Department of Prosthetic Dentistry, Center for Dental Medicine, Medical Center - University of Freiburg, Freiburg, Germany.
Institute for Medical Biometry and Statistics, Medical Center, University of Freiburg, Freiburg, Germany.
Spec Care Dentist. 2023 Nov-Dec;43(6):839-847. doi: 10.1111/scd.12831. Epub 2023 Feb 10.
This study aimed to describe a disability-simulating learning unit (DSLU) to raise dental students' awareness of the special needs of patients with disabilities as well as to measure the effect of the DSLU on ableism.
A DSLU among final-year undergraduate dental students (n = 33), was developed and evaluated. The students were randomly divided into two groups (Group I, n = 17; Group II, n = 16). Group II only received conventional teaching (control group), whereas Group I was additionally exposed to the DSLU (intervention group). In the DSLU, typical physical restrictions and the associated difficulties in attending dental appointments were simulated with the help of simulation suits. Four different stations offered the opportunity to experience typical signs of disability in a dental context. About 2 months after the DSLU, both groups were asked to answer the Symbolic Ableism Scale (SAS). An analysis was conducted to examine the participants' average total score and several subscores. The Mann-Whitney U Test was employed to control the differences between the study groups.
Overall, the students in the intervention group had a significantly (p = .001) lower mean SAS summary score (median = .37; IQR .32-.42) than the students in the control group (median = .50; IQR .39-.53). For the components "individualism" (p < .0001) and "excessive demands" (p = .002) significant group differences could be observed.
The DSLU is a potentially feasible and effective method for influencing students' ableism attitude.
本研究旨在描述一个残疾模拟学习单元(DSLU),以提高牙科学生对残疾患者特殊需求的认识,并衡量 DSLU 对残疾歧视的影响。
在最后一年的本科生牙科学生中开发并评估了一个 DSLU(n=33)。学生被随机分为两组(组 I,n=17;组 II,n=16)。组 II 仅接受常规教学(对照组),而组 I 则额外接触 DSLU(干预组)。在 DSLU 中,借助模拟服模拟了典型的身体限制以及与之相关的在预约牙科治疗方面的困难。四个不同的站点提供了在牙科环境中体验典型残疾迹象的机会。在 DSLU 之后大约 2 个月,两组都被要求回答象征性残疾歧视量表(SAS)。进行了分析以检查参与者的平均总分和几个子分数。采用曼-惠特尼 U 检验来控制研究组之间的差异。
总体而言,干预组学生的 SAS 综合评分中位数为.37(IQR.32-.42)显著低于对照组学生的中位数为.50(IQR.39-.53)(p=0.001)。在“个人主义”(p<0.0001)和“过度要求”(p=0.002)两个组成部分中,可以观察到明显的组间差异。
DSLU 是一种潜在可行且有效的方法,可以影响学生的残疾歧视态度。