Ontology highlight
ABSTRACT:
Design: A content analysis of educational materials authored by the four major multinational oral health product manufacturers.
Setting: Acute care settings.
Participants: 68 documents focused on oral health or oral care, targeted at acute care clinicians and identified as 'educational' on companies' international websites.
Main outcome measures: Data were extracted in duplicate for three areas of focus: (a) products referenced in the documents, (b) product-related claims and (c) citations substantiating claims. We assessed claim-citation pairs to determine if information in the citation supported the claim. We analysed the inter-relationships among cited authors and companies using social network analysis.
Results: Documents ranged from training videos to posters to brochures to continuing education courses. The majority of educational materials explicitly mentioned a product (59/68, 87%), a branded product (35/68, 51%), and made a product-related claim (55/68, 81%). Among claims accompanied by a citation, citations did not support the majority (91/147, 62%) of claims, largely because citations were unrelated. References used to support claims most often represented lower levels of evidence: only 9% were systematic reviews (7/76) and 13% were randomised controlled trials (10/76). We found a network of 20 authors to account for 37% (n=77/206) of all references in claim-citation pairs; 60% (12/20) of the top 20 cited authors received financial support from one of the four sampled manufacturers.
Conclusions: Resources to support clinicians' ongoing education are scarce. However, caution should be exercised when relying on industry-authored materials to support continuing education for oral health. Evidence of sponsorship bias and reliance on key opinion leaders suggests that industry-authored educational materials have promotional intent and should be regulated as such.
SUBMITTER: Grundy Q
PROVIDER: S-EPMC7703418 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature
Grundy Quinn Q Millington Anna A Cussen Cliodna C Held Fabian F Dale Craig M CM
BMJ open 20201127 11
<h4>Objectives</h4>To assess the nature, quality and independence of scientific evidence provided in support of claims in industry-authored educational materials in oral health.<h4>Design</h4>A content analysis of educational materials authored by the four major multinational oral health product manufacturers.<h4>Setting</h4>Acute care settings.<h4>Participants</h4>68 documents focused on oral health or oral care, targeted at acute care clinicians and identified as 'educational' on companies' in ...[more]