EVIDENCE-BASED PRACTICE PROGRAM

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:

Hicks JL, Hendricson WD, Partida MN, Rugh JD, Littlefield JH & Jacks ME. Career Transition and Dental School Faculty Development Program. Tex Dent J, Nov; 130(11):115-22, 2013.

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

Rugh JD, Hendricson WD, Glass BJ, Hatch JP, Deahl II, ST, Guest G, Ongkiko R, Gureckis K., Jones JA, Rose WF, Gakunga P, Stark D, Steffensen B. Teaching Evidence-Based Practice at the University of Texas Health Science Center San Antonio Dental School. Tex Dent J, 128(2):187-190, 2011.

Hendricson WD, Rugh JD, Hatch JP, Stark DL, Deahl ST, Wallmann ER. Validation of an Instrument to Assess Evidence-Based Practice Knowledge, Attitudes, Access, and Confidence in the Dental Environment. Journal of Dental Education, 75(2): 132-144, 2011.

Hatch JP, Rugh JD. The Science Transfer Series: Keeping Up-To-Date. Revista Odonto Ciencia. 25:5-7, 2010.

Rugh JD, Hendricson WD, Hatch JP, Glass BJ. The San Antonio CATs Initiative. J Am Coll Dent, Summer; 77(2):16-21, 2010.

RESEARCH, ABSTRACTS & POSTERS:

Partida N, Hicks J, Hendricson B, Rugh JD & Littlefield J.  Faculty Development: Unlocking Potential in Faculty, Residents and Students. UT Health Science Center School of Dentistry Fiesta of Education, San Antonio, TX, April 9, 2015.

Tibbitts LR, Ruxmohan SD, Nguyen T, Lemke KC & Rugh JD.  Descriptive Usage Analysis of UT Health Science Center Online Critically Appraised Topics (CATs) Database 2011-2014.  UT Health Science Center 33rd Annual School of Dentistry Dental Science Symposium. San Antonio, TX, April 1, 2015.

Partida N, Hicks J, Hendricson B, Rugh JR & Littlefield J. Faculty Development: Unlocking Potential in Faculty, Residents and Students.  ADEA Annual Session & Exhibition, Boston, MA, March 2015.

Lemke KC, Rugh JD, Hendricson WD & Hernandez M.  Teaching Evidence-Based Practice Skills Using Clinical Questions Focused on Obstructive Sleep Apnea.  The University of Texas System Kenneth I. Shine, M.D. Academy of Health Science Education Annual Conference, Austin, TX, Feb 19-20, 2015.

Tibbitts LR, Ruxmohan SD, Nguyen T, Lemke KC & Rugh JD.  Descriptive Usage Analysis of UT Health Science Center Online Critically Appraised Topics (CATs) Database 2011-2014.  20th Hinman Student Research Symposium, Memphis, TN, Oct 31-Nov 2, 2014.

Partida MN, Hicks J, Hendricson W, Rugh J & Littlefield J. Faculty Development is a Science of Learning.  ADEA Annual Session & Exhibition, San Antonio TX, March 2014.

 Lowery R, Rugh JD, Hatch JP, Adams E & Rockey KA.  Growth of Evidence-Based Publications in Orthodontic Journals. J Dent Res, Vol 92, Spec Iss A, Abst #3475, IADR/AADR/CADR 91st General Session, Seattle, WA, March 20-23, 2013.

Rockey K, Rugh JD, Adams EC, Lowery R & Hatch JP.  Levels of Evidence Published in Dental Specialty Journals 1970-2009. J Dent Res, Vol 92, Spec Iss A, Abst #1780, IADR/AADR/CADR 91st General Session, Seattle, WA, March 20-23, 2013.

Adams EC, Rugh JD, Rockey KA & Lowery R. Trends in Evidence Quality in the Orthodontic Literature, 1970-2009. J Dent Res, Vol 92, Spec Iss A, Abst #3474, IADR/AADR/CADR 91st General Session, Seattle, WA, March 20-23, 2013.

Ryan JK & Rugh JD. Trends in Orthodontic Research Over the Last Fifty Years. J Dent Res 91(Special Iss A): Abst# 414. AADR 41st Annual Meeting, Tampa, FL, March 2012.

Key MC, Rugh JD & Hatch JP. Accuracy of PubMed Classification of Orthodontic Randomized Controlled Trials. J Dent Res 91(Special Iss A):Abst# 415, AADR 41st Annual Meeting, Tampa, FL, March  2012.

Phillips CR, Rugh JD, Hatch JP & Matteson S. Student Opinions About Real World Barriers to Implementing Evidence-Based Practice. J Dent Res 91(Special Iss A):Abst# 893, AADR 41st Annual Meeting, Tampa, FL, March 2012.

Kartaltepe CC, Rugh JD, Hatch JP & Kartaltepe EJ. Biomedical Literature Searching: PubMed MeSH vs. Clinical Queries. J Dent Res 91(Special Iss A):Abst# 885.  AADR 41st Annual Meeting, Tampa, FL, March 2012.

Shin SL & Rugh JD. Endodontics Meta-Analyses: Accuracy of National Library of Medicine's Classification. J Dent Res 91(Special Iss A):Abst# 974, AADR 41st Annual Meeting, Tampa, FL, March  2012.

Philip J, Rugh JD, Hatch JP, Raj V, Kartaltepe CC & Kartaltepe EJ. Comparison of Clinical Queries and EviDents for Orthodontic Literature Searches. J Dent Res 91(Special Iss A):Abst# 416, AADR 41st Annual Meeting, Tampa, FL, March 2012.

Shin SL , Rugh JD & Hatch JP. Endodontic Meta-analyses: Accuracy of National Library of Medicine’s Classification. Hinman Student Research Symposium, Memphis, TN, October 28-30, 2011.

Shin SL, Rugh JD, Hatch JP & Myatt AE. Accuracy of National Library of Medicine’s Classification of Orthodontics. American Dental Association 47th Annual Dental Students Conference on Research, Gaithersburg, MD, May 15-17, 2011.

Shin SL, Rugh JD, Myatt AE & Hatch JP. Orthodontic Meta-analyses: Accuracy of National Library of Medicine’s Classification. Abstract #0282. AAO Annual Meeting, Chicago, IL, May 13-17, 2011.

Shin SL, Rugh JD, Myatt AE & Hatch JP.  Accuracy of Library of Medicine’s Classification for Meta-Analysis Related to Orthodontics. UTHSCSA Dental Science Symposium, San Antonio, TX, April 13, 2011.

Shin SL, Rugh JD, Hatch JP & Myatt AE. Accuracy of National Library of Medicine’s Classification of Orthodontics. J Dent Res 90(Special Iss A):Abst# 2926. IADR/AADR/CADR 89th General Session, San Diego, CA , March 2011.

Wallmann ER, Rugh JD, Hatch JP & Hendricson WD. Comparison of Two Scoring Methods to Increase the KACE’s Sensitivity. J Dent Res 90(Special Iss A):Abst# 2126, IADR/AADR/CADR 89th General Session, San Diego, CA, March 2011.

Daruwalla S, Rugh JD, Hatch JP, Myatt AE & Fohn AJ.  MEDLINE Indexing Time for Dental Specialty Articles.  J Dent Res 90(Special Iss A):Abst# 2118, IADR/AADR/CADR 89th  General Session, San Diego, CA, March 2011.

Fohn AJ, Rugh JD, Daruwalla S, Myatt AE & Hatch JP.  Trends in MEDLINE Indexing Lag Time for Four Dental Specialties.  J Dent Res 90(Special Iss A):Abst# 2122, IADR/AADR/CADR 89th General Session, San Diego, CA, March 2011.

Kartaltepe C, Rugh JD, Hatch JP, Myatt AE & Badgett R.  Biomedical Literature Searching:  PubMed vs. EviDents.  J Dent Res 90(Special Iss A):Abst# 2119, IADR/AADR/CADR 89th  General Session, San Diego, CA, March 2011.

Raj V, Rugh JD, Enriquez M & Kartaltepe E.  PubMed Search Success Rates for High vs. Low Level Evidence.  J Dent Res 90(Special Iss A):Abst# 2120, IADR/AADR/CADR 89th  General Session, San Diego, CA, March 2011.

Rugh JD, Sever N, Hendricson WD, Parma RR, Gureckis R, Glass BJ, Matteson SR & Hatch JP.  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.

Shin SL, Rugh JD, Myatt AE & Hatch JP.  Accuracy of Library of Medicine’s Classification for Meta-Analysis Related to Orthodontics.  Hinman Student Research Symposium, Memphis, TN, October 29-31, 2010.

Wallmann ER, McLin SE, Rugh JD, Hendricson WD & Hatch JP. EBP Course Increases Knowledge, Attitudes, and Confidence in Dental Students. J Dent Res 89(Special Iss B):Abst# 2001, IADR 88th General Session, Barcelona, Spain, July 2010.

McClin SE, Wallman ER, Rugh JD, Hendricson WD & Hatch JP. Relationships of EBP Knowledge, Attitudes, and Confidence in Dental Students.  J Dent Res 89(Special Iss B):Abst# 2000, IADR 88th General Session, Barcelona, Spain, July 2010.

Wallmann ER, Rugh JD, Hatch JP, Matteson S & Deahl TD. Commonly Reported Statistics in Three Dental Journals. J Dent Res 89 (Spec Iss A): Abst# 881, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Riggs CM, Rugh JD, Myatt AE & Hatch JP.  Accuracy of MEDLINE Indexing for Dental-Related Randomized Controlled Trials.  J Dent Res 89 (Spec Iss A): Abst# 1118, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Simon T, Rugh JD & Hatch JP. Practice-Based Questionnaire on The Failure Of Temporary Anchorage Devices.  J Dent Res 89 (Spec Iss A): Abst# 414, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Mueller C, Rugh JD & Hatch JP. Trends in Sources of New Knowledge for Dental Practitioners.  J Dent Res 89 (Spec Iss A): Abst# 300, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Rugh JD, Goggins T & Hatch JP. Practitioner‘s Perceptions of Knowledge Half-Life and Adoption of New Concepts. J Dent Res 89 (Spec Iss A): Abst# 302, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Rugh JD, Hatch JP & Hendricson WD. Assessing Outcomes of Research Methods Courses.  J Dent Res 89 (Spec Iss A): Abst# 673, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Parma RR, Rugh JD, Hatch JP, Mueller C & Gureckis KM. Comparison of Sources of New Knowledge of Adopters vs. Non-Adopters.  J Dent Res 89 (Spec Iss A): Abst# 882, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Hendricson WD, Rugh JD, Hatch JP & Stark DL. Evaluation of EBP Knowledge, Attitudes, Access and Confidence.  J Dent Res 89 (Spec Iss A): Abst# 891, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Rugh JD, Sever N, Hendricson WD, Parma RR, Gureckis KM, Hatch JP & Hernandez MR. Facilitating Student Encounters in An Academic Detailing Program.  J Dent Res 89 (Spec Iss A): Abst# 304, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Francis JC, Rugh JD & Hatch JP. Are Trends in Clinical Orthodontics Practice Correlated with Research Findings? J Dent Res 89 (Spec Iss A): Abst# 412, AADR 39th Annual Meeting, Washington, DC, Mar 2010.

Rugh JD, Sever N, Hendricson WD, Parma RR, Gureckis K, Hatch JP & Glass B  Academic Detailing in Private Professional Practice:  A Pilot Project. UT Academy of Health Science Education Innovations in Health Science Education 6th Annual Conference, Austin, TX. Feb 18-19, 2010.

Rugh JD, Klepac RK, Hendricson WD, Hatch JP, Guest GF, Stark D & Glass BJ.  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.

Rugh JD, Klepac RK, Sever N, Hendricson WD, Parma RR, Gureckis KM & Hatch JP. 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.

Parma RR, Rugh JD, Summitt JB, Hatch JP & Gureckis KM. Impediments for Acceptance of Sealants for Suspected Fissure caries Lesions. Summer Institute on Evidence-Based Practice, 8th Annual Meeting, San Antonio, TX, July 2009.

Rugh JD, Sever NM, Hendricson WD, Parma RR, Gureckis KM, Summitt JB & Hatch JP. Pilot Test of an Academic Detailing Program in Dentistry.  Summer Institute on Evidence-Based Practice, 8th Annual Meeting, San Antonio, TX, July 2009.

Rugh JD, Sever N, Hendricson WD, Johnson JA, Parma RR, Gureckis KM, Summitt JB & Hatch JP. Pilot Program of Academic Detailing in Dentistry. UTHSCSA  Dental Science Symposium. April 2009.

Wallmann ER, Hendricson WD, Stark D, Hatch JP & Rugh JD. Relationships of EBP Knowledge, Attitudes, Access, and Confidence in Skills.  UTHSCSA 2009 Dental Science Symposium, April 2009.

Rugh JD, Goggins T & Hatch JP. Practitioners Perceptions of the Half-Life of Dental School Knowledge.  UTHSCSA 2009 Dental Science Symposium, April 2009.

Wallmann ER, Hendricson WD, Stark D, Hatch JP & Rugh JD. Relationships of EBP Knowledge, Attitudes, Access, and Confidence in Skills. Journal of Dental Research 88 (Special Issue A): Abst# 668. IADR/AADR/CADR 87th General Session, Miami, FL, April, 2009.
Rugh JD, Sever NS, Hendricson WD, Johnson JA, Parma RR, Gureckis K, Summitt JB & Hatch HP, Pilot Test of an Academic Detailing Program in Dentistry. Journal of Dental Research 88 (Special Issue A): Abst# 2022. IADR/AADR/CADR 87th General Session, Miami, FL, April 2009.
 
Rugh JD, Goggins T & Hatch JP. Practitioners‘ Perceptions of the Half-Life of Dental School Knowledge. Journal of Dental Research 88 (Special Issue A): Abst# 2016, IADR/AADR/CADR 87th General Session, Miami, FL, April, 2009.

Parma RR, Rugh JD, Summitt JB, Hatch JP & Gureckis KM. Impediments for Acceptance of Sealants for Suspected Fissure caries Lesions.  Journal of Dental Research 88 (Special Issue A): Abst# 2516, IADR/AADR/CADR 87th General Session, Miami, FL, April, 2009.

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

Wallmann ER, Hendricson WD, Hatch JP & Rugh JD. Relationship Between Faculty Knowledge and Teaching of Evidence Based Practice. Journal of Dental Research 87 (Special Issue B): 1939, IADR/CADR General Session, Toronto, Canada, June 2008.

Seagren KL, Barnes AB, Hatch JP, Levy LS, Mintz J & Rugh JD. Accuracy of Five National Dental Journal Citations 1987 Vs 2007 Journal of Dental Research 87 (Special Issue A): Abst # 404, AADR Annual Meeting, Dallas TX, April 2008.

Oliver JC, Barnes AB, Seagren KL, Hatch JP & Rugh JD. Citation Accuracy of Two Orthodontic and One Dental Research Journal.  Journal of Dental Research 87 (Special Issue A): Abst # 794,  AADR Annual Meeting, Dallas, TX, April 2008.

Guest GF, Weed RM & Rugh JD. The Integration of Evidence-based Dentistry and Critically Appraised Problems in the Patient Care Process. American Dental Education Association 2008 Annual Session; Journal of Dental Education, vol. 72, no. 2, p 238, 2008.