Uptake of best practice recommendations in the management of patients with diabetes and periodontitis: a cross-sectional survey of dental clinicians

Bissett, Susan, Presseau, Justin, Rapley, Timothy and Preshaw, Philip (2019) Uptake of best practice recommendations in the management of patients with diabetes and periodontitis: a cross-sectional survey of dental clinicians. British Dental Journal, 226 (2). pp. 131-137. ISSN 0007-0610

[img] Text (Full text)
Bissett et al - patients with diabetes and periodontitis AAM.docx - Accepted Version
Restricted to Repository staff only until 18 July 2019.

Download (72kB)
Official URL: http://dx.doi.org/10.1038/sj.bdj.2019.48

Abstract

Introduction
Published guidance documents describe best practice recommendations for management of patients with diabetes and periodontitis. However, little is known about their uptake by dental professionals.

Aims
To explore current practice and behavioural correlates for three behaviours in the management of patients with diabetes and periodontitis: 'informing' patients about the links; 'considering' the impact of periodontitis treatment on glycaemic control; and 'contacting' the patient's doctor.

Methods
Participants (N = 328) recruited via two UK professional dental societies completed online questionnaires assessing their 'informing', 'considering' and 'contacting' activities, utilising constructs from behavioural and implementation theories (social cognitive theory and normalisation process theory).

Results
There was good reported uptake of 'informing' and 'considering', with clinicians performing these behaviours in more than eight of their last ten patients. However, there was poor uptake of 'contacting'. Periodontal specialists had significantly higher scores for 'contacting' (3.44±4.16 of last ten patients) than dental hygienist/therapists (0.57±1.37, p <0.001), who mainly relied on dentists to contact the doctor. Respondents indicated negative experiences of 'contacting', preferring to communicate via the patient than contact the doctor directly.

Conclusion
Contacting the doctor can be problematic and dental clinicians generally chose not to do this, indicating a mismatch between this best practice recommendation and preferences of dental clinicians.

Item Type: Article
Uncontrolled Keywords: Periodontitis; diabetes; clinical behaviours; best practice
Subjects: A900 Others in Medicine and Dentistry
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Becky Skoyles
Date Deposited: 08 Feb 2019 11:30
Last Modified: 27 Feb 2019 12:16
URI: http://nrl.northumbria.ac.uk/id/eprint/37899

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence