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J Dent Hyg ; 87(6): 353-61, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24357564


PURPOSE: Lifelong control of disease processes associated with dental caries should be an essential part of the process of care for practicing dental hygienists. The purpose of this study was to identify the knowledge, attitudes and practice behaviors among dental hygienists regarding caries risk assessment (CRA) and management. METHODS: Utilizing the American Dental Hygienists' Association (ADHA) Survey/Research Center database of all registered dental hygienists in the U.S., 2,500 actively licensed dental hygienists were randomly selected and sent a web-based survey via SurveyMonkey™. The survey included items about practice characteristics and questions regarding knowledge, attitudes and practice behaviors regarding CRA and management. Second and third emails were sent to non-respondents. A 4-point Likert type scale (1=never, 2=sometimes, 3=frequently and 4=always) was used to rate the occurrence of caries management recommendations used in the practice setting. Frequencies and percentiles were used to evaluate demographic, knowledge and attitude information. RESULTS: The response rate was 9% (n=219) - 87% were ADHA members. Participants reported a high level of comfort (89%) in performing CRA, yet only 23% used an established CRA/management instrument. Over-the-counter fluoride dentifrices (70.1%), individualized oral hygiene instructions (86%) and individualized recare intervals (73.7%) were most often used as caries management recommendations, while low-dose fluoride rinses (45%) and prescription strength sodium fluoride gel or paste (42%) were used less frequently. Dental hygienists scored high on knowledge of CRA with the exception of white spot lesions as a risk factor (42%) and efficacy of chlorhexidine in caries management (61%). CONCLUSION: There is a need to improve practicing dental hygienists' knowledge and involvement in the active management of caries. Focused training in the use of established CRA/management tools should be designed to improve their knowledge and influence practice behaviors.

Cárie Dentária , Higienistas Dentários , Atitude do Pessoal de Saúde , Higienistas Dentários/educação , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Medição de Risco
Health Promot Pract ; 10(2): 276-83, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18299613


On October 6 and 7, 2005, a diverse panel of experts was invited to Atlanta, Georgia by the Centers for Disease Control and Prevention, Office of Smoking and Health to discuss, explore, and share their ideas on how to identify and subsequently plan effective interventions with low socioeconomic status populations in regard to tobacco prevention and control. The invited participants had expertise in three areas: surveillance and evaluation, program planning, and health communications. This article summarizes the methods, processes, discussions, and recommendations that emerged from the surveillance and evaluation group. Current surveillance systems have had success at identifying high-risk populations, but usually at the national or state level. Interventions occur at the local level, and current data are woefully inadequate in providing direction as far as programming planning. It is recommended that an eight-step approach be used for surveillance and monitoring that includes qualitative data collection and participatory planning models.

Redes Comunitárias , Educação em Saúde/métodos , Promoção da Saúde , Prevenção do Hábito de Fumar , Humanos , Estudos de Casos Organizacionais , Áreas de Pobreza , Abandono do Hábito de Fumar , Estados Unidos