R-5/94, New Raj Nagar, Ghaziabad 201002, Uttar Pradesh, India;
J Dent Educ. 2013 Oct;77(10):1384-93.
The objective of this study was to assess the tobacco cessation knowledge, attitudes, practices, and perceived barriers of dental interns (students in their last year of the five-year dental curriculum) in India as well as to assess the adequacy of training in tobacco use cessation (TUC) counselling. This was a cross-sectional questionnaire study conducted with 1,521 interns at fiftyone dental colleges of India selected by multistage random sampling. The survey instrument was a fifty-nine-item, self-structured, and self-administered questionnaire. Fifteen questions were about knowledge and attitudes, with twenty-two about practices, fifteen about barriers, and seven about curriculum adequacy; demographic data were also collected. The response rate was 99.7 percent. The results showed that 38.8 percent had knowledge, 30.8 percent had positive attitudes, 19.2 percent practiced TUC, 43 percent experienced barriers, and 85.2 percent agreed on receiving extensive curriculum on tobacco cessation. Only 1 percent were aware of the 5As, the 5Rs protocol, and the motivational interviewing technique of TUC. These respondents' knowledge, attitudes, and practices were below normative level, and they took a superficial approach to TUC. The perceived barriers were very high and included curriculum inadequacy. The results of this study help show there is an urgent need to revise the tobacco curriculum in dental schools in India to make students more confident to practice this aspect of dentistry independently.
本研究旨在评估印度牙科实习医生（即五年牙科课程最后一年的学生）在戒烟方面的知识、态度、实践和感知障碍，以及评估其在烟草使用戒断（TUC）咨询方面的培训是否充分。这是一项在印度五十一家牙科学院进行的横断面问卷调查研究，采用多阶段随机抽样方法选择了 1521 名实习医生。调查工具是一个由五十九个项目组成的自我结构化和自我管理的问卷。其中十五个问题是关于知识和态度的，二十个问题是关于实践的，十五个问题是关于障碍的，七个问题是关于课程充分性的；还收集了人口统计学数据。应答率为 99.7%。结果表明，38.8%的实习医生有知识，30.8%的实习医生有积极的态度，19.2%的实习医生实践 TUC，43%的实习医生遇到障碍，85.2%的实习医生同意接受广泛的烟草戒断课程。只有 1%的实习医生了解 5A 法、5Rs 方案和 TUC 的动机性访谈技术。这些受访者的知识、态度和实践水平低于标准水平，他们对 TUC 的理解也很肤浅。感知到的障碍非常高，包括课程不足。这项研究的结果表明，印度牙科学校迫切需要修订烟草课程，以使学生更有信心独立实践这方面的牙科知识。
