Banca de DEFESA: Regina Cardoso de Moura

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Regina Cardoso de Moura
DATE: 30/06/2023
TIME: 14:30
LOCAL: Plataforma Teams
TITLE:

“COMPETENCES AND BARRIERS OF DENTISTS ON MINIMAL INTERVENTION DENTISTRY: A SYSTEMATIC REVIEW AND CROSS-SECTIONAL STUDY.”

KEY WORDS:

“Dental caries; Evidence-based dentistry; Health knowledge; Aptitude; Attitude of Health Personnel; Professional Practice Gaps.”

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Odontologia
SUMMARY:

“ The objectives of the present study were: 1) to carry out a systematic review (SR) to assess the knowledge, attitudes, and practices (KAP) of dentists regarding Minimal Intervention Dentistry (MID); 2) to develop a questionnaire based on previous studies, measure its psychometric properties and evaluate the knowledge, skills, attitudes, and barriers of dentists in the Federal District (FD), regarding MID. 1) Cross-sectional studies that analyzed KAP results on MID main principles were included. Searches were conducted in January 2022. Two independent reviewers selected the included studies. The methodological quality of the studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Prevalence Studies. A proportion meta-analysis was performed. Cochran's Q test was used to assess heterogeneity and I2 statistics. Of the 2079 identified studies, twelve were included. The combined proportion of knowledge about MID was 75.66% and attitudes and practice was 47.95%. Findings suggest that dentists' knowledge of MID topics is acceptable, and attitudes and practices need improvement. Studies lack uniformity in methods and there is still a need for further studies to elucidate the KAP of dentists. 2) The questionnaire prepared was analyzed by a team of Brazilian experts on the subject. Two focus groups and a pre-test were carried out to check the wording, sequence, and understanding of the questions. The Content Validity Coefficient (CVC) was calculated. The necessary adjustments have been made. After application, Exploratory Factor Analysis was performed to evaluate the factorial structure of the questionnaire. Parallel Analysis was used with a random permutation of the data. A CVC greater than 0.80 was obtained for all items in the questionnaire. The parallel analysis suggested that the questionnaire items are divided into four factors. The factor loadings of the items were adequate in their respective factors. The questionnaire was sent via social media to dentists. Data were consolidated in an Excel® spreadsheet and presented with descriptive statistics. Logistic regression was performed. The significance level adopted was 5% (p<0.05). A sample of 404 participants was obtained. Most respondents, 74% (n=299), were female and had an average experience of 12 years. The best score was obtained in practice regarding guidance on daily toothbrushing with fluoride toothpaste, in which 95.6% (n=386) reported performing it; the worst was the question about knowledge on minimally invasive restorations, with 38.6% (n=156). Regarding the barriers to updating, the following items were identified as having “some difficulty”: “time and organization to update knowledge” (n=143; 35.4%), "appreciation of patients in paying for minimal intervention procedures (MI)” (n=109; 26.9%) and “adequate remuneration for MI procedures” with (n=116; 28.7%). This study showed an overall proportion of knowledge, skills, and attitudes of professionals adequate. It is concluded that the dentists have adequate competencies in MID and some barriers still need to be faced to improve the updating and practice of Minimal Intervention Dentistry.”

BANKING MEMBERS:
Externa à Instituição - DANIELA PROCIDA RAGGIO - USP
Externa à Instituição - ALINE DE AMEIDA NEVES - UFRJ
Interna - 1380052 - CARLA MASSIGNAN
Interna - 2867208 - ELIANA MITSUE TAKESHITA NAKAGAWA
Externo ao Programa - 1768474 - TIAGO ARAUJO COELHO DE SOUZA