PMID- 37494093 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230812 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 12 DP - 2023 Jul 26 TI - Barriers and Enablers to Implementing Teledentistry From the Perspective of Dental Health Care Professionals: Protocol for a Systematic Quantitative, Qualitative, and Mixed Studies Review. PG - e44218 LID - 10.2196/44218 [doi] LID - e44218 AB - BACKGROUND: There is growing literature on the potential of digital technologies for improving access to, ensuring continuity and quality of health care, and to strengthen health systems. Some studies have reported the cost-effectiveness of teledentistry, its reliability for remote dental screening, diagnosis, consultation, and treatment planning. Nonetheless, current evidence suggests that teledentistry implementation faces many challenges and is not yet adopted by dental health care providers (DHCPs). Developing strategies to improve teledentistry adoption requires an understanding of the factors that promote or hinder its successful implementation. OBJECTIVE: This systematic review aims to identify and synthetize barriers and enablers to implementing teledentistry as perceived by DHCPs in their clinical practices, using the Theoretical Domains Framework (TDF) and the Capacity, Opportunity, and Motivation Behavior (COM-B) model. METHODS: This protocol follows the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Protocols) checklist. Literature will be searched in the following databases: PubMed, Cochrane Library, Web of Science, CINAHL, Embase, and PsycINFO. We will perform additional searches on Google, Google Scholar, and ProQuest Dissertations & Theses Global, screen the references of the included studies to capture additional relevant studies, and contact the authors of studies if we need more details. We will consider studies using qualitative, quantitative, and mixed methods. There will be no restrictions on the publication date and dental setting. We will include studies published in French, English, and Portuguese. Two independent reviewers will select the study, extract data, and assess methodological quality using the Mixed Methods Appraisal Tool's checklist. Data analysis will include a descriptive and a thematic content analysis. We will synthetize and categorize the barriers and enablers using the TDF and COM-B model and present a narrative synthesis of our results using tables, figures, and quotes. RESULTS: By March 2023, the literature search has retrieved 7355 publications. We will identify the range of barriers and enablers to implementing teledentistry through DHCPs' perspectives. Considering the critical need for theory-based implementation interventions to improve the use of evidence-informed practices, we will synthesize the factors influencing the adoption of teledentistry based on the TDF domains and the 3 essential conditions predicting behavior change in accordance with the COM-B model. As needed, we will include additional determinants if not included in the TDF. We will conduct some subgroups analyses if studies are sufficient. We expect to complete the review by July 2024. CONCLUSIONS: This review will provide some insights on the determinants of teledentistry implementation as perceived by DHCPs in dental settings. These findings will cater to patients, families, DHCPs, researchers, academic and professional decision-makers, and policy makers. The results of the systematic review could be used to develop theory-led interventions in improving teledentistry implementation. TRIAL REGISTRATION: PROSPERO CRD42021293376; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=293376. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/44218. CI - (c)Pascaline Kengne Talla, Camille Inquimbert, Aimee Dawson, Diana Zidarov, Frederic Bergeron, Fatiha Chandad. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 26.07.2023. FAU - Kengne Talla, Pascaline AU - Kengne Talla P AUID- ORCID: 0000-0003-1038-0329 AD - Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC, Canada. FAU - Inquimbert, Camille AU - Inquimbert C AUID- ORCID: 0000-0002-3660-2391 AD - Faculty of Dental Medicine, University of Montpellier, Montpellier, France. FAU - Dawson, Aimee AU - Dawson A AUID- ORCID: 0000-0002-4125-8484 AD - Faculty of Dental Medicine, Laval University, Quebec City, QC, Canada. FAU - Zidarov, Diana AU - Zidarov D AUID- ORCID: 0000-0003-1207-6179 AD - School of Rehabilitation, University of Montreal, Centre Integre Universitaire de la Sante et des Services sociaux du Centre Sud-de-l'ile-de Montreal, Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, QC, Canada. FAU - Bergeron, Frederic AU - Bergeron F AUID- ORCID: 0000-0003-0978-7420 AD - Faculty of Dental Medicine, Laval University, Quebec City, QC, Canada. FAU - Chandad, Fatiha AU - Chandad F AUID- ORCID: 0000-0002-4415-0751 AD - Faculty of Dental Medicine, Laval University, Quebec City, QC, Canada. LA - eng PT - Journal Article DEP - 20230726 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC10413248 OTO - NOTNLM OT - PRISMA OT - barrier OT - dental OT - dental health care providers OT - dentist OT - enabler OT - facilitator OT - information and communication technology OT - librarian OT - oral health OT - perception OT - protocol OT - remote care OT - review method OT - systematic review OT - teledentistry OT - telehealth OT - telemedicine OT - theoretical domain framework OT - virtual care COIS- Conflicts of Interest: None declared. EDAT- 2023/07/26 13:07 MHDA- 2023/07/26 13:08 PMCR- 2023/07/26 CRDT- 2023/07/26 11:53 PHST- 2022/11/11 00:00 [received] PHST- 2023/06/27 00:00 [accepted] PHST- 2023/05/18 00:00 [revised] PHST- 2023/07/26 13:08 [medline] PHST- 2023/07/26 13:07 [pubmed] PHST- 2023/07/26 11:53 [entrez] PHST- 2023/07/26 00:00 [pmc-release] AID - v12i1e44218 [pii] AID - 10.2196/44218 [doi] PST - epublish SO - JMIR Res Protoc. 2023 Jul 26;12:e44218. doi: 10.2196/44218.