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Evaluation of an Educational Intervention in Oral Health for Primary Care Physicians: A Cluster Randomized Controlled Study Publisher Pubmed



Mohebbi SZ1, 2 ; Rabiei S1, 2 ; Yazdani R1, 2 ; Nieminen P3 ; Virtanen JI4, 5
Authors
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Authors Affiliations
  1. 1. Tehran University of Medical Sciences, Research Center for Caries Prevention, Dentistry Research Institute, Tehran, Iran
  2. 2. Tehran University of Medical Sciences, Department of Community Oral Health, School of Dentistry, P.O. Box 1439955991, Tehran, Iran
  3. 3. University of Oulu, Medical Informatics and Statistics Research Group, P.O. Box 5000, Oulu, FI-90014, Finland
  4. 4. University of Bergen, Department of Clinical Dentistry, Faculty of Medicine, P.O. Box 7804, Bergen, N-5020, Norway
  5. 5. Oulu University Hospital, Medical Research Center, P.O. Box 21, Oulu, FI-90029, Finland

Source: BMC Oral Health Published:2018


Abstract

Background: Family physicians are in frequent contact with patients, and their contribution to oral health promotion programs could be utilized more effectively. We implemented an oral health care (OHC) educational seminar for physicians and evaluated its impact on their knowledge retention in OHC. Methods: We conducted an educational trial for primary care physicians (n = 106) working in Public Health Centers in Tehran city. We launched a self-administered questionnaire about pediatric dentistry, general dental, and dentistry-related medical knowledge and backgrounds. Physicians in intervention group A (n = 38) received an educational intervention (Booklet, Continuous Medical Education (CME), and Pamphlet), and those in group B (n = 32) received only an OHC pamphlet. Group C (n = 36) served as the control. A post-intervention survey followed four months later to measure the difference in the physicians' knowledge; the Chi-square test, ANOVA and linear regression analysis served for statistical analysis. Results: The intervention significantly increased the physicians' oral health knowledge scores in all three domains and their total knowledge score (p < 0.001). Those physicians who had lower knowledge scores at the baseline showed a higher increase in their post-intervention knowledge. The models showed no associations between the background variables and the knowledge change. Conclusion: The primary care physicians' OHC knowledge improved considerably after an educational seminar with a reminder. These findings suggest that OHC topics should be included in physicians' CME programs or in their curriculum to promote oral health, especially among non-privileged populations. © 2018 The Author(s).