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Title: An evaluation of an educational intervention to modify the referral behaviours of primary health care professionals; with regard to their housebound client's oral health
Author: Smith, M. J.
ISNI:       0000 0001 3450 9153
Awarding Body: Queens -Belfast
Current Institution: Queen's University Belfast
Date of Award: 2008
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Aim: To evaluate an educational intervention provided to primary health care professionals; district nurses, ~tOcial workers and general medical practitioners, to promote referral of housebound patients for oral care with the Community Dental Service (CDS). Design: A cross-sectional survey; a paired samples, cluster-based, randomized, controlled trial, and a time-series trial. Setting: Homefirst Community Trust, Northern Ireland. Subjects: A convenience sarpple of all the members of 34 district nursing (DN) teams and 15 social work (SW) teams who were in contact with housebound people within Homefirst Trust. The total number of eligible DNs in the sample was 257 and the number of SWs was 158. A second convenience sample of 196 general medical practitioners (GMPs), consisting of all GMPs working within the area of Homefirst Trust. Results: Significantly larger proportions of DNs had been qualified for longer periods of time compared to SWs. Fifty-four percent of respondents saw housebound clients daily, but SWs were significantly less likely to encounter housebound people every day. Two work-related dental knOWledge scales were derived; a Dental Service Knowledge Scale (DSKS) and a CDS Encounters Scale (CDSES). The DNs' and SWs' mean DSKS scores were similar, but the DNs had significantly greater mean CDSES scores compared with SWs. The DNs achieved significantly higher scores than the SWs for a Professional Dental Assessment Scale (PDAS). However, the SWs had significantly higher mean scores than the DNs for 3 professional dental management scales, measuring intention to refer to a dentist. District nurses and SWs who felt confident to refer to a der:'tist were older and knew how to make a referral to the CDS. The educational intervention promoting referral was effective with DNs and SWs, but ineffective with GMPs. Conclusions: The educational intervention was effective with DNs and SWs, but inefficient in promoting dental referral of housebound people.
Supervisor: Not available Sponsor: Not available
Qualification Name: Queens -Belfast, 2008 Qualification Level: Doctoral
EThOS ID:  DOI: Not available