Integrating community service learning in undergraduate dental education: A controlled trial in a residential facility for people with intellectual disabilities

Phlypo, Inès; Tobel, Jannick De; Marks, Luc; Visschere, Luc De; Koole, Sebastiaan

doi:10.1111/scd.12298

Cited by 16 publications

(17 citation statements)

References 18 publications

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“…Multi-tiered training can be effective for caregivers. Mac Giolla Phadraig, Guerin, & Nunn, 2015 (Ireland) [39]Cluster RCTEvaluate impact of OH train the trainer program on OH status and hygiene of people with ID in community based care homes.76 caregivers (male n = 42, female n = 43) of adults with ID.No statistically significant differences in PlI and the GI between control and intervention. Accuracy of outcome measures may be affected by difficulty of oral examination among people with ID. Phlypo et al, 2018 (Belgium) [40]Pre-post intervention study.Explore effect of a dental student developed OH education program for caregivers in a residential facility for people with IDD.Residents with severe to profound ID (intervention n = 18; control n = 19). Caregivers (intervention n = 12; control n = 22).Change of PlI and GI from pre to post did not significantly differ between intervention and control.…”

Section: Resultsmentioning

confidence: 99%

“…At post-test, there was a significant increase in caregiver knowledge but no significant difference in caregiver self-efficacy between the intervention and control groups. The study by Phlypo et al [40], reported on a dental student developed oral health program where the intervention group were provided with booklets, an information session and advice on appropriate toothbrushes and toothpaste. The only significant difference was in post-test GI between the intervention and the control group.…”

Section: Resultsmentioning

confidence: 99%

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Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

et al. 2019

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Background: People with intellectual and developmental disability (IDD) have poor oral health and need support to maintain optimal oral health outcomes. Little is known about how, when and where to intervene for this population. Thus the aim of this review was to summarise the existing evidence surrounding improving oral health outcomes for people with IDD. Methods: A scoping literature review was conducted focusing on 'oral health' and 'intellectual disability'. Systematic searches of five electronic databases were conducted in line with the study aims and two authors independently examined all records for relevance, with consensus achieved by a third author. Results: A small number of approaches and interventions were identified to support people with IDD to independently maintain optimal oral hygiene. Identified studies highlighted that caregivers play a vital role in the provision of oral health support, emphasising the effectiveness of educational interventions for caregivers. However, there was uncertainty regarding the efficacy of specific tooth brushing interventions for people with IDD. In cases of more severe IDD and/or dental-related behavioural problems, dental treatment under general anaesthesia was often both a necessary and effective method of oral health care provision. The findings also identified outreach and exclusive oral health services as successful strategies for increasing the limited access of people with IDD to oral care services. Conclusions: A uniform approach to supporting oral health for people with IDD is unlikely to succeed. A systembased approach is needed to address the diverse needs of the population of people with IDD, their caregivers and service context. Further high quality evidence is required to confirm these findings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

et al. 2019

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“…However, for many of these reports, social determinants of health appeared to be an incidental component of the students’ experience because no training activities were specifically implemented to facilitate students’ learning about SDH. Many of the placements involved outreach and oral health promotion 23–31 and immersion into a community organization 32–35 . Two papers described the collaborative development of educational resources which featured filmed interviews with individuals about their experiences with poverty and the impacts of financial hardship on their oral health and access to care 36,37 …”

Section: Resultsmentioning

confidence: 99%

How are the social determinants of health being taught in dental education?

Leadbeatter

Holden

2020

Journal of Dental Education

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Introduction The social determinants of health that influence how wellness and illness are experienced within society must be a core component of dental curricula where aspiring dental professionals are taught about the aetiology and social history of dental diseases. Through this scoping review, we examine the current approaches that have been employed to incorporate the social determinants of health within dental curricula. Methods Using a scoping review methodology, we searched the databases Scopus, PubMed, and Embase using keywords relevant to the social determinants of health and dental education. Results Following screening and sorting, 36 articles were included within this review. The majority of the articles described research that evaluated outcomes of educational interventions with relevance to the social determinants of health. The remainder of the included studies discussed attitudes and readiness relative to the social determinants of health and how this core competency could be taught effectively. Conclusion The included literature revealed that the social determinants of health frequently are not the focus of educational activities in dental curricula, with students frequently having little active guidance on how they might make sense of their educational experiences in this domain. The socioeconomic, cultural, political, geographic, and structural barriers that contribute to patients being impacted by the social determinants of health should be explicitly addressed and discussed with students as a foundation element of the dental curriculum.

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“…[19] In this study, approximately 40.7% of subjects felt underserved patients are difficult to handle. Similarly, in a study conducted by Phlypo et al .,[20] dental students encountered problems when treating patients with poor oral health literacy, the less they enjoyed treating these patients, the less likely they intended to provide care for them in the future. Ultimately, these challenges could interfere with dental students’ level of comfort when providing care to the underserved.…”

Section: Discussionmentioning

confidence: 99%

Attitudes and practices of dental students in providing oral health-care services to underserved rural patients attending dental institutions of Telangana, India

Dande¹,

Gone

Saikrishna

et al. 2019

J Pharm Bioall Sci

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Introduction: Attitude is a relatively enduring organization of beliefs around an object, subject, or concept, which predisposes one to respond in some preferential manner. It decides one’s action. Dental students frequently come across underserved rural population and must have good attitudes toward them, so that the care delivered to them will be optimum. Aim: To assess the attitudes and practices of dental students in providing oral health-care services to underserved rural patients. Materials and Methods: A cross-sectional study was conducted among final-year Bachelor of Dental Surgery (BDS) students, interns, and postgraduate students who are involved in providing dental care in dental institutions of Telangana State, India. A 15-item, self-structured, pretested questionnaire was administered. Descriptive statistics were calculated using the Statistical Package for the Social Sciences (SPSS) software, version 20.0. Attitudes and practices of undergraduates and postgraduates were compared using paired t -test. Results: A total of 574 students participated in the study. Approximately 73.3% of the dental students agreed that they personally want to be involved in providing oral health care for the underserved and 27.1% students disagreed that underserved patients are subjects on whom they can train and expertise. Approximately 56.62% of dental students often asked patients about the expenses they bear for attending a single dental visit and 53.48% tried to minimize the number of appointments required for the patients. No significant difference was observed in attitudes between undergraduates and postgraduates. Conclusion: Dental students had moderate attitude toward underserved patients but this was not reflected in their practices.

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Integrating community service learning in undergraduate dental education: A controlled trial in a residential facility for people with intellectual disabilities

Cited by 16 publications

References 18 publications

Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

Countering the poor oral health of people with intellectual and developmental disability: a scoping literature review

How are the social determinants of health being taught in dental education?

Attitudes and practices of dental students in providing oral health-care services to underserved rural patients attending dental institutions of Telangana, India

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