{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T07:24:35Z","timestamp":1787383475883,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016036","name":"Health~Holland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016036","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Dutch organisation for the development of clinical practice guidelines (CPGs) in oral care known as the Kennisinstituut Mondzorg (KIMO) developed three CPGs to support professionals in oral care for (frail) older patients: (1) treatment of root caries, (2) xerostomia and hyposalivation related to medication and polypharmacy, and (3) oral care for homebound frail older adults. However, actual CPG use in practice is not guaranteed. This study aims to assess adherence to these CPGs among Dutch dentists, identify opportunities and barriers for implementation, and formulate recommendations for an effective implementation strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A modified two\u2010round Delphi study investigated current practices and opinions of dentists; 260 dentists were invited to participate. For round one, an online survey was developed based on the KIMO CPG recommendations. Round two, informed by round one results, explored perceived facilitators, barriers, suggestions for adapting less\u2010followed recommendations, and preferences regarding CPG information and accessibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In round one 41 dentists responded and in round two 44 responded. While the value of CPGs was acknowledged, adherence to several recommendations was limited due to practical barriers, such as time, equipment, training, and reimbursement. Further, communication with other healthcare providers was infrequent. Dentists preferred e\u2010mail notifications and on\u2010demand webinars. Digital availability via a website or app was favoured, though half still appreciate paper versions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Practical barriers hinder the use of CPG recommendations in oral care for (frail) older patients. Involving clinicians in guideline development is essential to improve feasibility and implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ger.70067","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:21:23Z","timestamp":1773296483000},"page":"567-574","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementing Clinical Practice Guidelines for Oral Care for (Frail) Older Patients: Facilitators, Barriers, and Recommendations"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2288-6450","authenticated-orcid":false,"given":"Johanna Margaretha","family":"Kroese","sequence":"first","affiliation":[{"name":"Department of Oral Public Health Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Joseph Mathieu","family":"Bruers","sequence":"additional","affiliation":[{"name":"Department of Oral Public Health Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam  Amsterdam the Netherlands"},{"name":"Department of Research and Information Royal Dutch Dental Association (KNMT)  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,11]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"\u201cCentral Bureau for Statistics\u201d \u201cPopulation in the Future \u201d(Centraal Bureau voor de Statistiek. \u201cBevolking in de toekomst\u201d) 2025 accessed June 27 2025 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