"Knowledge, clinical experience, and perceived need for training regarding molar-incisor hypomineralization among a group of Egyptian dental students: a cross-sectional study".

BACKGROUND: Molar-Incisor Hypomineralization (MIH) is a common oral health condition that can lead to difficulties and complications for both dental professionals and patients. It also has a negative impact on the oral health-related quality of life. The present study aimed to assess the knowledge, clinical experience, and perceived need for training of a group of Egyptian dental students regarding MIH. METHODS: Paper-based survey administration method was used to collect the responses of dental students regarding their knowledge, clinical experience, and perceived need for training about MIH. The survey consisted of two sections of questions regarding clinical features, etiological factors, prevalence, materials used in treating these teeth, factors affecting the choice of restorative materials, and their preferences regarding clinical training of MIH. Descriptive statistics was used for the data analysis by using SPSS® Statistics Version 26. RESULTS: About two-thirds of the respondents were familiar with MIH (69.2%). The vast majority of students (87.8%) had difficulty distinguishing MIH as a developmental defect that differs from other tooth conditions (p < 0.001); most commonly enamel hypoplasia. The most common defects seen by the respondents were yellow/brown opacities (59.1%). Nearly half of the students (45.2%) choose composite resin as the material of choice for the treatment of MIH-affected teeth with aesthetics being the most common factor affecting the selection of restorative material. Almost all students expressed their needs for further clinical training on MIH, especially on treatment aspects. CONCLUSIONS: Most students are familiar with MIH theoretically. However, there is an urgent need to include clinical training on MIH diagnosis in the practical sessions of pediatric dentistry courses.

A survey of evidence-based practice, training, supervision and clinician confidence relating to post-traumatic stress disorder (PTSD) therapies in UK child and adolescent mental health professionals.

Background: Post-Traumatic Stress Disorder (PTSD) in children and adolescents has received increasing recognition in recent decades. Despite development of treatments and improved dissemination efforts, research has identified a number of barriers to implementing these approaches. Objective: This study sought to understand what interventions mental health professionals working with children and adolescents utilised to treat PTSD, their training and supervision, their confidence in assessing and treating PTSD, and how these factors relate to clinicians characteristics (e.g. age, gender, professional background). Method: The study comprised an internet-delivered survey of clinicians working in child and adolescent mental health services in the UK (N = 716). Results: Many clinicians (>40%) had not received training in working with PTSD, with considerable variation between professional background. Lack of training and supervision was associated with reduced clinician confidence in treating children with PTSD (possible range 0-10; training M = 7.54, SD = 1.65, no training M = 5.49, SD = 2.29; supervision M = 7.53, SD = 1.63, no supervision M = 5.98, SD = 2.35). Evidence-based therapies for PTSD such as Trauma-Focused Cognitive-Behavioural Therapy and Eye Movement Desensitisation and Reprocessing were only endorsed modestly by clinicians (58.4% and 37.5%, respectively). Regression analyses identified that lack of training and supervision were significant barriers to the use of evidence-based interventions. Other predictors of clinician confidence and use of evidence-based interventions included profession and years of experience. Participants almost universally wanted more training in working with PTSD. Conclusions: Evidence-based treatments are not currently universally delivered by mental health professionals in the UK, with certain professions particularly lacking training and confidence with this condition. Training around trauma and PTSD may be an ongoing need to boost and maintain confidence in working with PTSD in youth.

Antecedentes: El trastorno de estrés postraumático (TEPT) en niños y adolescentes ha recibido un reconocimiento cada vez mayor en las últimas décadas. A pesar del desarrollo de tratamientos y la mejora en esfuerzos de difusión, la investigación ha identificado una serie de barreras para implementar estos enfoques.Objetivo: Este estudio buscó comprender qué intervenciones utilizaron los profesionales de salud mental que trabajan con niños y adolescentes para tratar el TEPT, su capacitación y supervisión, su confianza en la evaluación y tratamiento del TEPT y cómo estos factores se relacionan con las características de los médicos (por ejemplo, edad, género, antecedentes profesionales).Método: El estudio comprendió una encuesta a través de Internet de los clínicos que trabajan en servicios de salud mental para niños y adolescentes en el Reino Unido (N = 716).Resultados: Muchos clínicos (> 40%) no habían recibido capacitación para trabajar con TEPT, con variación considerable entre los antecedentes profesionales. La falta de capacitación y supervisión se asoció con una menor confianza del clínico en el tratamiento de niños con TEPT (rango posible 0-10; entrenamiento M = 7.54, SD = 1.65, sin entrenamiento M = 5.49, SD = 2.29; supervisión M = 7.53, SD = 1.63, sin supervisión M = 5,98, SD = 2,35). Las terapias basadas en evidencia para el TEPT, como la terapia cognitivo-conductual centrada en el trauma y la desensibilización y reprocesamiento mediante movimientos oculares, solo fueron avaladas modestamente por los clínicos (58,4% y 37,5%, respectivamente). Los análisis de regresión identificaron que la falta de capacitación y supervisión eran barreras significativas para el uso de intervenciones basadas en evidencia. Otros factores de predicción de la confianza y uso de intervenciones basadas en la evidencia por el clínico incluyeron la profesión y los años de experiencia. Los participantes querían casi universalmente más capacitación en el trabajo con TEPT.Conclusiones: Actualmente, los tratamientos basados en evidencia no son entregados universalmente por los profesionales de la salud mental en el Reino Unido, y algunas profesiones carecen particularmente de capacitación y confianza en esta afección. La capacitación sobre el trauma y el TEPT puede ser una necesidad contínua para impulsar y mantener la confianza en el trabajo con TEPT en los jóvenes.

The training and support needs of 22 programme directors of community-based childhood obesity interventions based on the EPODE approach: an online survey across programmes in 18 countries.

BACKGROUND: Tackling childhood obesity is complex and requires a community-based approach implemented in multiple environments. It is known from literature that knowledgeable and skilled professionals are essential to implement such an approach successfully. The aim of the present study was to assess the need for training and support among a global network of programme directors implementing a Community-Based Childhood Obesity Intervention (CBCOI) based on the EPODE approach, in order to assist them in optimising the implementation process. METHODS: An online survey was sent to 40 programme directors representing programmes implementing a CBCOI based on the EPODE approach. The survey consisted of statements on a 5-point Likert scale and multiple-choice questions about attitude towards and usefulness of training and support, and preferences for some predefined training types and training topics. In total, 22 programme directors responded to the survey (55% response rate). Data were analysed using descriptive statistics to describe the need for support in order to improve successful implementation. RESULTS: Respondents strongly agreed that continually updating skills and learning how to make their programmes more effective and sustainable at the start and during the implementation was important. On-site training was preferred most at the commencement of a programme, while a 2-day training course was most valued during implementation. Monitoring, measuring and programme evaluation was identified as the most valuable training topic. CONCLUSIONS: The results indicate a continuing and significant need for support and training among programme directors implementing a CBCOI. The findings give directions regarding topics and types of training and support in order to improve the implementation process.