TY - JOUR
T1 - Uptake of best practice recommendations in the management of patients with diabetes and periodontitis
T2 - A cross-sectional survey of dental clinicians
AU - Bissett, S. M.
AU - Presseau, J.
AU - Rapley, T.
AU - Preshaw, P. M.
N1 - Funding Information:
Susan Bissett is funded by a UK National Institute for Health Research Doctoral Research Fellowship (DRF-2014-07-023) and an Oral & Dental Research Trust DCP award (2013) funded the survey. This paper presents independent research and the views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors would like to thank the British Society of Periodontology and British Society of Dental Hygiene & Therapy for allowing distribution of the survey.
Funding Information:
Acknowledgements Susan Bissett is funded by a UK National Institute for Health Research Doctoral Research Fellowship (DRF‑2014‑07‑023) and an Oral & Dental Research Trust DCP award (2013) funded the survey. This paper presents independent research and the views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors would like to thank the British Society of Periodontology and British Society of Dental Hygiene & Therapy for allowing distribution of the survey.
Publisher Copyright:
© 2019, Nature Publishing Group. All rights reserved.
PY - 2019/1/25
Y1 - 2019/1/25
N2 - Introduction Published guidance documents describe best practice recommendations for management of patients with diabetes and periodontitis. However, little is known about their uptake by dental professionals. Aims To explore current practice and behavioural correlates for three behaviours in the management of patients with diabetes and periodontitis: ‘informing’ patients about the links; ‘considering’ the impact of periodontitis treatment on glycaemic control; and ‘contacting’ the patient’s doctor. Methods Participants (N = 328) recruited via two UK professional dental societies completed online questionnaires assessing their ‘informing’, ‘considering’ and ‘contacting’ activities, utilising constructs from behavioural and implementation theories (social cognitive theory and normalisation process theory). Results There was good reported uptake of ‘informing’ and ‘considering’, with clinicians performing these behaviours in more than eight of their last ten patients. However, there was poor uptake of ‘contacting’. Periodontal specialists had significantly higher scores for ‘contacting’ (3.44±4.16 of last ten patients) than dental hygienist/therapists (0.57±1.37, p <0.001), who mainly relied on dentists to contact the doctor. Respondents indicated negative experiences of ‘contacting’, preferring to communicate via the patient than contact the doctor directly. Conclusion Contacting the doctor can be problematic and dental clinicians generally chose not to do this, indicating a mismatch between this best practice recommendation and preferences of dental clinicians.
AB - Introduction Published guidance documents describe best practice recommendations for management of patients with diabetes and periodontitis. However, little is known about their uptake by dental professionals. Aims To explore current practice and behavioural correlates for three behaviours in the management of patients with diabetes and periodontitis: ‘informing’ patients about the links; ‘considering’ the impact of periodontitis treatment on glycaemic control; and ‘contacting’ the patient’s doctor. Methods Participants (N = 328) recruited via two UK professional dental societies completed online questionnaires assessing their ‘informing’, ‘considering’ and ‘contacting’ activities, utilising constructs from behavioural and implementation theories (social cognitive theory and normalisation process theory). Results There was good reported uptake of ‘informing’ and ‘considering’, with clinicians performing these behaviours in more than eight of their last ten patients. However, there was poor uptake of ‘contacting’. Periodontal specialists had significantly higher scores for ‘contacting’ (3.44±4.16 of last ten patients) than dental hygienist/therapists (0.57±1.37, p <0.001), who mainly relied on dentists to contact the doctor. Respondents indicated negative experiences of ‘contacting’, preferring to communicate via the patient than contact the doctor directly. Conclusion Contacting the doctor can be problematic and dental clinicians generally chose not to do this, indicating a mismatch between this best practice recommendation and preferences of dental clinicians.
KW - Periodontics
UR - http://www.scopus.com/inward/record.url?scp=85060769706&partnerID=8YFLogxK
U2 - 10.1038/sj.bdj.2019.48
DO - 10.1038/sj.bdj.2019.48
M3 - Article
AN - SCOPUS:85060769706
SN - 0007-0610
VL - 226
SP - 131
EP - 137
JO - British Dental Journal
JF - British Dental Journal
ER -
