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1.
J Dent Educ ; 84(11): 1262-1269, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32705688

RESUMO

Teledentistry is an innovative technology that can be used to improve access to care and oral health outcomes. Dental students' intention to use teledentistry after completing dental school has not been investigated. PURPOSE: The unified theory of acceptance and use of technology (UTAUT) was used to predict intentions to use teledentistry among 4th-year U.S. dental students. METHODS: A cross-sectional approach was performed for a 7-week period in Spring 2019. All U.S. dental schools (N = 66) were invited to participate and 16 schools agreed to participate. An anonymous survey link was emailed to academic deans for dissemination to students. A total of 1416 4th-year dental students received the anonymous survey link and 210 students completed the survey (response rate = 14.8%). The survey included questions and scales that measured the UTAUT constructs of performance expectancy (PE), effort expectancy (EE), social influence (SI), facilitating conditions (FC), and behavioral intentions (BI). Data were analyzed using SPSS version 24. The study was deemed exempt by institutional review board. RESULTS: The dental students' BI to use teledentistry was significantly predicted by PE (R2 = 33%, P < 0.01), EE (R2 = 24%, P < 0.01), SI (R2 = 24%, P < 0.01), and FC (R2 = 14%, P < 0.01). The UTAUT model was statistically significant in predicting the BI and explained 40% of BI variance (R2 = .40, P < 0.01). CONCLUSIONS: Dental students' perceptions about PE, EE, SI, and FC were associated with BI. Therefore, exposure to teledentistry while in dental school could increase the likelihood of use as a practicing provider.


Assuntos
Intenção , Estudantes de Odontologia , Estudos Transversais , Humanos , Inquéritos e Questionários , Tecnologia
2.
Telemed J E Health ; 24(8): 639-648, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29303678

RESUMO

OBJECTIVES: The aim of this systematic review was to evaluate the validity of using teledentistry in oral care examination and diagnosis. METHODS: In June 2016, a systematic search of the literature was conducted without time restrictions in three electronic databases (Ebscohost, Pubmed, and Scopus). Two reviewers screened the retrieved articles first by title and then by abstract to determine relevant articles for full text review. Studies included were as follows: (1) related to teledentistry, (2) available in full text and English, (3) compared teledentistry application to a gold standard, and (4) provided clear statistical tests for validity. The methodological quality of studies was determined using the "Quality Assessment of Studies of Diagnostic Accuracy (QUADAS)." RESULTS: Seventy-nine studies met the initial search criteria. Following removal of duplicate articles, only 58 were remaining and reviewed by title and abstract, yielding 14 full-text articles. Nine of the full-text articles met the inclusion criteria. Results of the QUADAS assessment varied from 9 to 13 out of 14 items; therefore, studies demonstrated high quality (>60%). Validity of teledentistry varied and is reported by range for the following statistics: sensitivity (n = 8, 25-100%), specificity (n = 7, 68-100%), positive predictive value (n = 5, 57-100%), and negative predictive value (n = 5, 50-100%). Kappa statistics were also reported for evaluation of reliability between gold standard and teledentistry examination (n = 6, 46-93%). CONCLUSIONS: Teledentistry could be comparable to face-to-face for oral screening, especially in school-based programs, rural areas and areas with limited access to care, and long-term care facilities. Identification of oral diseases, referrals, and teleconsultations are possible and valid. The need for methodologically designed studies with appropriate statistical tests to determine the validity of teledentistry exists.


Assuntos
Cárie Dentária/diagnóstico , Odontologia/normas , Diagnóstico Bucal/normas , Saúde Bucal/normas , Reprodutibilidade dos Testes , Telemedicina/normas , Humanos
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