Substance Use and Dependence Education in Predoctoral Dental Curricula: Results of a Survey of U.S. and Canadian Dental Schools

Huggett, Kathryn N.; Westerman, Gary H.; Barone, Eugene J.; Lofgreen, Amanda S.

doi:10.1002/j.0022-0337.2011.75.8.tb05144.x

Cited by 18 publications

(17 citation statements)

References 7 publications

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“…Little is also known about the implementation of substance misuse education in dental schools; only one study since 1986 has evaluated the extent of substance misuse in pre‐doctoral curricula. In this 2011 study of US and Canadian dental schools, the authors noted that substance misuse and dependence received less coverage in the 4‐year curricula compared to coverage on tobacco and alcohol misuse . Older dentists were less likely to report that their patient health history forms included questions about substance misuse.…”

Section: Discussionmentioning

confidence: 97%

Screening for substance misuse in the dental care setting: findings from a nationally representative survey of dentists

et al. 2015

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Aims The dental setting is a potentially valuable venue for screening for substance misuse. Therefore, we assessed dentists’ inquiry of substance misuse through their patient medical history forms and their agreement with the compatibility of screening as part of the dentists’ professional role. Design A nationally representative survey of general dentists using a sampling frame obtained from the American Dental Association Survey Center (November 2010 – November 2011). Setting United States of America Participants 1,802 general dentists Measurements A 38 item survey instrument assessing the relationship between dentists’ practice, knowledge, behaviors, and attitudes with their query about substance misuse and their belief that such screening is part of their professional role. Findings Dentists who accepted substance misuse screening as part of their professional role were more likely to query about misuse with their patients (85.8%) compared with those who did not accept such screening as part of their role (68.2%) (p<0.001). Prior experience and knowledge about substance misuse were the strongest predictors of dentists’ inquiry about patient substance use/misuse and acceptance of screening as part of their role in their clinical practice (p<0.05). Conclusion While more than three quarters of U.S. dentists-report that they ask their patients about substance misuse, two-thirds do not agree that such screening is compatible with their professional role.

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Section: Discussionmentioning

confidence: 97%

Screening for substance misuse in the dental care setting: findings from a nationally representative survey of dentists

et al. 2015

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“…As shown in past research, one of the primary reasons students fail to provide adequate intervention is that they do not feel adequately trained. [ 15 ] Hence, tobacco cessation counseling teaching needs to be included as a part of the predoctoral curriculum if students are to acquire skills in this aspect of dental practice. Of the most important issues to be addressed is that a comprehensive and logically step-wise progressive multi-year curriculum on tobacco cessation counseling teaching needs to be included as a part of the predoctoral curriculum.…”

Section: Discussionmentioning

confidence: 99%

“…Studies are beginning to establish evidence that the more consistently and effectively dental students provide tobacco cessation counseling while in training, the more likely they will provide it when they become practitioners. [ 15 ] There is also evidence that tobacco education should be provided early and re-enforced throughout the professional dental school curriculum in both didactic and clinical settings. [ 14 ] It has been reported that dental educators have found it difficult to implement tobacco cessation counseling, reporting that the lack of integration of didactic course material and clinical instruction makes it difficult to train students.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of readiness of dental faculty and students in Kuwait to implement a smoking cessation counseling curriculum

Khalaf

Katz

2016

J Int Soc Prevent Communit Dent

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Aims and Objectives:The goal of this study was to assess the readiness of both dental faculty and dental students in Kuwait to implement a smoking cessation counseling curriculum.Materials and Methods:The study population included all faculty and students in their clinical training years at the Faculty of Dentistry, Kuwait University. The survey instrument was a 42-item questionnaire. Data analysis involved employing various methods of descriptive statistics.Results:Students and faculty reported that their general knowledge of what to include in a cessation message was excellent. Students reported and anticipated more clinical barriers than did the faculty. Both students and faculty agreed strongly that they were willing to refer patients for cessation in their clinical practice, faculty were much less willing to prescribe medications for cessation as compared to students. The majority of students and faculty disagreed with the statement that performing cessation was easy. Responses showed that the use of the 5 A's has not penetrated well into clinical practice for either the students or the faculty.Conclusions:Clinical students and faculty members believe smoking cessation counseling to be effective; however, their activity was mostly limited to asking patients if they smoked and both reported their knowledge of cessation counseling to be only fair.

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“…Um estudo apontou que em média 80% dos cursos de odontologia dos Estados Unidos e Canadá abordam o tema das drogas, no entanto apenas as substâncias legais (álcool, tabaco e psicotrópicos) são referidas nos currículos, sendo que a única relação com a droga abordada é a de dependência (Huggett, 2011).…”

Section: Revisão Bibliográficaunclassified

Formação de agentes comunitários de saúde para o desenvolvimento de práticas de atenção básica relativas ao consumo prejudicial de drogas

Cordeiro¹

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This investigation takes as its object the development of theoretical and practical resources for health workers in primary health care (PHC), particularly community health workers (CHW), to address drug consumption problems of residents of the catchment areas of Family Health Units (FHU). The health care team is concerned with PHC practices addressing drug consumption. CHW are particularly affected as they are close to daily problematic situations for which they feel unprepared, leading to frustration and debility. Considering the harm reduction paradigm and the emancipatory education prerogatives, this investigation aims to build a theoreticalmethodological and operational framework to conduct education on drugs for PHC workers. This is an emancipatory action research, which included 18 CHW from four FHU of Sapopemba, a district of São Paulo. Nine workshops were conducted regarding drug subjects followed by six others, to elaborate a guide for CHW. Data were analyzed through two analytical categories 1) object-subject unity, as taken by PHC practices related to harmful drug consumption and 2) work process, in PHC in which CHW take part. The results were organized in two themes which express the evaluation of the educational process conducted: transformations in the conceptions of drug and drug users; transformations of working practices of CHW involving problematic drug consumption. It can be stated from the results that participants changed their conceptions about drug and drug users by aggregating social elements into the chain of determination of harmful consumption of drugs. They also relieved the responsibility for drug misuse from users and their families. Ideological mechanisms such as those that underlie the process of social construction of 'scapegoats' to address the problem of drug use were unveiled. Coherently, the proposed practices to be adopted in PHC were transformed as well, to adding elements of social dynamics of the territories where CHW operate. At the same time, they review their frustration considering the practices adopted before the educational process. Perceived contradiction in everyday living and working were discussed in its essence as well. At the end of the process CHW showed that their practices are political, therefore they must stimulate social and political engagement, social movement and reflection on the social determinants of the harmful drug consumption. Health needs of different social groups should be claimed as a result of this political process. To enclose the action research process, we collectively elaborated a CHW working guide, with the contribution of all participants involved. It is considered that the methodological procedures adopted were essential in transforming conceptions about drugs and drug users, as well as the practices involving harmful drug consumption. They composed the foundation for the critical practices propositions in PHC. Thus, we can affirm that this is an essential education for PHC workers.

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Substance Use and Dependence Education in Predoctoral Dental Curricula: Results of a Survey of U.S. and Canadian Dental Schools

Cited by 18 publications

References 7 publications

Screening for substance misuse in the dental care setting: findings from a nationally representative survey of dentists

Screening for substance misuse in the dental care setting: findings from a nationally representative survey of dentists

Assessment of readiness of dental faculty and students in Kuwait to implement a smoking cessation counseling curriculum

Formação de agentes comunitários de saúde para o desenvolvimento de práticas de atenção básica relativas ao consumo prejudicial de drogas

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