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Nguyen S, Ahmed L, Villarosa A, George A, Yaacoub A. The use of antibiotics in acute oral health patients presenting at public dental clinics in the Western Sydney region. Fam Pract 2023; 40:9-15. [PMID: 35703923 DOI: 10.1093/fampra/cmac057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND There is a limited need for antibiotics when treating oral health problems, yet they are often prescribed, increasing risk of antimicrobial resistance (AMR). With AMR a threat to public health, the objectives of this study were to assess the frequency, suitability, and factors associated with antibiotic prescriptions for acute dental problems across Greater Western Sydney public dental clinics. METHODS Patients' reason for attending, details of any antibiotics use, and the treating dental practitioner's clinical examination and diagnosis were compared to current prescribing guidelines, and logistic regression was used to identify predictors of antibiotic prescription. RESULTS In all, 1,071 patients participated in the study, and 15.9% reported to using antibiotics for their dental problem. Over three-quarters obtained the antibiotics from their general medical practitioner (GMP). A high prevalence of antibiotics were not indicated for the patient's complaint (71.8%) including for those with a history of extraction, pain, or intraoral swelling, who had significantly higher odds of antibiotic prescription (OR > 9). The antibiotic type prescribed was generally suitable. CONCLUSIONS In summary, the data suggest that the majority of antibiotics were inappropriately prescribed for the patient's dental complaints and there is a need for interventions to improve compliance with antibiotic prescribing guidelines.
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Affiliation(s)
- Stephanie Nguyen
- Nepean Blue Mountains Local Health District Oral Health Services, Nepean Hospital, Derby St, Kingswood, NSW 2747, Australia
| | - Lamis Ahmed
- Nepean Blue Mountains Local Health District Oral Health Services, Nepean Hospital, Derby St, Kingswood, NSW 2747, Australia
| | - Amy Villarosa
- Centre for Oral Health Outcomes & Research Translation (COHORT), Western Sydney University/South Western Sydney Local Health District/Ingham Institute Applied Medical Research/University of Sydney, Liverpool, NSW 1871, Australia
| | - Ajesh George
- Centre for Oral Health Outcomes & Research Translation (COHORT), Western Sydney University/South Western Sydney Local Health District/Ingham Institute Applied Medical Research/University of Sydney, Liverpool, NSW 1871, Australia
| | - Albert Yaacoub
- Nepean Blue Mountains Local Health District Oral Health Services, Nepean Hospital, Derby St, Kingswood, NSW 2747, Australia
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Nowosielska M, Bagińska J, Kobus A, Kierklo A. How to Educate the Public about Dental Trauma-A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042479. [PMID: 35206665 PMCID: PMC8872546 DOI: 10.3390/ijerph19042479] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/16/2022] [Accepted: 02/18/2022] [Indexed: 11/16/2022]
Abstract
Educating the general population about dental trauma is of public health interest. The aim of this scoping review was to map research on traumatic dental injuries (TDIs) education in the general population and to identify the most relevant methods of knowledge transfer. PubMed, Scopus, Web of Science All Databases, reference lists, and grey literature were searched. Articles in English published between 2000 and 2020 were included. A total of 32 articles fulfilled inclusion criteria. The most frequently tested modality was lecture/seminar/workshop. Studies focused mainly on teachers and medical staff as target groups. Post-intervention evaluation showed an increase in knowledge. In long-term follow-up, a decrease in knowledge was found. The effectiveness of different modalities varied. Studies comparing single-modal and multimodal approaches did not confirm the effect of combined methods. Printed materials are a practical mode for laypeople. Lectures should be reserved for professions with high probability of coming into contact with a TDI victim. The Internet can be a promising tool to educate people. Educators have to choose the method of communication most appropriate for the target population. The education should include topics related to dental trauma prevention. Further research is needed to investigate the effectiveness of multimodal TDI education.
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Affiliation(s)
- Magdalena Nowosielska
- Department of Gerostomatology, Medical University of Bialystok, 15-267 Bialystok, Poland
| | - Joanna Bagińska
- Department of Dentistry Propaedeutics, Medical University of Bialystok, 15-295 Bialystok, Poland
| | - Agnieszka Kobus
- Department of Dentistry Propaedeutics, Medical University of Bialystok, 15-295 Bialystok, Poland
| | - Anna Kierklo
- Department of Dentistry Propaedeutics, Medical University of Bialystok, 15-295 Bialystok, Poland
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3
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OUP accepted manuscript. INTERNATIONAL JOURNAL OF PHARMACY PRACTICE 2022; 30:326-331. [DOI: 10.1093/ijpp/riac033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Accepted: 03/25/2022] [Indexed: 11/14/2022]
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Park JS, Page AT, Shen PH, Price K, Tennant M, Kruger E. Management of dental emergencies amongst Australian general medical practitioners - A case-vignette study. Aust Dent J 2021; 67:30-38. [PMID: 34591999 DOI: 10.1111/adj.12878] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 09/25/2021] [Accepted: 09/27/2021] [Indexed: 02/02/2023]
Abstract
BACKGROUND In Australia, because of inequity in dental service accessibility and affordability, patients can see general medical practitioners (GPs) for acute dental conditions. METHODS This cross-sectional study consisted of surveys distributed to the board registered GPs practising in Australia. The main outcome measures included statistical analysis of GPs managing different dental emergency scenarios and their confidence and expectations in managing dental emergencies. RESULTS A total of 425 GPs participated in the study. The sample primarily consisted of GPs practising in metropolitan clinics (n = 315). Most participants reported that they would refer to the dentist for mobilized tooth (n = 402). There was a negative correlation between GPs with 5-29 years of experience and traumatized tooth management (P < 0.05). GPs aged between 40 and 49 years were more inclined to treat patients with mobilized teeth [Multivariate (MV): 0.42(0.09-0.74)]. However, GPs with 0-5 years of experience were less likely to manage patients with dental abscess [MV: -0.52(-0.80 to -0.24)]. CONCLUSION Most GPs referred dental emergencies to dentists. GP management of dental emergencies were predominantly palliative. Therefore, opportunities for collaborative practice models amongst GPs and dentists may be needed to bridge the gap in the regional and remote locations.
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Affiliation(s)
- J S Park
- International Research Collaborative - Oral Health and Equity, The University of Western Australia, Crawley, Western Australia, Australia.,UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia.,Monash Health Dental Services, Monash Health, Dandenong, Victoria, Australia
| | - A T Page
- Pharmacy Department, Alfred Health, Melbourne, Victoria, Australia.,Centre for Medicine Use and Safety, Monash University, Parkville, Victoria, Australia.,Centre for Optimisation of Medicines, University of Western Australia, Crawley, Western Australia, Australia
| | - P-H Shen
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
| | - K Price
- Department of General Practice, Monash University, Notting Hill, Victoria, Australia
| | - M Tennant
- International Research Collaborative - Oral Health and Equity, The University of Western Australia, Crawley, Western Australia, Australia
| | - E Kruger
- International Research Collaborative - Oral Health and Equity, The University of Western Australia, Crawley, Western Australia, Australia
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Abraham Y, Christy R, Gomez-Kunicki A, Cheng T, Eskarous S, Samaan V, Khan A, Sholapurkar A. Management of Dental Avulsion Injuries: A Survey of Dental Support Staff in Cairns, Australia. Dent J (Basel) 2020; 9:dj9010004. [PMID: 33396737 PMCID: PMC7824556 DOI: 10.3390/dj9010004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Revised: 12/23/2020] [Accepted: 12/26/2020] [Indexed: 11/16/2022] Open
Abstract
Background/Aim: The aim of this study was to assess the knowledge of dental support staff in providing appropriate first-aid advice regarding dental avulsion emergencies. Methods: This study was reported according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for cross-sectional studies. Dental support staff (includes dental assistants, administrative staff and other non-clinical staff) were contacted and data were collected from 50 private dental clinics across the Greater Cairns Area, Queensland, Australia. These data were collected through an online survey throughout 2020. Descriptive statistics and Pearson’s Chi-squared test was used to analyze the data and any associations between categorical outcomes. Results: This survey yielded a response rate of 34.1% with a margin of error of 10.3%. More than four-tenths of participants (42%) reported that they had received some form of dental avulsion management training previously. All but five participants (92%) denoted that they would immediately replant an avulsed permanent tooth. More than half of all participants would choose to rinse a soiled avulsed tooth with fresh milk (55%) and transport that tooth in fresh milk (65%) should they not be able to replant the tooth at the site. Almost nine in every ten participants (85%) expressed willingness to further their training in this area. Knowledge in replanting avulsed permanent teeth was found to be significantly impacted by gender, age, years of experience and participation in formal avulsion training. Male participants were found to be significantly more likely (p = 0.025) to replant a permanent avulsed tooth than their female counterparts. Participants who were 40 years of age and above were found to be significantly more likely to choose fresh milk to transport avulsed teeth (p = 0.0478). Older participants (p = 0.0021), alongside those who had greater years of experience (p = 0.0112) and those who had undertaken formal avulsion training (p = 0.0106) were all significantly more likely to express greater confidence in their ability to manage dental avulsion injuries. Participants who had previously received some form of education regarding avulsion injury management were also most likely to warrant further education and training in this area (p < 0.0001). Conclusion: This study demonstrated that dental support staff in the Greater Cairns Area seem to have a fair grasp of first-aid knowledge regarding the management of dental avulsion injuries. This result indicates that this knowledge has been picked up through years of experience, rather than a formal education. Despite this, one would expect people who work in the dental industry to be able to provide accurate and appropriate assistance during dental emergencies, hence, further training is warranted to ensure optimum patient outcomes.
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Affiliation(s)
- Yannis Abraham
- College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870, Australia; (R.C.); (A.G.-K.); (T.C.); (S.E.); (V.S.)
- Correspondence: (Y.A.); (A.S.)
| | - Roshini Christy
- College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870, Australia; (R.C.); (A.G.-K.); (T.C.); (S.E.); (V.S.)
| | - Americo Gomez-Kunicki
- College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870, Australia; (R.C.); (A.G.-K.); (T.C.); (S.E.); (V.S.)
| | - Ting Cheng
- College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870, Australia; (R.C.); (A.G.-K.); (T.C.); (S.E.); (V.S.)
| | - Silvia Eskarous
- College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870, Australia; (R.C.); (A.G.-K.); (T.C.); (S.E.); (V.S.)
| | - Verona Samaan
- College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870, Australia; (R.C.); (A.G.-K.); (T.C.); (S.E.); (V.S.)
| | - Ahsen Khan
- Private Practice, Corrimal, NSW 2518, Australia;
| | - Amar Sholapurkar
- College of Medicine and Dentistry, James Cook University, Cairns, QLD 4870, Australia; (R.C.); (A.G.-K.); (T.C.); (S.E.); (V.S.)
- Correspondence: (Y.A.); (A.S.)
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McNab M, Berry A, Skapetis T. The potential of a lecture series in changing intent and experience among health professionals to conduct research in a large hospital: a retrospective pre-post design. BMC MEDICAL EDUCATION 2019; 19:124. [PMID: 31046770 PMCID: PMC6498614 DOI: 10.1186/s12909-019-1548-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2019] [Accepted: 04/05/2019] [Indexed: 05/23/2023]
Abstract
BACKGROUND Promoting research capacity within public health can encourage and engage employees to undertake research, utilising their understanding of the complex needs that exist within the public health system to provide more relevant research outcomes. Despite this, there are a number of reasons cited by health care professionals as to why research is not undertaken, and a lack of support for research participation results in missed opportunities for experienced clinical and public health staff to gain research experience, expand the evidence base, and promote and support research. The aim of this study is to identify if education in research, delivered through a series of lectures at a large tertiary referral hospital, results in an increase in the experience and intent to conduct research. METHODS A series of six lectures to aid in the understanding and development of research were delivered to health employees, health care professionals, students and their associates within a large public Australian hospital. Following these lectures, a validated instrument was developed and asked respondents to assess their research activity, research training history, and experience in conducting research using a retrospective pre/post- test design. RESULTS Over half (57.1%) of respondents (n = 49) reported no previous researcher education training prior to the lectures. Following the lectures, reported researcher experience increased significantly in the areas of writing a research protocol, using qualitative research methods, publishing research, writing and presenting a research report, analysing and interpreting results, using quantitative research methods, generating research ideas, and applying for research funding. At 6 months following the lecture series intent to be involved in further research was seen in the areas of submitting an ethics application, analysing qualitative and quantitative research data, and research funding applications. CONCLUSIONS Six one hour face to face research lectures can improve self-reported levels of intention to become involved in research as well as research experience amongst hospital health care professionals at 6 months. This traditional modality of education should still be considered as relevant strategy in building research capacity as measured innovatively using a retrospective pre/post test methodology.
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Affiliation(s)
- Michelle McNab
- Oral Health, Western Sydney Local Health District, Oral Health Network Offices, Level 2 Westmead Centre for Oral Health, Westmead, 2145 Australia
- University of Sydney Faculty of Medicine and Health, Sydney Dental School, Mons Road, Westmead, 2145 Australia
| | - Angela Berry
- Intensive Care Unit, Westmead Hospital, PO Box 533, Wentworthville, 2145 Australia
| | - Tony Skapetis
- Oral Health, Western Sydney Local Health District, Oral Health Network Offices, Level 2 Westmead Centre for Oral Health, Westmead, 2145 Australia
- University of Sydney Faculty of Medicine and Health, Sydney Dental School, Mons Road, Westmead, 2145 Australia
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AlQahtani S, Murshid EZ, Fadel HT, Kassim S. Practicing Dentists' Self-Efficacy and Associated Factors in Managing the Treatment of Adults with Mental and Physical Disabilities: An Exploratory Cross-Sectional Study in Riyadh, Saudi Arabia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:E1549. [PMID: 29232884 PMCID: PMC5750967 DOI: 10.3390/ijerph14121549] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Revised: 11/25/2017] [Accepted: 12/05/2017] [Indexed: 11/26/2022]
Abstract
Background: Provision of oral healthcare to adults with mental and physical disabilities (AMPD) remains a challenging area across various healthcare systems. The present study aimed to assess self-reported efficacy and investigate factors associated with self-efficacy in the management of AMPD among practicing dentists in Saudi Arabia. Methods: A pilot-tested, self-administered questionnaire was distributed to a convenience sample of 1000 dentists. Descriptive and inferential analyses were performed on the collected responses. Results: Among the respondents (54%), 43% were males. Only 14% described their self-efficacy in managing AMPD as "High". Multivariable regression analyses revealed significant associations between "High" self-efficacy and male gender (Odd ratio (OR) = 2.39, 95% CI = 1.16-4.89), experience practicing dentistry for 11 years or more (OR = 2.19, 95% CI = 1.04-4.47), specialization in pediatric dentistry (OR = 3.98, 95% CI = 1.31-12.07), previous experience in managing AMPD (OR = 4.23, 95% CI = 1.59-11.22), and awareness of regulations for managing AMPD (OR = 2.62, 95% CI = 1.42-4.38). The interaction of gender x age was significantly associated (p = 0.028) with "High" self-efficacy. Gender-stratified analyses revealed a significant association between age and "High" self-efficacy among male dentists only. Conclusions: The findings of the present study highlight that a large percentage of dentists reported "Low/Moderate" self-efficacy in managing AMPD, particularly among female dentists. However, further studies are required to verify the factors associated with self-efficacy in the present study, and to identify other factors that may influence self-efficacy in managing AMPD.
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Affiliation(s)
- Sakher AlQahtani
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
| | - Ebtissam Zakaria Murshid
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
| | - Hani Talal Fadel
- Department of Preventive Dental Sciences, Taibah University Dental College & Hospital, Al-Madinah Al-Munawwrah 42353, Saudi Arabia.
| | - Saba Kassim
- Department of Preventive Dental Sciences, Taibah University Dental College & Hospital, Al-Madinah Al-Munawwrah 42353, Saudi Arabia.
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Barnett T, Hoang H, Stuart J, Crocombe L. The relationship of primary care providers to dental practitioners in rural and remote Australia. BMC Health Serv Res 2017; 17:515. [PMID: 28764806 PMCID: PMC5540496 DOI: 10.1186/s12913-017-2473-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Accepted: 07/25/2017] [Indexed: 11/17/2022] Open
Abstract
Background Rural residents have poorer oral health and more limited access to dental services than their city counterparts. In rural communities, health care professionals often work in an extended capacity due to the needs of the community and health workforce shortages in these areas. Improved links and greater collaboration between resident rural primary care and dental practitioners could help improve oral health service provision such that interventions are both timely, effective and lead to appropriate follow-up and referral. This study examined the impact oral health problems had on primary health care providers; how primary care networks could be more effectively utilised to improve the provision of oral health services to rural communities; and identified strategies that could be implemented to improve oral health. Methods Case studies of 14 rural communities across three Australian states. Between 2013 and 2016, 105 primary and 12 dental care providers were recruited and interviewed. Qualitative data were analysed in Nvivo 10 using thematic analysis. Quantitative data were subject to descriptive analysis using SPSSv20. Results Rural residents presented to primary care providers with a range of oral health problems from “everyday” to “10 per month”. Management by primary care providers commonly included short-term pain relief, antibiotics, and advice that the patient see a dentist. The communication between non-dental primary care providers and visiting or regional dental practitioners was limited. Participants described a range of strategies that could contribute to better oral health and oral health oral services in their communities. Conclusions Rural oral health could be improved by building oral health capacity of non-dental care providers; investing in oral health promotion and prevention activities; introducing more flexible service delivery practices to meet the dental needs of both public and private patients; and establishing more effective communication and referral pathways between rural primary and visiting/regional dental care providers. Electronic supplementary material The online version of this article (doi:10.1186/s12913-017-2473-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Tony Barnett
- Centre of Research Excellence in Primary Oral Health Care, Centre for Rural Health, School of Health Sciences, University of Tasmania, Locked Bag 1322, Launceston, TAS, 7250, Australia
| | - Ha Hoang
- Centre of Research Excellence in Primary Oral Health Care, Centre for Rural Health, School of Health Sciences, University of Tasmania, Locked Bag 1322, Launceston, TAS, 7250, Australia.
| | - Jackie Stuart
- Centre of Research Excellence in Primary Oral Health Care, Centre for Rural Health, School of Health Sciences, University of Tasmania, Locked Bag 1322, Launceston, TAS, 7250, Australia
| | - Len Crocombe
- Centre of Research Excellence in Primary Oral Health Care, Centre for Rural Health, School of Health Sciences, University of Tasmania, Locked Bag 1322, Launceston, TAS, 7250, Australia
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Barnett T, Hoang H, Stuart J, Crocombe L. “Sorry, I'm not a dentist”: perspectives of rural GPs on oral health in the bush. Med J Aust 2016; 204:26. [DOI: 10.5694/mja15.00740] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2015] [Accepted: 10/01/2015] [Indexed: 11/17/2022]
Affiliation(s)
- Tony Barnett
- Centre for Rural Health, University of Tasmania, Launceston, TAS
| | - Ha Hoang
- Centre for Rural Health, University of Tasmania, Launceston, TAS
| | - Jackie Stuart
- Centre for Rural Health, University of Tasmania, Launceston, TAS
| | - Leonard Crocombe
- Centre for Rural Health, University of Tasmania, Launceston, TAS
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Perazzo MDF, da Silva BRC, Neves ÉTB, Firmino RT, Ribeiro GL, Granville-Garcia AF. Effect of dental health education on the management of avulsed teeth by firefighters. J Public Health (Oxf) 2014. [DOI: 10.1007/s10389-014-0650-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Effectiveness of educational poster on knowledge of emergency management of dental trauma--part 2: cluster randomised controlled trial for secondary school students. PLoS One 2014; 9:e101972. [PMID: 25093728 PMCID: PMC4122350 DOI: 10.1371/journal.pone.0101972] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2013] [Accepted: 06/10/2014] [Indexed: 11/19/2022] Open
Abstract
Objective To investigate the effectiveness of educational poster on improving secondary school students' knowledge of emergency management of dental trauma. Methods A cluster randomised controlled trial was conducted. 16 schools with total 671 secondary students who can read Chinese or English were randomised into intervention (poster, 8 schools, 364 students) and control groups (8 schools, 305 students) at the school level. Baseline knowledge of dental trauma was obtained by a questionnaire. Poster containing information of dental trauma management was displayed in a classroom for 2 weeks in each school in the intervention group whereas in the control group there was no display of such posters. Students of both groups completed the same questionnarie after 2 weeks. Results Two-week display of posters improved the knowledge score by 1.25 (p-value = 0.0407) on average. Conclusion Educational poster on dental trauma management significantly improved the level of knowledge of secondary school students in Hong Kong. Trial Registration HKClinicalTrial.com HKCTR-1343 ClinicalTrials.gov NCT01809457
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Effectiveness of educational poster on knowledge of emergency management of dental trauma-part 1. Cluster randomised controlled trial for primary and secondary school teachers. PLoS One 2013; 8:e74833. [PMID: 24147154 PMCID: PMC3797909 DOI: 10.1371/journal.pone.0074833] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Accepted: 08/01/2013] [Indexed: 12/13/2022] Open
Abstract
Objective To investigate the effectiveness of educational posters in improving the knowledge level of primary and secondary school teachers regarding emergency management of dental trauma. Methods A cluster randomised controlled trial was conducted. 32 schools with a total of 515 teachers were randomised into intervention (poster) and control groups at the school level. Teachers’ baseline levels of knowledge about dental trauma were obtained by using a questionnaire. Posters containing information on dental trauma management were displayed in the school medical room, the common room used by staff, and on a notice board for 2 weeks in each school of the intervention group; in the control group, no posters were displayed. Teachers in both groups completed the questionnaire after 2 weeks. Results The teachers in the intervention schools (where posters were displayed for 2 weeks) showed statistically significant improvement in scores in cases where they had not previously learned about dental emergencies from sources other than first aid training, with an average score increase of 2.6656 (score range of questionnaire, −13 to 9; p-value <0.0001). Conclusion Educational posters on the management of dental trauma can significantly improve the level of knowledge of primary and secondary school teachers in Hong Kong. KClinicalTrials.com HKCTR-1307 ClinicalTrials.gov: NCT01707355
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