Phadraig Caoimhin Mac Giolla, Griffiths Colin, McCallion Philip, McCarron Mary, Nunn June
Dublin Dental University Hospital, Ireland; Trinity College Dublin, Ireland.
Trinity College Dublin, Ireland.
J Intellect Disabil. 2019 Dec;23(4):526-540. doi: 10.1177/1744629517738404. Epub 2017 Oct 31.
A better understanding of how communication-based behaviour supports are applied with adults with intellectual disabilities may reduce reliance on restrictive practices such as holding, sedation and anaesthesia in dentistry. In this study, we explore how communication is used by dentists who provide treatment for adults with intellectual disabilities. A descriptive qualitative study, adopting synchronous online focus groups, was undertaken with six expert dentists in Ireland. Members were contacted again in pairs or individually for further data collection, analysed using thematic content analysis. Two relevant categories emerged from the data, relating to the selection and application of communication-based behaviour support for adults with intellectual disabilities. Decision-making processes were explored. Building on these categories, a co-regulating process of communication emerged as the means by which dentists iteratively apply and adapt communicative strategies. This exploration revealed rationalist and intuitive decision-making. Implications for education, practice and research are identified.
更好地理解基于沟通的行为支持如何应用于成年智障人士，可能会减少牙科治疗中对诸如约束、镇静和麻醉等限制性措施的依赖。在本研究中，我们探讨为成年智障人士提供治疗的牙医如何运用沟通。我们对爱尔兰的六位专家牙医进行了一项采用同步在线焦点小组的描述性定性研究。成员们再次成对或单独联系以进行进一步的数据收集，并使用主题内容分析法进行分析。数据中出现了两个相关类别，与为成年智障人士选择和应用基于沟通的行为支持有关。我们探讨了决策过程。基于这些类别，一种沟通的共同调节过程作为牙医迭代应用和调整沟通策略的方式出现了。这一探索揭示了理性主义和直觉性决策。我们确定了对教育、实践和研究的启示。
