Dental Health Services Research Unit, University of Dundee, The Mackenzie Building, Kirsty Semple Way, Dundee, DD2 4BF, UK.
Br Dent J. 2011 Oct 7;211(7):E14. doi: 10.1038/sj.bdj.2011.822.
To determine whether general dental practitioners (GDPs) currently provide alcohol-related advice (ARA) and to inform the development of an intervention, should one be required.
Cross-sectional postal survey of a random sample of 300 GDPs in Scotland. The questionnaire assessed beliefs derived from psychological models that explain behaviour in terms of beliefs that are amenable to change, and so may inform development of an intervention to encourage the provision of ARA.
Sixty percent of GDPs responded. Eighty-three percent of participating GDPs (145/175) had not provided ARA to patients in the previous ten working days. Attitude (perceived consequences), control beliefs (perceived difficulty), subjective norm (perceived social pressure), and self-efficacy (confidence) significantly predicted intention to provide ARA. Alcohol-related knowledge or personal alcohol behaviour did not predict intention to provide ARA.
There is scope to increase the provision of ARA in primary care dentistry and this study identified predictive beliefs, which could be targeted to encourage this behaviour. The next phase is to develop and test an intervention to encourage GDPs to provide ARA.
确定普通牙科医生(GDP)目前是否提供与酒精相关的建议(ARA),并为可能需要的干预措施提供信息。
对苏格兰 300 名 GDP 进行横断面邮寄调查。调查问卷评估了源自心理模型的信念,这些信念可以根据可改变的信念来解释行为,因此可以为鼓励提供 ARA 的干预措施的制定提供信息。
60%的 GDP 做出了回应。在过去的十个工作日中,83%(145/175)参与调查的 GDP 没有向患者提供 ARA。态度(感知后果)、控制信念(感知困难)、主观规范(感知社会压力)和自我效能(信心)显著预测提供 ARA 的意愿。与酒精相关的知识或个人饮酒行为并不预测提供 ARA 的意愿。
在初级保健牙科中增加 ARA 的提供范围还有很大的空间,本研究确定了可以鼓励这种行为的预测性信念。下一阶段是开发和测试一项鼓励 GDP 提供 ARA 的干预措施。