Kadri Ghita, Enejjari Zahra, Bouziane Amal
Department of Periodontology, Faculty of Dental Medicine, Mohammed V University in Rabat, Morocco.
Faculty of Dental Medicine, Mohammed V University in Rabat, Morocco.
Ann Med Surg (Lond). 2022 Aug 11;81:104289. doi: 10.1016/j.amsu.2022.104289. eCollection 2022 Sep.
Dental practice experienced two important evolutions: the development of the concept of evidence-based dentistry (EBD) and the changes in the relationship between dentists and patients. Thus, the practitioner is invited nowadays to give a treatment that reflects the best available evidence.The purpose of this study is to explore knowledge, attitudes, and practices of dentists toward the concept of EBD.
This is a cross sectional study that was conducted among dentists in public and private sector in Morocco. A self-administered questionnaire with 27 questions was delivered to practitioners. The comparison was carried out using the Khi2 test or Fisher's exact test, -test or the Mann-Whitney. Logistic regression was performed to assess factors associated with the application of EBD. Linear regression was also performed to identify factors that impact knowledge, attitude and practice score.
A total of 209 responses was received. 58% of the participants were in the private sector, and 32.7% were academics. The main reported obstacles were the lack of time 44% and lack of training on critical appraisal 60.3%. Knowledge of PICO question formulation and previous EBD training was significantly related to the implementation of EBD in multivariate analysis in logistic regression (OR = 8.163- CI95%: 2.095-31.80 and OR = 12.79- CI95%: 2.868-57 respectively). The total score of surveyed dentists was affected by the knowledge of PICO question formulation and the knowledge of relevant information sources (PubMed/Medline, the Cochrane library) (β = 3.04- CI95%: 0.411-5.66, β = 6.29- CI95%: 2.92-9.66 and β = 8.35- CI95%: 5.89-10.81 respectively).
Based on the findings of this study, application of EBD was associated with knowledge of PICO question formulation and previous EBD training. The lack of time was the most common obstacles identified by the participants applying EBD. Therefore, EBD educational programs should be developed for dental practitioners to enhance their knowledge and skills.
牙科实践经历了两次重要变革：循证牙科（EBD）概念的发展以及牙医与患者关系的变化。因此，如今从业者被要求提供一种能反映最佳现有证据的治疗方法。本研究的目的是探讨牙医对循证牙科概念的知识、态度和实践情况。
这是一项在摩洛哥公共和私营部门牙医中开展的横断面研究。向从业者发放了一份包含27个问题的自填式问卷。采用卡方检验或费舍尔精确检验、t检验或曼 - 惠特尼检验进行比较。进行逻辑回归以评估与循证牙科应用相关的因素。还进行了线性回归以确定影响知识、态度和实践得分的因素。
共收到209份回复。58%的参与者在私营部门，32.7%是学者。报告的主要障碍是时间不足（44%）和缺乏批判性评价培训（60.3%）。在逻辑回归的多变量分析中，对PICO问题制定的了解和先前的循证牙科培训与循证牙科的实施显著相关（OR = 8.163 - CI95%：2.095 - 31.80以及OR = 12.79 - CI95%：2.868 - 57）。受访牙医的总分受PICO问题制定的知识以及相关信息来源（PubMed/Medline、考克兰图书馆）的知识影响（β = 3.04 - CI95%：0.411 - 5.66，β = 6.29 - CI95%：2.92 - 9.66以及β = 8.35 - CI95%：5.89 - 10.81）。
基于本研究结果，循证牙科的应用与PICO问题制定的知识以及先前的循证牙科培训相关。时间不足是应用循证牙科的参与者确定的最常见障碍。因此，应为牙科从业者制定循证牙科教育计划，以提高他们的知识和技能。
