Chowdhury Chitta R, Dey Chowdhury Ashoka, Shahnawaz K, Markus A F
Academic Dean & Dissertation Module Director, City of London Dental School, University of Bolton, UK.
Department of Oral Biology & Genomic Studies, Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore 575018, India.
J Oral Biol Craniofac Res. 2022 Jan-Feb;12(1):154-160. doi: 10.1016/j.jobcr.2021.10.008. Epub 2021 Oct 29.
A study was conducted to establish levels of awareness of oral cancer and its causes among an Indian population.A pre-tested structured questionnaire on Knowledge, Attitude and Practice [KAP] (open and closed ended questionnaire) was used to estimate the KAP score, followed by clinical examination of the oral mucosal lesions. The subjects were counselled immediately after completion of KAP scoring using a structured protocol of regarding tobacco cession, and given advice about intake of natural sources of anti-oxidants in the diet, of tomato, carrot and green leafy vegetables (GLV).Subjects who had a KAP score 50% or less were counselled using a structured protocol. Subjects who had a KAP score greater than 50% were also counselled and given the correct information to their incorrect answers.In the group of people with a KAP score 50% or less, continual behavioural therapy was given to remain tobacco free for life. The subjects were monitored weekly for between 30 and 40 days. Clinically suspect lesions of hyperplasic candidiasis, lichen planus, and all varieties of Leucoplakia were confirmed histopathologically and routine treatment (conservative or surgical) was started without delay for the group. Those cases with dysplastic changes (of all different grades) were also counselled. Regular follow-up was maintained over several months and re-assessment carried out at intervals and any improvement noted.
This is a cost-effective and simple method for estimation of the score on knowledge, attitude, and practice (KAP), and determinants of the ill-effect of tobacco habit(s) and engaging the popolation-in-need for their appropriate understanding about oral cancer screening and education for prevention and control.
开展了一项研究，以确定印度人群对口腔癌及其病因的认知水平。使用一份经过预测试的关于知识、态度和行为 [KAP] 的结构化问卷（开放式和封闭式问卷）来评估 KAP 得分，随后对口腔黏膜病变进行临床检查。在完成 KAP 评分后，立即使用关于戒烟的结构化方案对受试者进行咨询，并就饮食中天然抗氧化剂的摄入给予建议，如番茄、胡萝卜和绿叶蔬菜。KAP 得分在 50% 及以下的受试者按照结构化方案接受咨询。KAP 得分高于 50% 的受试者也接受咨询，并针对其错误答案提供正确信息。在 KAP 得分在 50% 及以下的人群中，给予持续的行为疗法以终身戒烟。每周对受试者进行 30 至 40 天的监测。对临床上怀疑为增生性念珠菌病、扁平苔藓和各种白斑的病变进行组织病理学确诊，并立即对该组患者开始常规治疗（保守或手术治疗）。对那些有发育异常改变（所有不同等级）的病例也进行了咨询。在几个月内保持定期随访，定期进行重新评估，并记录任何改善情况。
这是一种经济有效的简单方法，用于评估知识、态度和行为（KAP）得分，以及烟草习惯不良影响的决定因素，并促使有需要的人群对口腔癌筛查以及预防和控制教育有适当的理解。
