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继续教育对口腔保健员关于人乳头瘤病毒相关口咽癌的知识、态度和实践的影响。

The Effect of Continuing Education on Dental Hygienists' Knowledge, Attitudes, and Practices Regarding Human Papillomavirus Related Oropharyngeal Cancer.

作者信息

McLeroy Toni M, Gurenlian JoAnn, Rogo Ellen J

出版信息

J Dent Hyg. 2020 Jun;94(3):16-28.

Abstract

The purpose of this study was to investigate the effect a continuing education (CE) course had on dental hygienists' knowledge, attitudes, and practices regarding human papillomavirus (HPV) related oropharyngeal cancer (OPC). A two-group, experimental post-test only design was used for this study. Randomly selected, licensed dental hygienists in the state of Florida, were recruited by email and assigned to either an experimental or control group. An investigator designed, questionnaire was developed and tested for validity and reliability. The experimental group received a one-hour web-based CE course on HPV related OPC. Six weeks later, a post-test questionnaire was administered to the experimental and control groups via an online platform, Qualtrics®. Data were analyzed using descriptive statistics and analysis of variance (ANOVA). Out of 302 dental hygienists who agreed to participate, 133 completed the study for a participation rate of 44.0%. The knowledge score for the experimental group was 72.6% while the control group scored 58.4%. Results demonstrated statistically significant differences between the groups in terms of knowledge (F=33.81, df=1, =0.00) and attitudes (F=13.91, df=1, =0.00). No differences were found in oral examination procedures; however, statistically significant differences (F=7.47, df=1, =0.007) were noted for items related to HPV specific examination practices between the two groups. Additional research is needed to identify what specific types of educational interventions are effective in increasing the HPV-related OPC knowledge and practice behaviors of dental hygienists.

摘要

本研究的目的是调查继续教育(CE)课程对牙科保健员关于人乳头瘤病毒(HPV)相关口咽癌(OPC)的知识、态度和实践的影响。本研究采用两组仅后测的实验设计。通过电子邮件招募了佛罗里达州随机挑选的持牌牙科保健员,并将其分配到实验组或对照组。设计了一份由研究者设计的问卷,并对其有效性和可靠性进行了测试。实验组接受了为期一小时的关于HPV相关OPC的网络CE课程。六周后,通过在线平台Qualtrics®向实验组和对照组发放后测问卷。使用描述性统计和方差分析(ANOVA)对数据进行分析。在同意参与的302名牙科保健员中,133人完成了研究,参与率为44.0%。实验组的知识得分是72.6%,而对照组的得分是58.4%。结果表明,两组在知识(F=33.81,自由度=1,P=0.00)和态度(F=13.91,自由度=1,P=0.00)方面存在统计学上的显著差异。在口腔检查程序方面未发现差异;然而,两组在与HPV特定检查实践相关的项目上存在统计学上的显著差异(F=7.47,自由度=1,P=0.007)。需要进一步的研究来确定哪些具体类型的教育干预措施能有效提高牙科保健员与HPV相关的OPC知识和实践行为。

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