Care pathways and provision in bariatric dental care: an exploration of patients' and dentists' experiences  in the North East of England

Geddis-Regan, Andrew; Asuni, Abisola; Walton, Graham; Wassall, Rebecca

doi:10.1038/s41415-019-0459-4

Cited by 8 publications

(33 citation statements)

References 11 publications

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“…All HCPs should be able to offer advice about healthy weight interventions and obesity prevention, and the dental team is in an ideal position to do so 30 . However, the mixed responses found in this study can be contrasted with the overall willingness of participants to discuss weight that was reported in the qualitative study by Geddis‐Regan et al 12 In contrast to the current study, there was a smaller sample of eight participants examined from a different purposive sample of individuals already having been referred to a bariatric dental service 12 …”

Section: Discussioncontrasting

confidence: 60%

“…The participants in the study by Geddis‐Regan et al, reported they were generally aware of the impact of their weight on dental services 12 . In contrast, the responses of participants in this study reflected a sentiment of individuals with disabilities; that they may feel disempowered to attend to their oral health, given the context of other social and medical challenges 3 .…”

Section: Discussionmentioning

confidence: 63%

“…This qualitative data, obtained from the patient perspective, aims to address this current gap in the literature 10,11 . To the authors' knowledge, the only other qualitative study to explore the perceptions and experiences of adult patients with obesity highlighted barriers to optimal dental care provision in the UK 12 . It is likely that there are underlying themes, which reflect differing environmental, medical and social barriers between Australia and the UK.…”

Section: Introductionmentioning

confidence: 99%

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A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

et al. 2020

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Summary This qualitative study aimed to explore psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity (PwCSO). Eight focus groups were conducted by one researcher with 40 adult participants at the Adult Healthy Weight Clinic within a hospital‐based obesity service. Thematic analysis of focus group transcripts was performed to reveal insights relating to how PwCSO experience dental care and view oral health. A total of 11 participants were male, 29 female, all between the ages of 23 to 74 (mean age of 50). The body mass index of participants ranged from 31.6 to 84.6 kg/m2. The results highlighted four key themes, including “disempowerment to act to improve oral health”, “weight‐related stigma and discrimination”, “unpredictability of the dental environment” and a “lack of tailored services for PwCSO”. A number of subthemes were identified, which reflect the six categories of barriers to access from the disability literature: availability, affordability, acceptability, accommodation, accessibility and appropriateness. These were explored to further appreciate the unique psychosocial considerations for this group. This study concluded that PwCSO face significant barriers to accessing dental services across all six categories highlighted in the disability literature. The study findings provide valuable patient‐based information regarding the psychosocial barriers to accessing dental services, which are relevant for all healthcare professionals. The study reflected an increased need for promotion of the dentist's role in obesity management and obesity‐related dental training, including familiarization with the biopsychosocial domains of obesity to reduce weight related stigma and discrimination, as an area for further study. The findings also guide the design of Specialized Bariatric Dental Services in the future, with a focus on enablers to access.

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

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A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

et al. 2020

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“…Quality scores ranged from 7.5 to 10 (Table 1 in Supporting Information S2). Two studies did not report ethical approval 28,38 ;…”

Section: Study Characteristics and Quality Appraisalmentioning

confidence: 99%

Weight stigma experienced by patients with obesity in healthcare settings: A qualitative evidence synthesis

et al. 2023

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SummaryWeight stigma research is largely focused on quantifiable outcomes with inadequate representation of the perspectives of those that are affected by it. This study offers a comprehensive systematic review and synthesis of weight stigma experienced in healthcare settings, from the perspective of patients living with obesity. A total of 1340 studies was screened, of which 32 were included in the final synthesis. Thematic synthesis generated three overarching analytical themes: (1) verbal and non‐verbal communication of stigma, (2) weight stigma impacts the provision of care, and (3) weight stigma and systemic barriers to healthcare. The first theme relates to the communication of weight stigma perceived by patients within patient–provider interactions. The second theme describes the patients' perceptions of how weight stigma impacts upon care provision. The third theme highlighted the perceived systemic barriers faced by patients when negotiating the healthcare system. Patient suggestions to reduce weight stigma in healthcare settings are also presented. Weight stigma experienced within interpersonal interactions migrates to the provision of care, mediates gaining equitable access to services, and perpetuates a poor systemic infrastructure to support the needs of patients with obesity. A non‐collaborative approach to practice and treatment renders patients feeling they have no control over their own healthcare requirements.

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“…Regardless, we need to be advocates for these patients and our ethical responsibility is to, at the least, be aware of existing facilities, promote public awareness of their locations and eligibility criteria, facilitate referral to an appropriate bariatric dental facility or in its absence, have well-established pathways in local hospitals for emergency management. 8,9 It is important to remember the serious consequences of no treatment for patients with odontogenic infections who require but are unable to access services. It is highly likely that there is a group of patients with Class III obesity who have dental treatment needs but are unaware that catered facilities exist or are at significant high medical risk for even outpatient dental attendance.…”

Section: Z Malikmentioning

confidence: 99%

The state of bariatric dental care in Australia: a silent disability crisis?

Malik

2020

Australian Dental Journal

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In the absence of dental related guidelines available in Australia specific to obesity and minimal awareness of the clinical implications on local dental practice, bariatric dental care can be perceived as a 'silent disability crisis'. This opinion piece and brief clinical note aims to question and raise awareness amongst dental professionals surrounding the current limited availability of bariatric dental chairs, difficulties in access, the safety of dental care delivery and ethical considerations for the dental management of people with obesity.

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Care pathways and provision in bariatric dental care: an exploration of patients' and dentists' experiences in the North East of England

Cited by 8 publications

References 11 publications

A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

Weight stigma experienced by patients with obesity in healthcare settings: A qualitative evidence synthesis

The state of bariatric dental care in Australia: a silent disability crisis?

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