在初级保健牙医咨询期间使用客观风险沟通工具的障碍和促进者:理论领域框架 (TDF) 基于定性研究
Danielle Musson1, Heather Buchanan1, Matthew Nolan2
1University of Nottingham, School of Medicine, Faculty of Medicine and Health Sciences, Nottingham, United Kingdom.
Journal of dentistry
|January 20, 2024
概括
在牙科中实施风险沟通工具面临诸如资源限制等障碍,但同事支持有助于实现这一目标. 牙医看到了价值,但需要帮助整合这些辅助工具来改变患者的行为.
科学领域:
- 行为科学 行为科学
- 卫生沟通健康沟通
- 牙科实践 牙科实践
背景情况:
- 客观风险沟通工具有助于临床判断和患者对健康风险的理解.
- 将这些工具整合到初级保健牙科环境中,需要了解实施障碍和促进者.
研究的目的:
- 通过使用理论领域框架 (TDF) 确定在初级保健牙科咨询中实施风险沟通援助的障碍和促进者.
主要方法:
- 采访了13名牙医,使用TDF信息的半结构化时间表.
- 采访数据的诱导和演编码使用TDF.
主要成果:
- 确定了8个理论领域和13个子主题.
- 障碍包括资源不足和患者因素;促进者包括自我监测和同事支持.
- 牙医们对该工具持乐观看法,但对其改变行为效果表示怀疑.
结论:
- 在牙科环境中实施风险沟通工具的六个障碍和七个促进因素被确定.
- 牙医重视风险沟通工具,但需要额外的支持,以便无地融入实践.
- 研究结果支持使用牙科风险沟通来改变患者行为的干预措施.
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