From Intervention to Social Change

Vihalemm, Triin; Keller, Margit; Kiisel, Maie

doi:10.4324/9781315583396

Cited by 29 publications

(26 citation statements)

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“…149 Rather than focusing on individual choice, practice theory pays attention to the 'larger socio-cultural, economic and technical transitions that re-define "normal" social patterns of activity'. 150…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT

Maguire

Clarkson

Douglas

et al. 2020

Health Technol Assess

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Background Historically, lack of evidence for effective management of decay in primary teeth has caused uncertainty, but there is emerging evidence to support alternative strategies to conventional fillings, which are minimally invasive and prevention orientated. Objectives The objectives were (1) to assess the clinical effectiveness and cost-effectiveness of three strategies for managing caries in primary teeth and (2) to assess quality of life, dental anxiety, the acceptability and experiences of children, parents and dental professionals, and caries development and/or progression. Design This was a multicentre, three-arm parallel-group, participant-randomised controlled trial. Allocation concealment was achieved by use of a centralised web-based randomisation facility hosted by Newcastle Clinical Trials Unit. Setting This trial was set in primary dental care in Scotland, England and Wales. Participants Participants were NHS patients aged 3–7 years who were at a high risk of tooth decay and had at least one primary molar tooth with decay into dentine, but no pain/sepsis. Interventions Three interventions were employed: (1) conventional with best-practice prevention (local anaesthetic, carious tissue removal, filling placement), (2) biological with best-practice prevention (sealing-in decay, selective carious tissue removal and fissure sealants) and (3) best-practice prevention alone (dietary and toothbrushing advice, topical fluoride and fissure sealing of permanent teeth). Main outcome measures The clinical effectiveness outcomes were the proportion of children with at least one episode (incidence) and the number of episodes, for each child, of dental pain or dental sepsis or both over the follow-up period. The cost-effectiveness outcomes were the cost per incidence of, and cost per episode of, dental pain and/or dental sepsis avoided over the follow-up period. Results A total of 72 dental practices were recruited and 1144 participants were randomised (conventional arm, n = 386; biological arm, n = 381; prevention alone arm, n = 377). Of these, 1058 were included in an intention-to-treat analysis (conventional arm, n = 352; biological arm, n = 352; prevention alone arm, n = 354). The median follow-up time was 33.8 months (interquartile range 23.8–36.7 months). The proportion of children with at least one episode of pain or sepsis or both was 42% (conventional arm), 40% (biological arm) and 45% (prevention alone arm). There was no evidence of a difference in incidence or episodes of pain/sepsis between arms. When comparing the biological arm with the conventional arm, the risk difference was –0.02 (97.5% confidence interval –0.10 to 0.06), which indicates, on average, a 2% reduced risk of dental pain and/or dental sepsis in the biological arm compared with the conventional arm. Comparing the prevention alone arm with the conventional arm, the risk difference was 0.04 (97.5% confidence interval –0.04 to 0.12), which indicates, on average, a 4% increased risk of dental pain and/or dental sepsis in the prevention alone arm compared with the conventional arm. Compared with the conventional arm, there was no evidence of a difference in episodes of pain/sepsis among children in the biological arm (incident rate ratio 0.95, 97.5% confidence interval 0.75 to 1.21, which indicates that there were slightly fewer episodes, on average, in the biological arm than the conventional arm) or in the prevention alone arm (incident rate ratio 1.18, 97.5% confidence interval 0.94 to 1.48, which indicates that there were slightly more episodes in the prevention alone arm than the conventional arm). Over the willingness-to-pay values considered, the probability of the biological treatment approach being considered cost-effective was approximately no higher than 60% to avoid an incidence of dental pain and/or dental sepsis and no higher than 70% to avoid an episode of pain/sepsis. Conclusions There was no evidence of an overall difference between the three treatment approaches for experience of, or number of episodes of, dental pain or dental sepsis or both over the follow-up period. Future work Recommendations for future work include exploring barriers to the use of conventional techniques for carious lesion detection and diagnosis (e.g. radiographs) and developing and evaluating suitable techniques and strategies for use in young children in primary care. Trial registration Current Controlled Trials ISRCTN77044005. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 1. See the NIHR Journals Library website for further project information.

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Section: Theoretical Frameworkmentioning

confidence: 99%

Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT

Maguire

Clarkson

Douglas

et al. 2020

Health Technol Assess

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“…Eglitis, 2011; Friedman and Kuipers, 2013). In the area of food, cultural contestation in media and everyday social networks that question established food routines is based on a number of public and political issues, such as health (Dodds and Chamberlain, 2016), sustainability (Vihalemm et al, 2016), risk (de Krom, 2008) and food quality (Holm, 2003). Climate is the latest issue of food cultural contestation, where meat eating is being deemed less acceptable on the grounds of global climate problems (Twine, 2018).…”

Section: Social Interaction Enabling Routines and Cultural Contestationmentioning

confidence: 99%

Social Interaction as Key to Understanding the Intertwining of Routinized and Culturally Contested Consumption

Halkier

2020

Cultural Sociology

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A number of concepts and concerns from cultural sociology were thrown out as babies with the bathwater when the sociological study of consumption became dominated by the use of practice theories. The concept of social interaction is one of them, perhaps due to assumptions about its association with symbolic and discursive interaction and reflexivity. In the field of sociological analysis of food conduct, however, there is a need for addressing both more culturally contested parts of food practices as well as more routinized parts. Food consumption and practices of provisioning, cooking and eating are both tacit, recursive, mundane activities, and at the same time discursively questioned through multiple, mediatized, cultural repertories of food. In the article, I will suggest how social interaction can be conceptualized as enabling the understanding of this intermingling of the culturally contested and routinized parts of consumption within a practice theoretical perspective. The conceptual suggestion consists in four analytical suggestions for how the culturally tacit and reflexive in food conduct become linked through social interaction. The four suggestions are about coordination, intersection, hybridity and normative accountability. The four suggestions are exemplified empirically on the basis of a number of qualitative studies of food conduct among Danish consumers.

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“…Further, we suggest it has practical significance to the kind of engaged studies that draw upon practice theory to inform issues such as sustainable consumption, mobility, energy use and health (see e.g. Vihalemm et al, 2015). Social interventions and policy around such issues necessarily justify interventions in the present based on imagined, anticipated actions in the future.…”

Section: Introductionmentioning

confidence: 99%

Futures in Practice: Regimes of Engagement and Teleoaffectivity

2020

Self Cite

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The article triangulates Schatzki’s practice theory (2002) and Thévenot’s (2001) ‘regimes of engagement’ with the nascent field of ‘social futures’ or future-oriented cultural sociology (e.g. Coleman and Tutton 2017; Mische 2009). We present a reading of Thévenot’s regimes of engagement that is ontologically compatible with Schatzki’s account of social practices and argue that practices are more or less enmeshed in distinct regimes of engagement. We aver that while people engage reality through distinct regimes of engagement they do so, to follow Schatzki, primarily in the context of social practices. We then articulate this account with Giuliana Mandich’s (2019) work on the different modes of engagement with the future, or forms of reflexive projectivity, that are expressed through Thévenot’s regimes: that of practical anticipation for the regime of the familiar; of probability for the regime of the plan; of possibility for the regime of justification; and of discovery for the regime of exploration. This synthesis enables a practice theoretical account of the different modes through which actors engage with the future that is, we suggest, analytically superior to both Thévenot’s and Schatzki’s tendency towards a mono-dimensional view of agents’ projectivity towards the future. We illustrate the synthesis of practices, regimes of engagement and modes of projectivity chiefly through a study of domestic laundry practice conducted by Southerton and Mylan (2018). We suggest this theoretical development may be productively applied to practice theoretical work informing understanding of issues such as sustainable consumption, mobility and energy use, as well as social change more broadly.

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From Intervention to Social Change

Cited by 29 publications

References 0 publications

Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT

Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT

Social Interaction as Key to Understanding the Intertwining of Routinized and Culturally Contested Consumption

Futures in Practice: Regimes of Engagement and Teleoaffectivity

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