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Monsef E, Goodman X, Patil R, White SN. Dentists' knowledge of non-surgical root canal treatment, a systematic review. J Dent 2024; 145:104975. [PMID: 38580057 DOI: 10.1016/j.jdent.2024.104975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 03/06/2024] [Accepted: 03/26/2024] [Indexed: 04/07/2024] Open
Abstract
OBJECTIVES Dental practice is based upon dentists' cognitions, knowledge being foundational. Knowledge is attained through education and perception. Although knowledge is modulated by beliefs, attitudes, preferences, and behaviors, it is essential to evidence-based practice. Cross-sectional studies uniformly demonstrate that community NSRCT is of sub-optimal quality worldwide, is lack of knowledge a problem? Our purpose was to measure dentists' knowledge of root canal treatment (NSRCT). DATA Quantitative and qualitative data were extracted: purpose, topics assessed, authors cited knowledge sources, number of dentists studied, number of questions, authors descriptors of knowledge level,% correct answers by question, authors recommendations. SOURCES OVID Medline, EMBASE, Web of Science, and hand-searching. STUDY SELECTION Studies which had measured dentists' knowledge of non-surgical root canal treatment that was valuable, reliable, and had practical implications which could be implemented. A total of 51 papers from 19 countries measured the knowledge of 15,580 dentists using 445 questions on 29 root canal treatment topics. CONCLUSIONS 'Gold standards' were from literature, external bodies, or expert consensus in 47, 31, and 2 papers respectively. Levels of knowledge by percentage correct answers among studies were poor to moderate and varied considerably. The mean, for the 50 studies where overall study percentages could be calculated, was 57 %, standard deviation 17 %, and a range of 16 % to 82 %. Authors' adjectives describing knowledge levels were generally negative. Additional education was advised in 49 papers, but without evidence that education was inadequate; 6 papers recommended increased use of protocols; only 5 papers advocated research on the cause of lack of knowledge. CLINICAL SIGNIFICANCE Dentists' root canal treatment knowledge was found to be poor to moderate, as well variable. This may constrain quality of care. However, provision of information without attention to dentists' cognitions and motivations may not be successful. Educational strategies and goals should be re-evaluated. Evidence-based practice faces many barriers.
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Affiliation(s)
| | | | - Rucha Patil
- UCLA School of Dentistry, Los Angeles, CA, USA
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Erdem RZ, Yılmaz C, Uygun LA. Evaluation of the attitude and knowledge level of dentistry undergraduate and specialist students towards epilepsy patients. Epilepsy Behav 2023; 149:109497. [PMID: 37925872 DOI: 10.1016/j.yebeh.2023.109497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 10/13/2023] [Accepted: 10/14/2023] [Indexed: 11/07/2023]
Abstract
OBJECTIVE The objective of this research, which was carried out at a faculty of Dentistry situated in Turkey, was to assess the differences in awareness, knowledge, and attitudes about epilepsy among preclinical and clinical undergraduate students as well as speciality students. Moreover, this study seeks to ascertain the adequacy of the curriculum and clinical training provided to dental students in the context of managing patients with epilepsy. The aim is to ensure a full grasp of the subject matter and the development of practical skills. MATERIAL-METHOD At order to facilitate the research done at the Faculty of Dentistry at Afyonkarahisar Health Sciences University, Turkey, a comprehensive questionnaire including eight sections and a total of 60 questions was distributed to students at various stages of their dental education, including preclinical, clinical, and speciality students. RESULT The present study used a descriptive, cross-sectional methodology, including a total of 477 participants from various sections (preclinical, clinical, and speciality) within the Faculty of Dentistry at Afyonkarahisar Health Sciences University. When examining the overall understanding of epilepsy, a statistically significant difference was discovered across the various groups. It is noteworthy that a substantial proportion (68.4 %) of students specializing in a particular field displayed a high level of knowledge, which is in stark contrast to the percentages of clinical (40.5 %) and preclinical (29.4 %) students who exhibited similar levels of understanding. CONCLUSION This study conducted at a dental college in Turkey revealed a discernible gradient of knowledge, with speciality students exhibiting the greatest degree of knowledge, followed by clinical students, and subsequently preclinical students. In clinical settings, it was observed that students generally had a favorable disposition while interacting with individuals afflicted with epilepsy. Nevertheless, there was a prevailing sentiment of insufficient preparation and instruction. Hence, it is feasible to augment instructional lectures via the use of problem-based or simulation-based learning frameworks.
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Affiliation(s)
- Rahime Zeynep Erdem
- Department of Restorative Dentistry, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.
| | - Cemile Yılmaz
- Department of Restorative Dentistry, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
| | - Latife Altınok Uygun
- Department of Restorative Dentistry, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey
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Singh G, Selai C, Islam S, Chaudhary P, Sander JW. Marriage in epilepsy: The impact of the question in knowledge, attitude, and practice surveys. Epilepsy Behav 2018; 85:164-172. [PMID: 29957343 DOI: 10.1016/j.yebeh.2018.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Revised: 05/30/2018] [Accepted: 06/01/2018] [Indexed: 12/21/2022]
Abstract
BACKGROUND Knowledge, attitudes, and practice (KAP) questionnaire-based surveys have captured negative attitudes towards marriage involving people with epilepsy (PWE). The attitudes may vary according to the nature of the question posed, whether personal or generic, in addition to many other covariates. METHODS We carried out meta-proportion and -regression analyses of epilepsy-related KAP surveys published between 1970 and 2016 in the medical literature analysis retrieval system online (MEDLINE) database. RESULTS The pooled estimate of the proportion of those responding positively to the marriage question was 0.45 (95% confidence interval (95%CI): 0.35 to 0.54; I2res = 99.89%). The pooled proportion of positive responders to a personal question (0.40; 95%CI: 0.35 to 0.46) was significantly lower than those responding positively to a generic question (0.64; 95%CI: 0.57 to 0.70) (P = 0.001). When modeled individually in regression analyses, only the continent of origin of the survey (P = 0.001; tau2: 0.06; I2res: 99.8%; adjusted R2: 11.4%) and subject population type (P = 0.02; tau2: 0.07; I2res: 99.9%; adjusted R2: 4.2%) were associated with the pooled estimate of positive responders to the question on marriage. CONCLUSIONS Personal questions probing the possibility of marriage of self or family members to someone with epilepsy bring about negative attitudes more often than generic questions inquiring the marriage-worthiness of PWE.
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Affiliation(s)
- Gagandeep Singh
- Department of Neurology, Dayanand Medical College, Ludhiana, India; NIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK
| | - Caroline Selai
- Education Unit, NIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK
| | - Saiful Islam
- Education Unit, NIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK
| | | | - Josemir W Sander
- NIHR University College London Hospitals Biomedical Research Centre, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK; Chalfont Centre for Epilepsy, Chalfont St Peter, Bucks SL9 0RJ, UK; Stichting Epilepsie Instellingen Nederland (SEIN), Achterweg 5, Heemstede 2103SW, Netherlands.
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Nishina Y, Yoshioka SI. A Survey of Epilepsy-related Knowledge, Attitudes and Practices of Home Healthcare Nurses in the San-in Region of Japan. Yonago Acta Med 2018. [PMID: 29599618 DOI: 10.33160/yam.2018.03.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Background Comprehensive care is necessary for people with epilepsy (PWE) to lead a fulfilling life at home and in the community. The purpose of this study was to determine the epilepsy-related knowledge, attitudes and practices of home healthcare nurses (HHNs) in the San-in region of Japan. Methods A questionnaire survey was conducted by mail of 546 HHNs working in Tottori and Shimane Prefectures. The questionnaire assessed the epilepsy-related knowledge, attitudes and practices of HHNs. For the analysis, simple and cross tabulation of questionnaire responses were conducted, and the chi-squared test was used for statistical testing. Results A total of 285 HHNs participated in the study. Of the respondents, 43.9% had experience taking care of PWE in a home healthcare nursing setting. Regarding the cause of epilepsy, in descending order the percentage of correct responses were 86.7% for stroke, 85.3% for head injury, and only 13.3% for dementia. Concerning how to respond to an epileptic seizure, almost all respondents answered correctly, but 29.8% gave the incorrect answer of "place something inside the mouth." Regarding the practices of HHNs in relation to caring for PWE, nurses scored 52.0% for collaborating with the attending physician, indicating the need for improvement. The score for "provide information about social resources" was low at 18.4%. Of the respondents, 95.8% answered that epilepsy-related knowledge and technical skills were necessary for home healthcare nursing practice, and 87.7% were interested in participating in a workshop on epilepsy. Conclusion The study revealed an inadequate level of knowledge of epilepsy with dementia and corresponding epileptic seizures, a low awareness of nursing care in collaboration with physicians, and the importance of providing information about social resources. There is a need to offer information and education on the latest knowledge about epilepsy to HHNs.
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Affiliation(s)
- Yuko Nishina
- Department of Nursing Care Environment and Mental Health, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan
| | - Shin-Ichi Yoshioka
- Department of Nursing Care Environment and Mental Health, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan
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Alhalaiqa F, Al Omari O, Batiha AM, ALBashtawy M, Masa'Deh R, Al-Ghabeesh S, Bashayreh I. Knowledge and Attitudes of Jordanian University Students Toward Epilepsy: A Cross-Sectional Comparison Study. INTERNATIONAL QUARTERLY OF COMMUNITY HEALTH EDUCATION 2017; 38:75-82. [PMID: 29258390 DOI: 10.1177/0272684x17749569] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
People with epilepsy face stigma which arguably causes more suffering than the disease itself. The purpose of this study is to compare the knowledge and attitudes of nursing with nonnursing Jordanian university students toward epilepsy. A cross-sectional comparative, quantitative study was conducted. A newly structured questionnaire was developed to collect related data. The results revealed that there were 145(30.5%) nursing students and 331 (69.5%) nonnursing students with mean age of the participants was 22.9 years ( SD = 4.7) and 60% of them were men. Although the majority of the Jordanian university students were aware of epilepsy, their knowledge varied according to their major subject of study. Nursing students possessed a good knowledge of, and more positive attitudes toward, epilepsy compared with other nonnursing students. Therefore, universities are required to improve the knowledge of their students about epilepsy by integrating education about health and first aid course into their curriculum.
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Affiliation(s)
- Fadwa Alhalaiqa
- 1 Faculty of Nursing, Philadelphia University, Amman, Jordan
| | - Omar Al Omari
- 2 Faculty of Nursing, 123295 Jerash University , Jerash, Jordan
| | | | | | - Rami Masa'Deh
- 4 School of Nursing, Applied Science Private University, Amman, Jordan
| | - Suhair Al-Ghabeesh
- 5 Faculty of Nursing, 84977 Al-Zaytoonah Private University of Jordan , Amman, Jordan
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Dental students' knowledge and attitudes toward patients with epilepsy. Epilepsy Behav 2014; 36:2-5. [PMID: 24835896 DOI: 10.1016/j.yebeh.2014.04.008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2014] [Revised: 03/27/2014] [Accepted: 04/12/2014] [Indexed: 11/23/2022]
Abstract
BACKGROUND Inadequate knowledge and negative attitudes toward epilepsy can affect the provision of health services for patients with epilepsy. AIM The aim of the present study was to assess the knowledge and attitudes toward epilepsy among clinical dental students in Jordan. METHOD The study was conducted using a 21-item questionnaire to assess professional experience with epilepsy, knowledge about epilepsy, social tolerance, and willingness to care for patients with epilepsy among dental students at the University of Jordan. RESULTS More than one-third of dental students believed that epilepsy is due to insanity or mental illness. Only 45% were able to identify convulsion or shaking as a sign of epilepsy, and more than one-third did not know how to act in case of an epileptic seizure in the dental clinic. Disappointingly, 43.4% of the respondents were of the opinion that people with epilepsy should not have children, and only 38.6% thought that people with epilepsy should be employed at the same jobs as other people. About 50% indicated that their families would be concerned about them treating patients with epilepsy, and 30% believed that knowing that patients with epilepsy were treated in their clinic might make other patients reluctant to continue their treatment there. CONCLUSION The results revealed an inadequate level of knowledge and negative attitudes toward epilepsy among dental students at the University of Jordan. There is an urgent need to educate dental students about epilepsy.
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Dorota T, Witkowska M, Michalak M. Attitudes of employees of service and trading companies towards people with epilepsy and their professional activity in Poland. Seizure 2013; 23:178-83. [PMID: 24332504 DOI: 10.1016/j.seizure.2013.11.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 11/08/2013] [Accepted: 11/11/2013] [Indexed: 10/26/2022] Open
Abstract
PURPOSE Attitudes are shaped by the influence of the media and fixed social beliefs. Lack of interaction with people suffering from epilepsy may result in an inaccurate perception of this particular group. The aim of this study was to examine attitudes towards people with epilepsy as potential colleagues. METHOD A group of 187 employees, employed in medium sized service and trading companies was analyzed. Each employee completed a questionnaire divided into three attitude components: knowledge, emotions and behaviour. Each of these attitude subscales was analyzed separately. The results were verified with statistical tests. RESULTS The lowest mean score was obtained by respondents on the knowledge subscale, a higher score was obtained on the emotions subscale whilst the highest on the behavioural subscale. Over half of respondents expressed an accepting attitude towards people with epilepsy. According to 67% of respondents, people with epilepsy have equal possibilities as far as access to work is concerned. Education had statistically significant scores within the emotions component. No correlation was found between any of the declared attitudes of respondents and their seniority, age or sex. Familiarity with a person with epilepsy translated into a higher level of knowledge and a positive perception of a patient as a possible future colleague. CONCLUSIONS To improve the employment situation of people with epilepsy, knowledge among workers should be increased. This should be done at various levels of employment to ensure that the risks of employing a person with epilepsy are more adequately assessed and mitigated if possible.
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Affiliation(s)
- Talarska Dorota
- Department of Preventive Medicine, Karol Marcinkowski University of Medical Sciences, Poznan, Poland.
| | - Monika Witkowska
- Department of Preventive Medicine, Karol Marcinkowski University of Medical Sciences, Poznan, Poland
| | - Michał Michalak
- Department of Computer Sciences and Statistics, Karol Marcinkowski University of Medical Sciences, Poznan, Poland
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Harimanana A, Chivorakul P, Souvong V, Preux PM, Barennes H. Is insufficient knowledge of epilepsy the reason for low levels of healthcare in the Lao PDR? BMC Health Serv Res 2013; 13:41. [PMID: 23379720 PMCID: PMC3585716 DOI: 10.1186/1472-6963-13-41] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2012] [Accepted: 12/28/2012] [Indexed: 11/10/2022] Open
Abstract
Background The treatment gap for epilepsy is considerable in low and middle-income countries. In the Lao PDR it is estimated at over 90%. Health workers play a significant role in bridging the gap between people with epilepsy (PWE) and access to epilepsy care. In a national survey we assessed: 1) the knowledge and practices of health workers in the Lao PDR towards the disease, and, 2) patient attendance at health facilities. Methods We conducted a random three-stage sampling of health workers at the provincial, district and health center levels in 2009. Results Overall, 284 health workers were enrolled in 50 health facilities of 11 provinces: health centers 24.7%; district hospitals 23.2%; and province hospitals 52.1%. Only a minority of these (2.5%) recalled ever having received training or seeking information on epilepsy. Our survey showed a lack of knowledge in diagnosing and prescribing drugs for epilepsy, including phenobarbital, the first-line of treatment. The majority of respondents (59.9%) was unaware of the availability of antiepileptic drugs in health facilities. Only 10 (20%) health facilities, and no health centres, received people with epilepsy. It was estimated that one PWE per month receives medical attention. Traditional beliefs about PWE were common; such as the idea that epilepsy could be transmitted through saliva (63.2%). A higher attendance of PWE was observed in province hospitals where the knowledge of epilepsy care was higher. Global acceptance of people with epilepsy was low. Conclusions The low level of knowledge of epilepsy on the part of health workers may be contributing to the wide treatment gap in the Lao PDR. Improving knowledge of this disease and increasing the availability of antiepileptic drugs will reduce misconceptions about epilepsy, thus encouraging more PWE to seek treatment. Community-based educational programs and extensive advocacy for people with epilepsy only began in 2009.
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Affiliation(s)
- Aina Harimanana
- Institut Francophone pour la Médecine Tropicale (IFMT), BP 9519, Vientiane, Lao PDR, Laos
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