rugh.  Integrating Science into Dental Education.  Distinguished Scientist Keynote Address, Annual Dental Research Symposium, SUNY Buffalo School of Dentistry, Buffalo, NY, March 8, 2008.

WORKSHOPS: 
J.D. Rugh.  Keeping Up-to-Date with the Explosion of New Knowledge.  U.S. Army Fort Hood Dental Services AEGD.  Fort Hood, TX, August 27, 2010.

J.D. Rugh.  Teaching Evidence Based-Practice and Life-Long Learning Skills:  The CATs Initiative.  University of Connecticut, School of Dental Medicine, Farmington, CT, April 5-8, 2010.

J.D. Rugh.  Dental Research Methodology & Evidence Based Practice, (Faculty & Resident Workshop) College of Dental Medicine, University of Southern Nevada, Henderson, NV, March 10, 2009.

J.D. Rugh.  Strategies for Assessing Students’ Capacity for Critical Appraisal in the Context of Teaching EBP Skills.  ADEA/Commission on Change & Innovation Meeting, Phoenix, AZ, March 2009.

J.D. Rugh.  Establishing Competencies for Critical Thinking & Evidence Based Practice Skills in Pre-Doctoral & Residency Education.  UTHSCSA Faculty Advance, San Antonio, TX, May 29, 2009.

J.D. Rugh.  CATs in Dentistry:  Teaching EBP Using Critically Appraised Topics.  Invited Educators’ Workshop, ACE Summer Institute on Evidence Based Practice, UTHSCSA School of Nursing, San Antonio, TX, June 25, 2008.

J.D. Rugh.  Assessment of Student Search and Critical Appraisal Skills (90-Minute Workshop).  American Dental Education Association, Commission on Change & Innovation Meeting, Chicago, IL, June 23-24, 2008.

J.D. Rugh.  Strategies to Deal with the Information Explosion in Dental Education & Practice.  Oregon Health Sciences University, School of Dentistry (Faculty Workshop), Portland, OR, August 12-13, 2008.

J.D. Rugh.  CATs in Dentistry:  Teaching EBP Using Critically Appraised Topics.  Summer Institute on Evidence Based Practice:  Educators Workshop, San Antonio, TX, June 2, 2008.