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牙医对用于预防种植体周围疾病的植入物疾病风险评估 IDRA 工具的认知和可用性测试:一项定性研究。

Dentists' perceptions and usability testing of the implant disease risk assessment IDRA, a tool for preventing peri‑implant disease: A qualitative study.

机构信息

Universidade Católica Portuguesa, Faculty of Dental Medicine (FMD), Centre for Interdisciplinary Research in Health (CIIS), Viseu, Portugal.

Department of Surgery, Faculty of Medicine, University of Salamanca, Salamanca, Spain.

出版信息

J Dent. 2023 Sep;136:104630. doi: 10.1016/j.jdent.2023.104630. Epub 2023 Jul 23.

Abstract

INTRODUCTION

we aimed to explore dentists' perceptions toward the implementation of a dental informatics risk assessment tool which estimates the risk for a patient to develop peri‑implantitis.

MATERIALS AND METHODS

the Implant Disease Risk Assessment Tool (IDRA) was presented to a convenience sample of seven dentists working in a university clinic, whom were asked to use IDRA with the information of three clinical cases whilst thinking aloud and then fill the System Usability Scale (SUS). A semi-structured interview technique was used with audio record to allow free expression of participants' perceptions related to the IDRA. The interviews information was categorized and analyzed by the authors.

RESULTS

to our knowledge, this is the first study conducted to develop a qualitative usability test of IDRA, evaluating the effectiveness, efficiency, and users' satisfaction. There were more variations in responses the greater the degree of complexity of the clinical case. Generally, the participants classified the tool as good, getting usability values of 77,2 (SD 19,8) and learnability 73,2 (SD 24,5).

CONCLUSION

four additional factors should be considered to improve IDRA tool: 1) considering the relation between contour angle and peri-implant tissue height; 2) automatic periodontal classification in the IDRA tool after completing the periodontogram in the clinical software; 3) presentation of a flowchart to assist therapeutic decisions alongside the final score defined by the IDRA tool; 4) integrating of precision tests such as Implantsafe® DR… (dentognostics gmbh, Jena) and Oralyzer®(dentognostics gmbh, Jena).

CLINICAL SIGNIFICANCE

etiology and pathogenesis of peri‑implant diseases is multifactorial. These tools must follow a natural integration to be easily applied in a clinical setting. It is important to study their usability from the clinicians' point of view, evaluating the effectiveness, efficiency, and users' satisfaction.

摘要

引言

本研究旨在探讨牙医对牙科信息学风险评估工具的实施感知,该工具用于评估患者发生种植体周围炎的风险。

材料与方法

对在大学诊所工作的 7 名牙医进行便利样本测试,向他们展示 Implant Disease Risk Assessment Tool (IDRA),并要求他们在使用 IDRA 时思考三个临床病例的信息,然后填写系统可用性量表(SUS)。采用半结构式访谈技术进行音频记录,以允许参与者自由表达与 IDRA 相关的感知。作者对访谈信息进行了分类和分析。

结果

据我们所知,这是第一项针对 IDRA 进行定性可用性测试的研究,评估了其有效性、效率和用户满意度。临床病例的复杂性越大,参与者的反应差异就越大。总的来说,参与者将该工具评为良好,获得了 77.2(SD 19.8)的可用性值和 73.2(SD 24.5)的易学性。

结论

为了改进 IDRA 工具,还应考虑四个额外因素:1)考虑轮廓角度与种植体周围组织高度之间的关系;2)在临床软件中完成牙周图后,在 IDRA 工具中自动进行牙周分类;3)呈现流程图,协助治疗决策,同时提供 IDRA 工具定义的最终分数;4)整合精度测试,如 Implantsafe® DR…(dentognostics gmbh,耶拿)和 Oralyzer®(dentognostics gmbh,耶拿)。

临床意义

种植体周围疾病的病因和发病机制是多因素的。这些工具必须遵循自然的整合,以便在临床环境中轻松应用。从临床医生的角度研究其可用性非常重要,评估其有效性、效率和用户满意度。

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