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Kengne Talla P, Rodrigues A, Hachey S, Affoo R, Basiren Q, Bouferguene S, Syed M, Emami E. Oral health care and living environment for older people: a scoping review protocol. JBI Evid Synth 2024; 22:314-324. [PMID: 37799097 DOI: 10.11124/jbies-22-00415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/07/2023]
Abstract
OBJECTIVE This scoping review will map the literature on the extent of knowledge on living environment oral health care (LIVEOR) by examining its different terminologies, its description, the stakeholders involved, the implementation characteristics, and the outcomes reported by the authors. INTRODUCTION Older people want to receive oral health care in their current living environment. Although several authors have explored some aspects of LIVEOR for older people, there are still inconsistent findings regarding the extent of this model of care. INCLUSION CRITERIA This scoping review will include quantitative, qualitative, and mixed method studies, as well as any type of knowledge synthesis on LIVEOR involving people aged 60 years and over. The search will not be limited by language, time frame, geographic location, or publication date. METHODS We will use the JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). The search will include MEDLINE, CINAHL, Embase, Web of Science, and the Cochrane Library. A hand-search of the references of the included studies, and a gray literature search will also be conducted. Two independent reviewers will screen titles, abstracts, and full texts of selected studies, and perform data extraction. Findings are expected to explore what is known of LIVEOR targeting older people and to identify any knowledge gaps for future studies. We will disseminate our findings mostly through peer-reviewed publications. REVIEW REGISTRATION Open Science Framework https://osf.io/e7fm2.
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Affiliation(s)
- Pascaline Kengne Talla
- Faculty of Dental Medicine and Oral Health Sciences, Université McGill University, Montreal, QC, Canada
| | - Anisha Rodrigues
- Faculty of Dental Medicine and Oral Health Sciences, Université McGill University, Montreal, QC, Canada
| | - Shauna Hachey
- School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
| | - Rebecca Affoo
- School of Communication Sciences and Disorders, Faculty of Health, Dalhousie University, Halifax, NS, Canada
| | - Quentin Basiren
- Faculty of Dental Medicine and Oral Health Sciences, Université McGill University, Montreal, QC, Canada
| | - Sabrina Bouferguene
- Faculty of Dental Medicine and Oral Health Sciences, Université McGill University, Montreal, QC, Canada
| | - Mahidul Syed
- Faculty of Dental Medicine and Oral Health Sciences, Université McGill University, Montreal, QC, Canada
| | - Elham Emami
- Faculty of Dental Medicine and Oral Health Sciences, Université McGill University, Montreal, QC, Canada
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Kengne Talla P, Allison P, Bussières A, Giraudeau N, Komarova S, Basiren Q, Bergeron F, Emami E. Teledentistry for improving access to, and quality of oral health care: A protocol for an overview of systematic reviews and meta-analyses. PLoS One 2024; 19:e0288677. [PMID: 38165889 PMCID: PMC10760664 DOI: 10.1371/journal.pone.0288677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 11/28/2023] [Indexed: 01/04/2024] Open
Abstract
Digital technologies are becoming essential to address and optimize the suboptimal performance of healthcare systems. Teledentistry involves the use of information and communication technology to improve access to oral health care and the quality of oral health care delivery. Several systematic reviews (SRs) have been conducted to synthesize evidence on the effectiveness of teledentistry but with conflicting results. The aim of this review is to comprehensively summarize available SRs and provide evidence on the impact of teledentistry on access to oral care, patients' and oral healthcare providers' outcomes, quality of oral health care and costs. This protocol has been registered with the International Prospective Register of Systematic Reviews (PROSPERO CRD42022373964). Six electronic databases including MEDLINE (Ovid), Embase (Embase.com), CINAHL (EBSCO), Web of Science, Cochrane Library and Epistemonikos will be searched for SRs of quantitative, qualitative, and mixed reviews evaluating teledentistry modalities involving both patients and/or oral health care providers (OHCPs). We will include studies published in English or French. The outcomes will include patients' outcomes (e.g., access to oral health care, patient-reported outcomes, and patient-reported experiences); patient indicators (e.g., clinical outcomes, adherence to treatment, adverse outcomes and costs); and OHCP indicators (e.g., diagnostic accuracy, barriers and enablers costs and equity). Two independent reviewers will perform data screening, data extraction and will assess the quality of included studies using AMSTAR 2 and ROBIS tools. Data will be synthesized narratively and presented by tables and graphs. We will report any overlap of primary studies in the SRs. A statement on the strength of evidence for each outcome will be provided if possible. This review will inform decision-makers, patients, OHCPs, and researchers on the potential effectiveness, benefits, and challenges of teledentistry and support them in making recommendations for its use. Results will be disseminated through peer-reviewed publications, presentations at conferences, and on social media.
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Affiliation(s)
- Pascaline Kengne Talla
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | - Paul Allison
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | - André Bussières
- Département de Chiropratique, Université de Québec à Trois Rivières, Trois-Rivières, Canada
- School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
| | - Nicolas Giraudeau
- Faculté d’Odontologie, Université de Montpellier, Montpellier, France
| | - Svetlana Komarova
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | - Quentin Basiren
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
| | - Frédéric Bergeron
- Laval University, Department of Preventive and Social Medicine, Quebec City, Quebec, Canada
| | - Elham Emami
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
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Ahmed S, Ataman R, McKerral M, Roberge-Dao J, Auger C, Wittich W, Talla PK, Boychuck Z, Thomas A. Response to Letter to the Editor on: "Measurement Properties of the Mayo-Portland Adaptability Inventory (MPAI-4) and Related Measures: A Systematic Review". Arch Phys Med Rehabil 2023; 104:2170-2171. [PMID: 37748745 DOI: 10.1016/j.apmr.2023.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 08/21/2023] [Indexed: 09/27/2023]
Affiliation(s)
- Sara Ahmed
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; Research Institute McGill University Health Center, Clinical Epidemiology, Montréal, Canada.
| | - Rebecca Ataman
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada
| | - Michelle McKerral
- Department of Psychology, Université de Montréal, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal, Montréal, Canada
| | - Jacqueline Roberge-Dao
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada
| | - Claudine Auger
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal, Montréal, Canada; School of Rehabilitation, Université de Montréal, Montréal, Canada
| | - Walter Wittich
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; School of Optometry, Université de Montreal
| | - Pascaline Kengne Talla
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montréal, Canada
| | - Zachary Boychuck
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada
| | - Aliki Thomas
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; Institute of Health Sciences Education, McGill University, Montréal, Canada
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Ataman R, Thomas A, Roberge-Dao J, McKerral M, Auger C, Wittich W, Kengne Talla P, Boychuck Z, Ahmed S. Measurement Properties of the Mayo-Portland Adaptability Inventory (MPAI-4) and Related Measures: A Systematic Review. Arch Phys Med Rehabil 2023; 104:1300-1313. [PMID: 36708857 DOI: 10.1016/j.apmr.2022.12.196] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Revised: 12/20/2022] [Accepted: 12/27/2022] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To assess the Mayo-Portland Adaptability Inventory-version 4 (MPAI-4) and related measures' measurement properties and the quality of evidence supporting these results; and identify the interpretability and feasibility of the MPAI-4 and related measures. DATA SOURCES We conducted a systematic review according to COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. We searched 9 electronic databases and registries, and hand searched reference lists of included articles. STUDY SELECTION Two independent reviewers screened and selected all articles. From 605 retrieved articles, 48 were included. DATA EXTRACTION Two independent reviewers appraised the evidence quality and rated the extracted classical test theory and Rasch results from each study. DATA SYNTHESIS We used meta-analysis and COSMIN's approach to synthesize measurement properties evidence (insufficient, sufficient), and the modified Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to synthesize evidence quality (very low, low, moderate, high) by diagnosis (traumatic brain injury [TBI], stroke), and setting (inpatient, outpatient). The MPAI-4 and its subscales are sufficiently comprehensible (GRADE: very low), but there is currently no other content validity evidence (relevance, comprehensiveness). The MPAI-4 and its participation index (M2PI) have sufficient interrater reliability for stroke and TBI outpatients (GRADE: moderate), whereas interrater reliability between TBI inpatients and clinicians is currently insufficient (GRADE: moderate). There is no evidence for measurement error. For stroke and TBI outpatients, the MPAI-4 and M2PI have sufficient construct validity (GRADE: high) and responsiveness (GRADE: moderate-high). For TBI inpatients, the MPAI-4 and M2PI have mixed indeterminant/sufficient construct validity and responsiveness evidence (GRADE: moderate-high). There is 1 study with mixed insufficient/sufficient evidence for each MPAI-4 adaptation (21- and 22-item MPAI, 9-item M2PI) (GRADE: low-high). CONCLUSION Users can be most confident in using the MPAI-4 and M2PI in TBI and stroke outpatient settings. Future research is needed on reliability, measurement error, predictive validity, and content validity of the MPAI-4 and its related measures across populations and settings.
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Affiliation(s)
- Rebecca Ataman
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada
| | - Aliki Thomas
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; Institute of Health Sciences Education, McGill University, Montréal, Canada
| | - Jacqueline Roberge-Dao
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada
| | - Michelle McKerral
- Department of Psychology, Université de Montréal, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal, Montréal, Canada
| | - Claudine Auger
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal, Montréal, Canada; School of Rehabilitation, Université de Montréal, Montréal, Canada
| | - Walter Wittich
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; School of Optometry, Université de Montreal, Montréal, Canada
| | - Pascaline Kengne Talla
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montréal, Canada
| | - Zachary Boychuck
- CanChild Centre for Childhood Disability Research, Department of Pediatrics, McMaster University, Hamilton, Canada
| | - Sara Ahmed
- School of Physical and Occupational Therapy, McGill University, Montréal, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, Canada; McGill University Health Center, Clinical Epidemiology, Montréal, Canada.
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Kengne Talla P, Inquimbert C, Dawson A, Zidarov D, Bergeron F, Chandad F. Barriers and Enablers to Implementing Teledentistry From the Perspective of Dental Health Care Professionals: Protocol for a Systematic Quantitative, Qualitative, and Mixed Studies Review. JMIR Res Protoc 2023; 12:e44218. [PMID: 37494093 PMCID: PMC10413248 DOI: 10.2196/44218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 05/18/2023] [Accepted: 06/27/2023] [Indexed: 07/27/2023] Open
Abstract
BACKGROUND There is growing literature on the potential of digital technologies for improving access to, ensuring continuity and quality of health care, and to strengthen health systems. Some studies have reported the cost-effectiveness of teledentistry, its reliability for remote dental screening, diagnosis, consultation, and treatment planning. Nonetheless, current evidence suggests that teledentistry implementation faces many challenges and is not yet adopted by dental health care providers (DHCPs). Developing strategies to improve teledentistry adoption requires an understanding of the factors that promote or hinder its successful implementation. OBJECTIVE This systematic review aims to identify and synthetize barriers and enablers to implementing teledentistry as perceived by DHCPs in their clinical practices, using the Theoretical Domains Framework (TDF) and the Capacity, Opportunity, and Motivation Behavior (COM-B) model. METHODS This protocol follows the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Protocols) checklist. Literature will be searched in the following databases: PubMed, Cochrane Library, Web of Science, CINAHL, Embase, and PsycINFO. We will perform additional searches on Google, Google Scholar, and ProQuest Dissertations & Theses Global, screen the references of the included studies to capture additional relevant studies, and contact the authors of studies if we need more details. We will consider studies using qualitative, quantitative, and mixed methods. There will be no restrictions on the publication date and dental setting. We will include studies published in French, English, and Portuguese. Two independent reviewers will select the study, extract data, and assess methodological quality using the Mixed Methods Appraisal Tool's checklist. Data analysis will include a descriptive and a thematic content analysis. We will synthetize and categorize the barriers and enablers using the TDF and COM-B model and present a narrative synthesis of our results using tables, figures, and quotes. RESULTS By March 2023, the literature search has retrieved 7355 publications. We will identify the range of barriers and enablers to implementing teledentistry through DHCPs' perspectives. Considering the critical need for theory-based implementation interventions to improve the use of evidence-informed practices, we will synthesize the factors influencing the adoption of teledentistry based on the TDF domains and the 3 essential conditions predicting behavior change in accordance with the COM-B model. As needed, we will include additional determinants if not included in the TDF. We will conduct some subgroups analyses if studies are sufficient. We expect to complete the review by July 2024. CONCLUSIONS This review will provide some insights on the determinants of teledentistry implementation as perceived by DHCPs in dental settings. These findings will cater to patients, families, DHCPs, researchers, academic and professional decision-makers, and policy makers. The results of the systematic review could be used to develop theory-led interventions in improving teledentistry implementation. TRIAL REGISTRATION PROSPERO CRD42021293376; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=293376. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/44218.
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Affiliation(s)
- Pascaline Kengne Talla
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC, Canada
| | - Camille Inquimbert
- Faculty of Dental Medicine, University of Montpellier, Montpellier, France
| | - Aimée Dawson
- Faculty of Dental Medicine, Laval University, Quebec City, QC, Canada
| | - Diana Zidarov
- School of Rehabilitation, University of Montreal, Centre Intégré Universitaire de la Santé et des Services sociaux du Centre Sud-de-l'île-de Montréal, Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Montreal, QC, Canada
| | - Frédéric Bergeron
- Faculty of Dental Medicine, Laval University, Quebec City, QC, Canada
| | - Fatiha Chandad
- Faculty of Dental Medicine, Laval University, Quebec City, QC, Canada
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Kengne Talla P, Thomas A, Ataman R, Auger C, McKerral M, Wittich W, Poncet F, Ahmed S. Evaluating the implementation of the Mayo-Portland Adaptability Inventory-4 (MPAI-4) in three rehabilitation settings in Quebec: a mixed-methods study protocol. BMJ Open 2023; 13:e068866. [PMID: 37221032 DOI: 10.1136/bmjopen-2022-068866] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
INTRODUCTION Stroke is a leading cause of morbidity and mortality worldwide, placing an immense burden on patients and the health system. Timely access to rehabilitation services can improve stroke survivors' quality of life. The use of standardised outcome measures is endorsed for optimising patient rehabilitation outcomes and improving clinical decision-making. This project results from a provincially mandated recommendation to use the fourth version of the Mayo-Portland Adaptability Inventory (MPAI-4) to measure changes in social participation of stroke survivors and to maintain commitment to evidence-informed practices in stroke care. This protocol outlines the implementation process of the MPAI-4 for three rehabilitation centres. The objectives are to: (a) describe the context of MPAI-4 implementation; (b) determine clinical teams' readiness for change; (c) identify barriers and enablers to implementing the MPAI-4 and match the implementation strategies; (d) evaluate the MPAI-4 implementation outcomes including the degree of integration of the MPAI-4 into clinical practice and (e) explore participants' experiences using the MPAI-4. METHODS AND ANALYSIS We will use a multiple case study design within an integrated knowledge translation (iKT) approach with active engagement from key informants. Each case is a rehabilitation centre implementing MPAI-4. We will collect data from clinicians and programme managers using mixed methods guided by several theoretical frameworks. Data sources include surveys, focus groups and patient charts. We will conduct descriptive, correlational and content analyses. Ultimately, we will analyse, integrate data from qualitative and quantitative components and report them within and across participating sites. Results will provide insights about iKT within stroke rehabilitation settings that could be applied to future research projects. ETHICS AND DISSEMINATION The project received Institutional Review Board approval from the Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal. We will disseminate results in peer-reviewed publications and at local, national and international scientific conferences.
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Affiliation(s)
- Pascaline Kengne Talla
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, Quebec, Canada
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- Lethbridge-Layton-Mackay Rehabilitation Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Centre Ouest-de-l'Ile-de-Montréal, Montreal, Quebec, Canada
| | - Aliki Thomas
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
- Faculty of Education, McGill University, Montreal, Quebec, Canada
- Integrated Health and Social Services Centre of Laval (CISSS de Laval), Laval, Quebec, Canada
| | - Rebecca Ataman
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- Lethbridge-Layton-Mackay Rehabilitation Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Centre Ouest-de-l'Ile-de-Montréal, Montreal, Quebec, Canada
- School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada
| | - Claudine Auger
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- École de la réadaptation, Faculte de Medecine, Université de Montreal, Montreal, Quebec, Canada
- Integrated University Health and Social Services Centre for South-Central Montreal (Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal, CIUSSS du Centre-Sud-de-l'Île-de-Montréal), Montreal, Quebec, Canada
| | - Michelle McKerral
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- Integrated University Health and Social Services Centre for South-Central Montreal (Institut Universitaire sur la Réadaptation en Déficience Physique de Montréal, CIUSSS du Centre-Sud-de-l'Île-de-Montréal), Montreal, Quebec, Canada
- Department of Psychology, Université de Montréal, Montreal, Quebec, Canada
| | - Walter Wittich
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- School of Optometry, Université de Montreal, Montreal, Quebec, Canada
- Institut Nazareth et Louis-Braille, Integrated Health and Social Services Centre of Montérégie-Centre (CISSS de la Montérégie-Centre), Montérégie, Quebec, Canada
| | - Frédérique Poncet
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- Lethbridge-Layton-Mackay Rehabilitation Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Centre Ouest-de-l'Ile-de-Montréal, Montreal, Quebec, Canada
- School of Optometry, Université de Montreal, Montreal, Quebec, Canada
| | - Sara Ahmed
- Centre de recherche interdisciplinaire en readaptation du Montreal metropolitain, Montreal, Quebec, Canada
- Lethbridge-Layton-Mackay Rehabilitation Centre, Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Centre Ouest-de-l'Ile-de-Montréal, Montreal, Quebec, Canada
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Kengne Talla P, Makansi N, Michaud PL, Durand R, Allison PJ, Emami E. Virtual Oral Health across Canada: A Critical Comparative Analysis of Clinical Practice Guidances during the COVID-19 Pandemic. Int J Environ Res Public Health 2023; 20:ijerph20054671. [PMID: 36901681 PMCID: PMC10002179 DOI: 10.3390/ijerph20054671] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 02/23/2023] [Accepted: 02/28/2023] [Indexed: 05/13/2023]
Abstract
During the COVID-19 pandemic, teledentistry was suggested as a cost-effective and promising approach to improve access to oral health care. In response, Canadian provincial and territorial dental regulatory authorities (DRAs) published teledentistry-related clinical practice guidances (TCPGs). However, an in-depth comparison between them is needed to understand their gaps and commonalities so as to inform research, practice, and policy. This review aimed to provide a comprehensive analysis of TCPGs published by Canadian DRAs during the pandemic. A critical comparative analysis of these TCPGs published between March 2020 and September 2022 was conducted. Two members of the review team screened the official websites of dental regulatory authorities (DRAs) to identify TCPGs and performed data extraction. Among Canada's 13 provinces and territories, only four TCPGs were published during the relevant time period. There were some similarities and differences in these TCPGs, and we identified gaps pertaining to communication tools and platforms, and measures to safeguard patients' privacy and confidentiality. The insights from this critical comparative analysis and the unified workflow on teledentistry can aid DRAs in their development of new or an improvement to existing TCPGs or the development of nationwide TCP guidelines on teledentistry.
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Affiliation(s)
- Pascaline Kengne Talla
- Faculty of Dental Medicine and Oral Health Science, McGill University, Montreal, QC H3A 1G1, Canada
- Correspondence:
| | - Nora Makansi
- Faculty of Dental Medicine and Oral Health Science, McGill University, Montreal, QC H3A 1G1, Canada
| | - Pierre-Luc Michaud
- Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie University, Halifax, NS B3H 1W2, Canada
| | - Robert Durand
- Faculty of Dental Medicine, Université de Montreal, Montreal, QC H3T 1J4, Canada
| | - Paul J. Allison
- Faculty of Dental Medicine and Oral Health Science, McGill University, Montreal, QC H3A 1G1, Canada
| | - Elham Emami
- Faculty of Dental Medicine and Oral Health Science, McGill University, Montreal, QC H3A 1G1, Canada
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Inquimbert C, Talla PK, Emami E, Giraudeau N. Dialogue with Key Stakeholders on Digital Technology for Oral Health: Meeting Report. J Can Dent Assoc 2023; 89:n3. [PMID: 37098280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
On September 7, 2022, the University of Montpellier in France hosted a meeting with digital oral health technology developers, Chief Dental Officers, policy makers, the World Health Organization, the International Telecommunication Union, and academia on digital oral health technologies.
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Fonkou RF, Louodop P, Talla PK, Woafo P. Analysis of the dynamics of new models of nonlinear systems with state variable damping and elastic coefficients. Heliyon 2022; 8:e10112. [PMID: 36033270 PMCID: PMC9403404 DOI: 10.1016/j.heliyon.2022.e10112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Revised: 05/08/2022] [Accepted: 07/25/2022] [Indexed: 11/14/2022] Open
Abstract
This paper, is an analysis of the dynamics of new models of nonlinear systems in which the state damping variables with elastic coefficients, given by functions ccos(px), csin(px), ccos(px˙) and csin(px˙) are investigated in their autonomous and excited states. They exhibit periodic regions of stability and instability in their autonomous states and a rich dynamic behavior. The analysis of limit cycles shows the presence of isolated curves around the origin (0.0), which explains the presence of periodic solutions (limit cycles). The dynamics obtained allows to describe qualitatively the cardiac activity (artificial pacemaker). A chaos analysis shows the appearance of regular and chaotic behaviors. These studies allowed us to show the effect of the damping of the state variable and the elastic coefficients on the dynamics of these models. The presence of analog functions makes the experimental study complex. An implementation based on microcontroller simulation technology has been proposed. The microcontroller results are consistent with the numerical results.
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Affiliation(s)
- R F Fonkou
- Laboratory of Modeling and Simulation in Engineering, Biomimetics and Prototypes, Faculty of Science and TWAS Research Unit, University of Yaounde I, Box 812, Yaoundé, Cameroon.,Research Unit Condensed Matter, Electronics and Signal Processing, Université de Dschang, P.O. Box 67 Dschang, Cameroon.,UR de Mécanique et de Modélisation des Systèmes Physiques (UR-2MSP), UFR/DSST, Université de Dschang, BP 67 Dschang, Cameroun
| | - Patrick Louodop
- Research Unit Condensed Matter, Electronics and Signal Processing, Université de Dschang, P.O. Box 67 Dschang, Cameroon
| | - P K Talla
- UR de Mécanique et de Modélisation des Systèmes Physiques (UR-2MSP), UFR/DSST, Université de Dschang, BP 67 Dschang, Cameroun
| | - P Woafo
- Laboratory of Modeling and Simulation in Engineering, Biomimetics and Prototypes, Faculty of Science and TWAS Research Unit, University of Yaounde I, Box 812, Yaoundé, Cameroon
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Talla PK, Levin L, Glogauer M, Cable C, Allison PJ. Delivering dental care as we emerge from the initial phase of the COVID-19 pandemic: teledentistry and face-to-face consultations in a new clinical world. Quintessence Int 2020; 51:672-677. [PMID: 32778857 DOI: 10.3290/j.qi.a44920] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
At a time when access to health care and services for the global population is a concern due to the COVID-19 pandemic, health professionals and their teams are struggling to find a way to adapt their practices. Dental professional organizations and decision-makers are required to provide guidance in a rapidly evolving environment based on the current data, available research, and existing knowledge. Continuous progress in the information communication technology field and universal access to social communication platforms have allowed clinicians to creatively transcend some of the existing traditional barriers in clinical and technological workflows. The aim of this paper is to provide insight and propose future directions concerning the use of teledentistry for dental care in crisis situations such as the COVID-19 pandemic as well as the continuous implementation of teledentistry in noncrisis scenarios. This paper provides information to support the use of teledentistry as a promising avenue for dental professionals when possible, during and possibly beyond the outbreak.
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Kengne Talla P, Gagnon MP, Dupéré S, Bedos C, Légaré F, Dawson AB. Interventions for increasing health promotion practices in dental healthcare settings. Hippokratia 2017. [DOI: 10.1002/14651858.cd010955.pub2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Pascaline Kengne Talla
- Centre de Recherche du CHU de Québec (CRCHUQ) - Hôpital St-François d'Assise; 10 Rue de l'Espinay, D6-727 Québec QC Canada G1L 3L5
| | - Marie-Pierre Gagnon
- CHU de Québec - Université Laval Research Centre; Population Health and Optimal Health Practices Research Unit; 10 Rue de l'Espinay, D6-727 Québec City QC Canada G1L 3L5
- Université Laval; Faculté des Sciences Infirmières; 1050 Rue de la Médecine, Pavillon Ferdinand-Vandry, CIFSS Québec City QC Canada G1V 0A6
| | - Sophie Dupéré
- Université Laval; Faculté des Sciences Infirmières; 1050 Rue de la Médecine, Pavillon Ferdinand-Vandry, CIFSS Québec QC Canada G1V 0A6
| | - Christophe Bedos
- McGill University; Faculty of Dentistry; 3550 University St. Montreal QC Canada H3A 2A7
| | - France Légaré
- CHU de Québec - Université Laval Research Centre; Population Health and Optimal Health Practices Research Unit; 10 Rue de l'Espinay, D6-727 Québec City QC Canada G1L 3L5
- Université Laval; Department of Family Medicine and Emergency Medicine; Québec City QC Canada
| | - Aimée B Dawson
- Université Laval; Faculté de Médecine Dentaire; 2420 Rue de la Terrasse Québec QC Canada G1V 0A6
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Kengne Talla P, Gagnon MP, Dawson A. Environmental Factors Influencing Adoption of Canadian Guidelines on Smoking Cessation in Dental Healthcare Settings in Quebec: A Qualitative Study of Dentists' Perspectives. Dent J (Basel) 2016; 4:dj4040040. [PMID: 29563482 PMCID: PMC5806960 DOI: 10.3390/dj4040040] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Revised: 10/24/2016] [Accepted: 10/25/2016] [Indexed: 11/25/2022] Open
Abstract
Background: This study aimed to understand dentists’ perspective of the environmental determinants which positively or negatively influence the implementation of Canadian smoking cessation clinical practice guidelines (5As: Ask-Advise-Assess-Assist-Arrange) in private dental clinics in Quebec. Methods: This study used a qualitative design and an integrative conceptual framework composed of three theoretical perspectives. Data collection was conducted in individual semi-directed interviews with 20 private dentists lasting between 35 and 45 min. The audio-recorded data were transcribed verbatim, followed by a directed content analysis. Results: Some of the barriers identified to counselling in smoking cessation were lack of time, patient attitude, lack of prescription of nicotine replacement therapies, lack of reimbursement, and the lack of training of the dental team. Enablers cited by participants were the style of dentist’s leadership, the availability of community, human and material resources, the perception of counselling as a professional duty, and the culture of dental medicine. In addition to these variables, dentists’ attitude and behaviour were affected by different organisations giving initial or continual training to dentists, governmental policies, and the compatibility of Canadian smoking cessation guidelines with the practice of dentistry. Conclusion: Our findings will inform the development of smoking cessation interventions in dental healthcare settings.
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Affiliation(s)
- Pascaline Kengne Talla
- Centre de Recherche du CHU de Québec (CRCHUQ)-Hôpital St-François d'Assise, Québec, QC G1L 3L5, Canada.
| | - Marie-Pierre Gagnon
- Centre de Recherche du CHU de Québec (CRCHUQ)-Hôpital St-François d'Assise, Québec, QC G1L 3L5, Canada
- Faculty of Nursing, Laval University, Quebec, QC G1L 3L5, Canada
| | - Aimée Dawson
- Faculty of Dental Medicine, Laval University, Quebec, QC G1L 3L5, Canada.
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Kengne Talla P, Gagnon MP, Dramaix M, Leveque A. Barriers to dental visits in Belgium: a secondary analysis of the 2004 National Health Interview Survey. J Public Health Dent 2012; 73:32-40. [PMID: 23215822 DOI: 10.1111/jphd.12003] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2012] [Accepted: 10/07/2012] [Indexed: 01/13/2023]
Abstract
OBJECTIVE The study aims to identify barriers to annual dental visits in the Belgian population. METHODS We conducted a secondary analysis of data collected through the 2004 National Health Interview Survey in Belgium. Only respondents aged 15 years and older with complete information on dental consultations and the independent variables (n = 5940) were considered in this analysis. The associations between the lack of dental visits during the 12 months preceding the survey and covariates of interest were examined using a multivariable logistic regression analysis. RESULTS Almost one-half of the respondents (49.7 percent) did not visit a dentist in the 12 months prior to the survey. Region of residence was significantly the common variable for the three age categories. In the 15- to 34-year-old category, males and two-person households were significantly less likely to report a dental visit during the 12 months preceding the survey. For the 35- to 54-year-old category, a low level of education was the covariate associated with the lack of dental visit. In the 55 years or older category, the factors associated with the lack of a dental visit in the 12 months prior to the survey were: male gender, low level of education, low household income, low weekly alcohol consumption, current smoker, and body mass index of ≥ 25 mg/kg(2). CONCLUSION Barriers to dental visits in Belgium differ among age groups and are linked to personal and environmental factors. The findings confirm the existence of social health inequalities in dental visits among Belgian people.
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Affiliation(s)
- Pascaline Kengne Talla
- Department of Social and Preventive Medicine, Université Laval, Rue de l'Espinay, Quebec, Canada.
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