Abstract:The objective of this study was to assess the tobacco cessation knowledge, attitudes, practices, and perceived barriers of dental interns (students in their last year of the ive-year dental curriculum) in India as well as to assess the adequacy of training in tobacco use cessation (TUC) counselling. This was a cross-sectional questionnaire study conducted with 1,521 interns at iftyone dental colleges of India selected by multistage random sampling. The survey instrument was a ifty-nine-item, self-structured, a… Show more
“…In a nationwide study among fth-year dental students (interns) of India, Balappanavar et al had reported that lack of resources and referral centres and; lack of training were the major barriers faced by interns in practicing tobacco cessation. 31 Similar observations for the practice of tobacco cessation were reported by other studies. 17 In the present study, signi cantly a greater number of postgraduate than undergraduate dental professionals considered the low priority of preventive dentistry in the dental curriculum as a barrier.…”
Aim: The present research aimed to assess barriers to provide preventive dental care among practicing dentists of Central India.Materials and Methods: This cross-sectional questionnaire-based study was conducted among practicing dentists of Madhya Pradesh state, India. A Web-based questionnaire was designed to collect demographic information and responses on a Likert scale for 12 barriers. The barriers were subcategorized as patient-, dentist- and practice-related barriers. Data collected were statistically analysed using Pearson’s chi-square test and multivariate logistic regression analysis. P values <0.05 were considered statistically significant.Results: The ignorance of patients for regular dental visits, considering preventive care as non-profitable, and the traditional curative nature of dentistry was considered as barriers by all the dentists. A significant difference was observed between dentists with different years of dental practice for patient’s unwilling to pay for preventive care, no respect in preventive care practice and scarcity of printed materials for dental health education. Low priority of preventive dentistry in the dental curriculum had 10.585 times higher odds among postgraduate than graduate dental professionals.Conclusion: The findings of the study revealed that dentists in central India consider patients’ attitude, respect in preventive care, monetary benefits, existing curriculum and curative nature of dental practice as potential barriers to providing preventive care.
“…In a nationwide study among fth-year dental students (interns) of India, Balappanavar et al had reported that lack of resources and referral centres and; lack of training were the major barriers faced by interns in practicing tobacco cessation. 31 Similar observations for the practice of tobacco cessation were reported by other studies. 17 In the present study, signi cantly a greater number of postgraduate than undergraduate dental professionals considered the low priority of preventive dentistry in the dental curriculum as a barrier.…”
Aim: The present research aimed to assess barriers to provide preventive dental care among practicing dentists of Central India.Materials and Methods: This cross-sectional questionnaire-based study was conducted among practicing dentists of Madhya Pradesh state, India. A Web-based questionnaire was designed to collect demographic information and responses on a Likert scale for 12 barriers. The barriers were subcategorized as patient-, dentist- and practice-related barriers. Data collected were statistically analysed using Pearson’s chi-square test and multivariate logistic regression analysis. P values <0.05 were considered statistically significant.Results: The ignorance of patients for regular dental visits, considering preventive care as non-profitable, and the traditional curative nature of dentistry was considered as barriers by all the dentists. A significant difference was observed between dentists with different years of dental practice for patient’s unwilling to pay for preventive care, no respect in preventive care practice and scarcity of printed materials for dental health education. Low priority of preventive dentistry in the dental curriculum had 10.585 times higher odds among postgraduate than graduate dental professionals.Conclusion: The findings of the study revealed that dentists in central India consider patients’ attitude, respect in preventive care, monetary benefits, existing curriculum and curative nature of dental practice as potential barriers to providing preventive care.
“…All twelve studies 15,21,30,35,36,44,46,49,57,58,68,66 reported that study participants had a formal training in tobacco cessation (Figure 5) and among thirty one 16, 18,19,22,26,28-33,35,37,39, 41,42,44,48,50,52,53,55,56,58,59,61,67,70,66,68,71 studies which assessed barriers related to tobacco cessation interventions (Figure 6), time and training were cited to be the most common barriers.Figure 5.Heatmap of questions on curriculum on tobacco cessation interventions.Figure 6.Heatmap of questions on barrier towards tobacco cessation interventions.…”
Section: Resultsmentioning
confidence: 99%
“…Among the thirty four studies 18,19,22,26,28-30,33-35,37,41,43-51, 54-56,58,59,61,67,70,68 which assessed the practice among dental professionals on tobacco cessation counseling (Figure 4), this review found that dental professionals were in the practice of conducting tobacco cessation counseling. 18,19,30,[33][34][35]43,46,47,49,50,54,56,66 The practice of 5As was followed more as compared to 5Rs, as evident from Figure 4. It was also observed that brief counseling was more prevalent as compared to prescribing NRT, 22,29,35,37,43,49,51,59,68,66 drugs.…”
mentioning
confidence: 99%
“…18,19,30,[33][34][35]43,46,47,49,50,54,56,66 The practice of 5As was followed more as compared to 5Rs, as evident from Figure 4. It was also observed that brief counseling was more prevalent as compared to prescribing NRT, 22,29,35,37,43,49,51,59,68,66 drugs. 22,41,44,49,68,66 All twelve studies 15,21,30,35,36,44,46,49,57,58,68,66 reported that study participants had a formal training in tobacco cessation (Figure 5) and among thirty one 16,18,19,22,26,[28]…”
BACKGROUND With the emergence of the WHO Framework Convention on Tobacco Control, globally the use of tobacco has decreased notably, although, it still requires efforts at individual, organizational, community level to decrease the rate further. Dental professionals are at an excellent position to provide tobacco cessation counselling and interventions, however, it is not practiced much due to lack of training and lack of knowledge. Therefore, this systematic review was conducted to assess the global status of knowledge, attitude and practice on tobacco cessation interventions among dental professionals. MATERIALS AND METHOD A systematic search of 6 databases with no language restriction since 2000 was undertaken. Studies were included if they assessed knowledge, attitude and practice on tobacco cessation interventions among dental professionals using a validated or prevalidated tool. The data obtained for assessment of knowledge, attitude, practice, curriculum and barriers were represented through heatmaps. Quality assessment of the studies was done using Newcastle Ottawa scale. RESULTS Fifty six studies were included in this systematic review. Majority of the studies were found to be of moderate quality. Knowledge regarding the tobacco cessation interventions was more theoretical than practical. All the studies showed a favorable attitude among dental professionals towards tobacco cessation intervention. CONCLUSION The included studies lack homogeneity in assessing knowledge, attitude and practice on tobacco cessation interventions. The development and validation of a standardized questionnaire to assess knowledge, attitude and practice on tobacco cessation interventions could be a potentially effective way to uniformly gather data on the subject.
“…Balappanavar et al . [ 13 ] in 2013 reported 12.6% of the dental students advising patients against tobacco use, while Rajasundaram et al . [ 14 ] reported 94.2% of the students performing this activity.…”
Introduction:
Recently, Dental Council of India directed all the teaching dental institutions in the country to set up tobacco cessation centers (TCC). International experiences suggest that there are many barriers for the provision of tobacco cessation counseling at dental clinics. In this context, it is important to understand the dental students’ attitudes toward this initiative of tobacco cessation counseling at dental settings.
Materials and Methods:
This qualitative study to document the dental students’ perspectives toward the provision of tobacco cessation counseling using focus group interviews was conducted in two teaching dental institutions in the state of Andhra Pradesh, India. 133 house surgeons from two dental institutions participated in the study and were interviewed as 13 focus groups. MAXQDA (version 12, VERBI GmbH, Berlin, Germany) was used for data analysis. All the interviews were audio recorded and the transcripts were open coded by three independent investigators.
Results:
The response rate in this study was 78.45%. The following themes were extracted from the views and opinions shared by the students: the reluctance of patients to discuss tobacco-related problems; tobacco use among students discouraging them to actively participate in counseling; an opinion that dental clinics are not suitable for the provision of tobacco cessation counseling; belief among students that they are not qualified enough.
Conclusion:
The directives given by the Ministry of Health and Family Welfare in association with Dental council of India to set up TCC at every teaching dental institution are laudable and demonstrate the commitment at policy level toward bringing down tobacco consumption in the country. However, few reforms need to be made in the curriculum to better execute the delegated responsibilities, which include orientation programs for dental students on the scope of the dental profession and workshops on tobacco cessation counseling.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
