Arheiam A, Brown S L, Burnside G, Higham S M, Albadri S, Harris R V
Department of Health Services Research/School of Dentistry, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Department of Psychological Sciences/School of Dentistry, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Community Dent Health. 2016 Dec;33(4):267-273. doi: 10.1922/CDH_3928Arheiam07.
Diet diaries are recommended as a tool to support behaviour change in dental patients at high risk of dental diseases. However, little is known about their use in dental practice. This study aimed to investigate whether and how general dental practitioners (GDPs) use diet diaries and identify factors which influence their use.
A postal questionnaire was sent to a stratified random sample of general dental practitioners. The questionnaire asked about demographic and professional characteristics of the GDPs and their practices regarding diet advice, collection of dietary information, diet diaries usage (e.g. frequency, considerations and barriers), and interpretation of diet diaries. Descriptive, bivariate and multivariate analyses were conducted.
From 972 eligible GDP participants, 250 (26%) responses were received. Whilst almost all of these GDPs reported giving diet advice to patients routinely, and 40% reported also referring to dental care professionals in the practice to deliver dietary advice, only 28% (70) reported that they are involved in using diet diaries. GDPs appeared to target patients for dietary advice: GDPs reported they personally gave diet advice to an estimated 63% of their patients, and referred patients to DCPs for diet advice for 11% of their (GDPs') patients. GDPs used diet diaries more often for child than adult patients. Diet diaries usage was lower among younger dentists and in practices with higher percentages of NHS patients (p⟨0.05). Perceived insufficient remuneration for time involved in using diet diaries was the main reason given for their lack of use.
Although recommended as best practice, most English GDPs do not frequently use diet diaries to collect diet information in dental practice, mainly due to perceived financial and time constraints. Development of a more efficient tool to assess the dietary habits of dental patients is needed.
饮食日记被推荐作为一种工具，以支持牙科疾病高危患者的行为改变。然而，关于其在牙科实践中的使用情况却知之甚少。本研究旨在调查普通牙科医生（GDPs）是否以及如何使用饮食日记，并确定影响其使用的因素。
向普通牙科医生的分层随机样本发送了一份邮政问卷。问卷询问了GDPs的人口统计学和专业特征，以及他们在饮食建议、饮食信息收集、饮食日记使用（如频率、考虑因素和障碍）和饮食日记解读方面的做法。进行了描述性、双变量和多变量分析。
从972名符合条件的GDP参与者中，收到了250份（26%）回复。虽然几乎所有这些GDPs都报告称定期向患者提供饮食建议，40%报告还会在诊所中请牙科护理专业人员提供饮食建议，但只有28%（70人）报告他们参与使用饮食日记。GDPs似乎将饮食建议的对象定为特定患者：GDPs报告称他们个人估计向63%的患者提供了饮食建议，将11%的患者转介给牙科护理专业人员以获取饮食建议。GDPs对儿童患者使用饮食日记的频率高于成人患者。年轻牙医以及国民保健服务（NHS）患者比例较高的诊所中饮食日记的使用率较低（p<0.05）。认为使用饮食日记所涉及的时间报酬不足是其未被使用的主要原因。
尽管饮食日记被推荐为最佳做法，但大多数英国GDPs在牙科实践中并不经常使用饮食日记来收集饮食信息，主要原因是认为存在财务和时间限制。需要开发一种更有效的工具来评估牙科患者的饮食习惯。
