To map and characterise economic evaluations (EEs) and provider-level cost/resource reporting related to direct posterior restorative alternatives following the European Union (EU) dental amalgam phase-out.

Scoping review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidance.

PubMed, Embase, Web of Science, CINAHL and LIVIVO (ZB MED search portal for life sciences (Germany)).

Peer-reviewed studies (English/German; 1 January 2021–22 February 2026) reporting EEs or cost/resource-use components for direct posterior restorations in permanent teeth.

Data were charted using a predefined extraction framework focusing on analytic perspective, time horizon, modelling approach and granularity of provider-level resource components. Two reviewers independently screened records and charted data; disagreements were resolved by discussion and, if needed, by consultation with a third reviewer.

Six studies met the inclusion criteria (four model-based or trial-based EEs; two cross-sectional surveys). Most analyses adopted payer, societal or mixed perspectives and used decision-analytic models with medium- to long-term horizons. Outcomes included cost per complication-free month, cost per tooth-year retained and lifetime cost projections. Detailed provider-level reporting (eg, chair time, personnel allocation, overheads or warranty-related retreatment burden) was limited, and survey evidence relied on self-reported estimates. Heterogeneity in methods and metrics precluded quantitative synthesis.

Economic evidence regarding direct posterior restorative alternatives after the EU amalgam phase-out is sparse and primarily based on modelled or reimbursement-derived inputs from payer, societal or mixed perspectives, rather than explicitly measured provider-level microcosting. Greater transparency in analytic perspective and microcosting components may support evidence-informed adaptation to restorative material substitution policies.

Geriatric patients are at increased risk of developing postoperative neurocognitive disorders, including delirium. Existing evidence-based perioperative interventions need to be implemented into routine care to improve postoperative outcomes. In this qualitative interview study, we wanted to collect stakeholder experiences to understand the implementation process of a multi-component intervention to prospectively facilitate future implementation.

Descriptive qualitative evaluation research.

Single-centre at a German major urban academic hospital.

22 interviews were conducted with n = 7 geriatric patients after surgery who had received a comprehensive geriatric assessment and an individualised perioperative multi-component intervention, and n = 15 healthcare professionals, including nurses, physicians and medical assistants working in the perioperative care.

Semi-structured interviews were conducted, addressing the implementation procedure of the multicomponent intervention and the experience with it within the routine setting.

The implementation outcomes were adoption, acceptance, appropriateness, feasibility and sustainability.

Transcribed audio recordings were analysed with directed content analysis. Most intervention components could be adopted during the pilot trial. Implementation barriers were identified. Limited resources and logistic constraints threatened feasibility and sustainability. Acceptance of patients and healthcare providers regarding an intervention depended on its perceived appropriateness, which varied per intervention component, workspace and duration of the implementation.

We were able to replicate and extend previous findings on the implementation of improved perioperative care. To facilitate the implementation success and motivation to implement evidence-based measures, resource allocation needs to be adjusted and standard operational procedures, as well as the cross-sectional collaboration, must be simplified.

NCT03325413.

Behavioural intention is a strong predictor of actual behaviour; however, many health interventions fail among individuals with a high intention to adopt healthy behaviours. This discrepancy, known as the intention-behaviour gap, remains a critical challenge in health promotion. The purpose of this study is to present a protocol designed to explore the predictability of perceptual factors that hinder the conversion of intention into weight loss behaviour among young adults.

This study employs a sequential explanatory mixed-methods design, comprising two distinct phases. In the first phase, a quantitative cross-sectional survey with a descriptive-analytical approach will be conducted to assess the frequency of behavioural intention to lose weight and weight loss behaviours. A multistage cluster sampling method will recruit young individuals aged 18–29 years with a body mass index of ≥25 kg/m² in Malekan County, Iran. Data will be collected using a structured questionnaire that includes sociodemographic information, physical activity measurements, a dietary adherence questionnaire and items assessing subjective norms, attitudes, perceived behavioural control and behavioural intention based on the Theory of Planned Behaviour. In the second phase, a qualitative study will be conducted using a purposive sampling strategy to select participants who can provide insights into the quantitative findings. Data collection in this phase will primarily involve in-depth individual interviews. A grounded theory approach will be used to develop a comprehensive understanding of the factors that impede the conversion of intention into behaviour among young individuals.

This protocol has been approved by the Ethics Committee of Tabriz University of Medical Sciences (IR.TBZMED.REC.1403.646). Written informed consent will be obtained from all participants. Findings will be disseminated through peer-reviewed publications, conference presentations and reports to relevant health authorities.