How do dental practitioners, educators and students diagnose and manage caries risk and caries lesions? A COM-B analysis
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How do dental practitioners, educators and students diagnose and manage caries risk and caries lesions? A COM-B analysis. / Abreu-Placeres, Ninoska; Newton, Jonathon Tim; Avila, Viviana; Garrido, Luis E.; Jácome-Liévano, Sofia; Pitts, Nigel B.; Ekstrand, Kim R.; Ochoa, Emilia M.; Martignon, Stefania.
In: Community Dentistry and Oral Epidemiology, Vol. 51, No. 2, 2023, p. 265-273.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - How do dental practitioners, educators and students diagnose and manage caries risk and caries lesions? A COM-B analysis
AU - Abreu-Placeres, Ninoska
AU - Newton, Jonathon Tim
AU - Avila, Viviana
AU - Garrido, Luis E.
AU - Jácome-Liévano, Sofia
AU - Pitts, Nigel B.
AU - Ekstrand, Kim R.
AU - Ochoa, Emilia M.
AU - Martignon, Stefania
N1 - Publisher Copyright: © 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - Objective: The International Caries Classification and Management System (ICCMS™), a comprehensive, evidence-informed, best clinical practice system, comprises a 4D cycle: 1D-Determine risk; 2D-Detect and assess lesions; 3D-Decide on a personalized care plan; and 4D-Do preventive and tooth-preserving care. The aim of this study was to establish how Colombian dental practitioners, educators and students diagnose and manage caries risk and caries lesions using the COM-B model and the ICCMS™ system. Methods: A total of 1094 participants (practitioners: n = 277; educators: n = 212; students: n = 605) completed a previously validated 79-item questionnaire which explores, based on the COM-B model, the practitioners' self-reported caries diagnosis and management behaviours. Descriptive statistics, Welch's ANOVAs and multiple linear regressions were computed. Results: All groups generally performed the behaviours within the 4-D categories ‘Most of the time’ to ‘Always’ (students: 4.06 ± 0.95; educators: 3.94 ± 0.98; practitioners: 3.86 ± 1.01). The most frequently performed diagnosis behaviours (1D/2D) were for practitioners assessing initial/moderate lesions (4.09 ± 1.01) and for educators and students cleaning teeth before lesion assessment (4.41 ± 0.80 and 4.38 ± 0.77 respectively). The least frequently performed decision/management (3D/4D) behaviour was non-operative care for moderate-caries lesions (when applicable) (practitioners: 2.64 ± 1.23; educators: 2.68 ± 1.17; students: 3.22 ± 1.41). Opportunity (Resources and Relevance) was the best COM-B predictor for diagnostic behaviours, whereas capability and opportunity (Relevance) were the strongest predictors for management behaviours. Conclusion: Colombian practitioners, educators and students diagnose and manage caries risk and caries lesions implementing best practice with a high to very high frequency.
AB - Objective: The International Caries Classification and Management System (ICCMS™), a comprehensive, evidence-informed, best clinical practice system, comprises a 4D cycle: 1D-Determine risk; 2D-Detect and assess lesions; 3D-Decide on a personalized care plan; and 4D-Do preventive and tooth-preserving care. The aim of this study was to establish how Colombian dental practitioners, educators and students diagnose and manage caries risk and caries lesions using the COM-B model and the ICCMS™ system. Methods: A total of 1094 participants (practitioners: n = 277; educators: n = 212; students: n = 605) completed a previously validated 79-item questionnaire which explores, based on the COM-B model, the practitioners' self-reported caries diagnosis and management behaviours. Descriptive statistics, Welch's ANOVAs and multiple linear regressions were computed. Results: All groups generally performed the behaviours within the 4-D categories ‘Most of the time’ to ‘Always’ (students: 4.06 ± 0.95; educators: 3.94 ± 0.98; practitioners: 3.86 ± 1.01). The most frequently performed diagnosis behaviours (1D/2D) were for practitioners assessing initial/moderate lesions (4.09 ± 1.01) and for educators and students cleaning teeth before lesion assessment (4.41 ± 0.80 and 4.38 ± 0.77 respectively). The least frequently performed decision/management (3D/4D) behaviour was non-operative care for moderate-caries lesions (when applicable) (practitioners: 2.64 ± 1.23; educators: 2.68 ± 1.17; students: 3.22 ± 1.41). Opportunity (Resources and Relevance) was the best COM-B predictor for diagnostic behaviours, whereas capability and opportunity (Relevance) were the strongest predictors for management behaviours. Conclusion: Colombian practitioners, educators and students diagnose and manage caries risk and caries lesions implementing best practice with a high to very high frequency.
KW - comprehensive dental care
KW - dental caries
KW - dentist
KW - faculty
KW - students
U2 - 10.1111/cdoe.12735
DO - 10.1111/cdoe.12735
M3 - Journal article
C2 - 35229897
AN - SCOPUS:85125410906
VL - 51
SP - 265
EP - 273
JO - Community Dentistry and Oral Epidemiology
JF - Community Dentistry and Oral Epidemiology
SN - 0301-5661
IS - 2
ER -
ID: 300382900