Involving the 'consumer' in the evaluation of dental care: a philosophy in search of data

Newton, T.

doi:10.1038/sj.bdj.4801260a

Cited by 10 publications

(19 citation statements)

References 11 publications

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“…As previously outlined, parental attitudes towards the use of HOM and physical restraint are generally negative [16,17]. Given the increasing emphasis on the involvement of consumers in healthcare, practitioners are likely to use such information in treatment planning [21]. The extent to which the use of HOM and physical restraint are taught as part of undergraduate and postgraduate curricula in paediatric dentistry is unknown although neither technique is mentioned in the GDC document ‘The First Five Years’[22].…”

Section: Discussionmentioning

confidence: 99%

Attitudes towards the use of hand over mouth (HOM) and physical restraint amongst paediatric specialist practitioners in the UK

Newton¹,

Patel²,

Shah³

et al. 2004

Int J Paed Dentistry

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Specialist paediatric dental practitioners in the UK are familiar with the technique of HOM although they also feel that this technique should never be used. A large proportion of practitioners felt that the use of physical restraint was appropriate with certain disabled patients. The most commonly anticipated psychological sequeala which may accompany the use of these techniques was subsequent fear of dental treatment.

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Section: Discussionmentioning

confidence: 99%

Attitudes towards the use of hand over mouth (HOM) and physical restraint amongst paediatric specialist practitioners in the UK

Newton¹,

Patel²,

Shah³

et al. 2004

Int J Paed Dentistry

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“…There is some evidence that the use of hand‐over‐mouth, another technique of behaviour management which involves some element of restraint, is declining (24), and that this is related to concerns regarding the acceptability and humanity of such treatments. There is growing concern amongst providers of dental healthcare to consider the views of consumers when considering and planning treatment (25) and dental students appear to be aware of such concerns. Although not reported as a finding of the study, the vignette task did provide a useful discussion topic for students to address issues concerning the acceptability of treatments.…”

Section: Discussionmentioning

confidence: 99%

Students' perceptions of the acceptability of behaviour management techniques

Newton

Sturmey

2003

Eur J Dental Education

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The aim of the present study was to determine the perceptions of dental students of the acceptability of different forms of behaviour management for children. The effect of client characteristics (typically developing or learning disabled), intervention method (relaxation training and reinforcement or physical restraint) and treatment outcome (good or poor) on acceptability ratings made by fourth year dental students was determined. Students rated the acceptability of treatments on the basis of written vignettes using a standardized measure of the acceptability of behavioural treatments (the Treatment Evaluation Inventory, TEI, Kazdin, French and Sherick 1981). The study had a full factorial design; all possible combinations of variables were represented in the vignettes. The results were analysed using ANOVA models. There were significant main effects of intervention method and treatment outcome, indicating that less restrictive methods and good intervention outcome were rated as more acceptable. Significant two- and three-way interactions were found, which suggested that the use of restrictive methods may be perceived as more acceptable for a child with learning disabilities even when the outcome was poor. The second order interactions revealed that the acceptability of restrictive techniques was improved less markedly by a good outcome. This study highlights the importance of empirically evaluating outcome and treatment restrictiveness when engaging in behaviour management during dental procedures.

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“…The importance of patient and community participation in the design and evaluation of health care services is gaining recognition (1‐3). Newton suggested that public, patient, and caregiver acceptability of treatment is a characteristic of service provision that should be included when planning new services, improving existing services, and measuring service quality (4). Acceptability research, ascertaining the perceptions of the prospective decisionmakers or recipients of care, has the potential to investigate whether patient treatment preferences are in agreement with recommendations arising from clinicians and evidence‐based practice.…”

Section: Introductionmentioning

confidence: 99%

“…Guidelines for Developing an Acceptability Assessment. Techniques for assessing acceptability include both quantitative and qualitative methods such as questionnaires, interviews, and focus groups, and it behooves researchers to utilize at least two of these methods to determine the extent that the findings from each method complement the other (4). For example, standardized vignettes describing the health care options allow for systematically measuring the acceptability of these services (4).…”

mentioning

confidence: 99%

Developing an Acceptability Assessment of Preventive Dental Treatments

Hyde

Gansky

Gonzalez-Vargas

et al. 2009

J Public Health Dent

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Objectives Early childhood caries (ECC) is very prevalent among young Hispanic children. ECC is amenable to a variety of preventive procedures, yet many Hispanic families underutilize dental services. Acceptability research may assist in health care planning and resource allocation by identifying patient preferences among efficacious treatments with the goal of improving their utilization. The purposes of this study were (a) to develop a culturally competent acceptability assessment instrument, directed toward the caregivers of young Hispanic children, for five preventive dental treatments for ECC and (b) to test the instrument's reliability and validity. Methods An instrument of five standard treatments known to prevent ECC was developed, translated, reviewed by focus groups, and pilot tested, then tested for reliability. The instrument included illustrated cards, brief video clips, and samples of the treatments and was culturally appropriate for low-income Hispanic caregivers. In addition to determining the acceptability of the five treatments individually, the treatments were also presented as paired comparisons. Results Focus groups and debriefing interviews following the pilot tests established that the instrument has good face validity. The illustrated cards, product samples, and video demonstrations of the five treatments resulted in an instrument possessing good content validity. The instrument has good to excellent test–retest reliability, with identical time 1–time 2 responses for each of the five treatments 92 percent of the time (range 87 to 97 percent), and the same treatment of the paired comparisons preferred 75 percent of the time (range 61 to 90 percent). Conclusions The acceptability instrument described is reliable and valid and may be useful in program planning efforts to identify and increase the utilization of preferred ECC preventive treatments for target populations.

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Involving the 'consumer' in the evaluation of dental care: a philosophy in search of data

Cited by 10 publications

References 11 publications

Attitudes towards the use of hand over mouth (HOM) and physical restraint amongst paediatric specialist practitioners in the UK

Attitudes towards the use of hand over mouth (HOM) and physical restraint amongst paediatric specialist practitioners in the UK

Students' perceptions of the acceptability of behaviour management techniques

Developing an Acceptability Assessment of Preventive Dental Treatments

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