Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Oral Research |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100283 |
Resumo: | Abstract Oral cancer represents a public health issue because of its high mortality rate, resulting mainly from diagnostic delays. Insufficient training in oral diagnosis is usually perceived by dentists. Distance learning could be used as an auxiliary tool to bridge that gap. This study evaluated the impact of a distance learning course on oral mucosal lesion diagnosis offered to public healthcare dentists. Participants of an online course answered a pretest/posttest comprising clinical images of 30 clinical cases. Participants were questioned about the diagnosis and informed their decision on the cases (referring the cases to a specialist or managing them themselves), as a parameter of perceived self-efficacy. A total of 442 dentists enrolled in the course. Their pass rate was 97%. Classification of the nature of the lesions, diagnostic hypotheses, sensitivity, and specificity improved by 13.4%, 10.0%, 13.4%, and 6.6%, respectively (p<0.01, Wilcoxon test). Regarding management, there was a 16.6% reduction in the intention to refer cases, while confidence in the diagnosis of benign lesions increased by 40%. A distance learning course may be useful in continuing education actions for primary care dentists, improving their diagnostic abilities and encouraging them in the management of oral lesions. Moreover, this strategy could contribute to disseminating knowledge to remote regions, particularly among primary health care professionals. |
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Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesionsEducation, Dental, ContinuingEducation, DistancePrimary Health CareMouth NeoplasmsMouth DiseasesAbstract Oral cancer represents a public health issue because of its high mortality rate, resulting mainly from diagnostic delays. Insufficient training in oral diagnosis is usually perceived by dentists. Distance learning could be used as an auxiliary tool to bridge that gap. This study evaluated the impact of a distance learning course on oral mucosal lesion diagnosis offered to public healthcare dentists. Participants of an online course answered a pretest/posttest comprising clinical images of 30 clinical cases. Participants were questioned about the diagnosis and informed their decision on the cases (referring the cases to a specialist or managing them themselves), as a parameter of perceived self-efficacy. A total of 442 dentists enrolled in the course. Their pass rate was 97%. Classification of the nature of the lesions, diagnostic hypotheses, sensitivity, and specificity improved by 13.4%, 10.0%, 13.4%, and 6.6%, respectively (p<0.01, Wilcoxon test). Regarding management, there was a 16.6% reduction in the intention to refer cases, while confidence in the diagnosis of benign lesions increased by 40%. A distance learning course may be useful in continuing education actions for primary care dentists, improving their diagnostic abilities and encouraging them in the management of oral lesions. Moreover, this strategy could contribute to disseminating knowledge to remote regions, particularly among primary health care professionals.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100283Brazilian Oral Research v.36 2022reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107bor-2022.vol36.0101info:eu-repo/semantics/openAccessCARDOSO,Fernanda BrochierWAGNER,Vivian PetersenCORRÊA,Ana Paula BorngräberMARTINS,Marco Antônio TrevizaniMARTINS,Manoela DominguesD’ÁVILA,Otávio PereiraGONÇALVES,Marcelo RodriguesHARZHEIM,ErnoUMPIERRE,Roberto NunesCARRARD,Vinicius Coelhoeng2022-07-07T00:00:00Zoai:scielo:S1806-83242022000100283Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2022-07-07T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false |
dc.title.none.fl_str_mv |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions |
title |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions |
spellingShingle |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions CARDOSO,Fernanda Brochier Education, Dental, Continuing Education, Distance Primary Health Care Mouth Neoplasms Mouth Diseases |
title_short |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions |
title_full |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions |
title_fullStr |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions |
title_full_unstemmed |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions |
title_sort |
Distance learning course improves primary care dentists’ diagnosis and self-efficacy in the management of oral lesions |
author |
CARDOSO,Fernanda Brochier |
author_facet |
CARDOSO,Fernanda Brochier WAGNER,Vivian Petersen CORRÊA,Ana Paula Borngräber MARTINS,Marco Antônio Trevizani MARTINS,Manoela Domingues D’ÁVILA,Otávio Pereira GONÇALVES,Marcelo Rodrigues HARZHEIM,Erno UMPIERRE,Roberto Nunes CARRARD,Vinicius Coelho |
author_role |
author |
author2 |
WAGNER,Vivian Petersen CORRÊA,Ana Paula Borngräber MARTINS,Marco Antônio Trevizani MARTINS,Manoela Domingues D’ÁVILA,Otávio Pereira GONÇALVES,Marcelo Rodrigues HARZHEIM,Erno UMPIERRE,Roberto Nunes CARRARD,Vinicius Coelho |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
CARDOSO,Fernanda Brochier WAGNER,Vivian Petersen CORRÊA,Ana Paula Borngräber MARTINS,Marco Antônio Trevizani MARTINS,Manoela Domingues D’ÁVILA,Otávio Pereira GONÇALVES,Marcelo Rodrigues HARZHEIM,Erno UMPIERRE,Roberto Nunes CARRARD,Vinicius Coelho |
dc.subject.por.fl_str_mv |
Education, Dental, Continuing Education, Distance Primary Health Care Mouth Neoplasms Mouth Diseases |
topic |
Education, Dental, Continuing Education, Distance Primary Health Care Mouth Neoplasms Mouth Diseases |
description |
Abstract Oral cancer represents a public health issue because of its high mortality rate, resulting mainly from diagnostic delays. Insufficient training in oral diagnosis is usually perceived by dentists. Distance learning could be used as an auxiliary tool to bridge that gap. This study evaluated the impact of a distance learning course on oral mucosal lesion diagnosis offered to public healthcare dentists. Participants of an online course answered a pretest/posttest comprising clinical images of 30 clinical cases. Participants were questioned about the diagnosis and informed their decision on the cases (referring the cases to a specialist or managing them themselves), as a parameter of perceived self-efficacy. A total of 442 dentists enrolled in the course. Their pass rate was 97%. Classification of the nature of the lesions, diagnostic hypotheses, sensitivity, and specificity improved by 13.4%, 10.0%, 13.4%, and 6.6%, respectively (p<0.01, Wilcoxon test). Regarding management, there was a 16.6% reduction in the intention to refer cases, while confidence in the diagnosis of benign lesions increased by 40%. A distance learning course may be useful in continuing education actions for primary care dentists, improving their diagnostic abilities and encouraging them in the management of oral lesions. Moreover, this strategy could contribute to disseminating knowledge to remote regions, particularly among primary health care professionals. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100283 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242022000100283 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1807-3107bor-2022.vol36.0101 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
dc.source.none.fl_str_mv |
Brazilian Oral Research v.36 2022 reponame:Brazilian Oral Research instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO) instacron:SBPQO |
instname_str |
Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
instacron_str |
SBPQO |
institution |
SBPQO |
reponame_str |
Brazilian Oral Research |
collection |
Brazilian Oral Research |
repository.name.fl_str_mv |
Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
repository.mail.fl_str_mv |
pob@edu.usp.br||bor@sbpqo.org.br |
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1750318328465850368 |