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培训牙医就口腔癌进行沟通的试点研究:对牙医自我报告行为、信心和信念的影响。

Pilot study to train dentists to communicate about oral cancer: the impact on dentists' self-reported behaviour, confidence and beliefs.

作者信息

Awojobi O, Newton J T, Scott S E

机构信息

Unit of Social and Behavioural Sciences, Division of Population and Patient Health King's College London Dental Institute Caldecot Road, London, SE5 9RW.

出版信息

Br Dent J. 2016 Jan 22;220(2):71-6. doi: 10.1038/sj.bdj.2016.57.

Abstract

OBJECTIVES

To evaluate the effect of a brief, focused training session on the use of an oral cancer communication guide on dentists' intentions, self-efficacy and beliefs with regards to communicating about oral cancer with patients.

DESIGN

Pre-post intervention study.

SETTING

The training session took place in a lecture theatre at King's College London.

SUBJECTS AND METHODS

Dentists working in various settings were trained on the use of the oral cancer communication guide via a structured session that included an update on oral cancer, modelling the use of the guide in practice, and role playing. Dentists (n = 39) completed questionnaires pre-training, immediately post-training (n = 31) and after 2 weeks (n = 23). Questionnaires assessed current practice, self-efficacy and barriers to discussing oral cancer.

RESULTS

A significantly higher proportion of dentists reported that they informed patients that they were being screened for oral cancer post-training (44%) than pre-training (16%). Significantly fewer perceived barriers and higher self-efficacy to discuss oral cancer were also reported.

CONCLUSION

Training dentists in the use of the guide showed positive impact by reducing perceived barriers and increasing self-efficacy.

摘要

目的

评估一次简短、有针对性的关于使用口腔癌沟通指南的培训课程对牙医与患者沟通口腔癌相关事宜的意图、自我效能感和信念的影响。

设计

干预前后研究。

地点

培训课程在伦敦国王学院的一个讲堂举行。

研究对象与方法

通过一个结构化课程对在不同环境中工作的牙医进行口腔癌沟通指南使用方面的培训,该课程包括口腔癌最新信息、在实践中示范指南的使用以及角色扮演。39名牙医在培训前、培训刚结束后(31名)以及2周后(23名)完成问卷调查。问卷评估了当前的做法、自我效能感以及讨论口腔癌的障碍。

结果

与培训前(16%)相比,显著更高比例的牙医报告称他们在培训后告知患者正在接受口腔癌筛查(44%)。报告的认为存在的障碍也显著减少,且讨论口腔癌的自我效能感更高。

结论

对牙医进行指南使用方面的培训通过减少感知到的障碍和提高自我效能感显示出了积极影响。

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