Document Detail


Evaluate, assess, treat: development and evaluation of the EAT framework to increase effective communication regarding sensitive oral-systemic health issues.
MedLine Citation:
PMID:  23050505     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2012-04-05
Journal Detail:
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:
Created Date:  2012-10-11     Completed Date:  2013-10-17     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9712132     Medline TA:  Eur J Dent Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  232-8     Citation Subset:  D    
Copyright Information:
© 2012 John Wiley & Sons A/S.
Affiliation:
Department of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL 33612, USA. rdebate@health.usf.edu
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MeSH Terms
Descriptor/Qualifier:
Communication*
Dental Hygienists / education
Dentist-Patient Relations*
Eating Disorders* / diagnosis,  prevention & control
Education, Dental*
Female
Humans
Interviews as Topic*
Linear Models
Male
Motivation
Oral Health*
Self Efficacy
Students, Dental
Grant Support
ID/Acronym/Agency:
1RC1DE020274-01/DE/NIDCR NIH HHS; RC1 DE020274-01/DE/NIDCR NIH HHS; UL1 TR000064/TR/NCATS NIH HHS
Comments/Corrections

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