| Evaluate, assess, treat: development and evaluation of the EAT framework to increase effective communication regarding sensitive oral-systemic health issues. | |
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MedLine Citation:
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PMID: 23050505 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Oral healthcare providers are likely to encounter a number of sensitive oral/systemic health issues whilst interacting with patients. The purpose of the current study was to develop and evaluate a framework aimed at oral healthcare providers to engage in active secondary prevention of eating disorders (i.e. early detection of oral manifestations of disordered eating behaviours, patient approach and communication, patient-specific oral treatment, and referral to care) for patients presenting with signs of disordered eating behaviours. The EAT Framework was developed based on the Brief Motivational Interviewing (B-MI) conceptual framework and comprises three continuous steps: Evaluating, Assessing, and Treating. Using a group-randomized control design, 11 dental hygiene (DH) and seven dental (D) classes from eight institutions were randomized to either the intervention or control conditions. Both groups completed pre- and post-intervention assessments. Hierarchical linear models were conducted to measure the effects of the intervention whilst controlling for baseline levels. Statistically significant improvements from pre- to post-intervention were observed in the Intervention group compared with the Control group on knowledge of eating disorders and oral findings, skills-based knowledge, and self-efficacy (all P < 0.01). Effect sizes ranged from 0.57 to 0.95. No statistically significant differences in outcomes were observed by type of student. Although the EAT Framework was developed as part of a larger study on secondary prevention of eating disorders, the procedures and skills presented can be applied to other sensitive oral/systemic health issues. Because the EAT Framework was developed by translating B-MI principles and procedures, the framework can be easily adopted as a non-confrontational method for patient communication. |
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Authors:
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R D Debate; D Cragun; A A Gallentine; H H Severson; T Shaw; C Cantwell; S Christiansen; A Koerber; W Hendricson; S L Tomar; K McCormack Brown; L A Tedesco |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-4-5 |
Journal Detail:
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Title: European journal of dental education : official journal of the Association for Dental Education in Europe Volume: 16 ISSN: 1600-0579 ISO Abbreviation: Eur J Dent Educ Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-10-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9712132 Medline TA: Eur J Dent Educ Country: - |
Other Details:
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Languages: ENG Pagination: 232-238 Citation Subset: - |
Copyright Information:
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© 2012 John Wiley & Sons A/S. |
Affiliation:
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Department of Community and Family Health, University of South Florida, Tampa, FL, USA Deschutes Research Institute, Inc., Eugene, OR, USA InterVision Media, Eugene, OR, USA Department of Pediatric Dentistry, College of Dentistry, University of Illinois, Chicago, IL, USA Dental School, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA Department of Community Dentistry & Behavioral Science, College of Health & Human Performance, University of Florida, Gainesville, FL, USA School of Public Health, Emory University, Atlanta, GA, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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