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Pilot study to train dentists to communicate about oral cancer: the impact on dentists' self-reported behaviour,
O Awojobi1, J T Newton1, S E Scott1
1Unit of Social and Behavioural Sciences, Division of Population and Patient Health King's College London Dental Institute Caldecot Road, London, SE5 9RW.
Objectives:
To evaluate the effect of a brief, focused training session on the use of an oral cancer communication guide on dentists' intentions, self-efficacy and beliefs with regards to communicating about oral cancer with patients.
Design:
Pre-post intervention study.
Setting:
The training session took place in a lecture theatre at King's College London.
Subjects And Methods:
Dentists working in various settings were trained on the use of the oral cancer communication guide via a structured session that included an update on oral cancer, modelling the use of the guide in practice, and role playing. Dentists (n = 39) completed questionnaires pre-training, immediately post-training (n = 31) and after 2 weeks (n = 23). Questionnaires assessed current practice, self-efficacy and barriers to discussing oral cancer.
Results:
A significantly higher proportion of dentists reported that they informed patients that they were being screened for oral cancer post-training (44%) than pre-training (16%). Significantly fewer perceived barriers and higher self-efficacy to discuss oral cancer were also reported.
Conclusion:
Training dentists in the use of the guide showed positive impact by reducing perceived barriers and increasing self-efficacy.
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Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...