Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania

Detalhes bibliográficos
Autor(a) principal: Kikwilu, Emil N.
Data de Publicação: 2009
Outros Autores: Frencken, Jo E., Mulder, Jan
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of applied oral science (Online)
Texto Completo: https://www.revistas.usp.br/jaos/article/view/3711
Resumo: OBJECTIVES: This study aimed to determine the magnitude of the barriers to the practice of Atraumatic Restorative Treatment (ART) as perceived by dental practitioners working in pilot dental clinics, and determine the influence of these barriers on the practice of ART. MATERIAL AND METHODS: A validated and tested questionnaire on barriers that may hinder the practice of ART was administered to 20 practitioners working in 13 pilot clinics. Factor analysis was performed to generate barrier factors. These were patient load, management support, cost sharing, ART skills and operator opinion. The pilot clinics kept records of teeth extracted; teeth restored by conventional approach and teeth restored by ART approach. These treatment records were used to compute the percentage of ART restorations to total teeth treated, percentage of ART restorations to total teeth restored and percentage of total restorations to total teeth treated. The mean barrier scores were generated and compared to independent variables, using the t-test. The influence of barriers to ART-related dependent variables was determined using Pearson correlation coefficients. RESULTS: Mean barrier values were low, indicating low influence on ART practice. Female practitioners had higher scores on patient load than male practitioners (p = 0.003). Assistant Dental Officers had higher scores on cost sharing than Dental Therapists (p = 0.024). Practitioners working in urban clinics had higher mean scores on patient load than those who worked in rural clinics (p = 0.0008). All barrier factors were negatively correlated with ART practice indices but all had insignificant association with ART practice indices. CONCLUSION: The barriers studied were of low magnitude, with no significant impact on practice of ART in dental clinics in the pilot area.
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spelling Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania Atraumatic Restorative TreatmentAdoptionBarriersGovernment dental clinicsTanzania OBJECTIVES: This study aimed to determine the magnitude of the barriers to the practice of Atraumatic Restorative Treatment (ART) as perceived by dental practitioners working in pilot dental clinics, and determine the influence of these barriers on the practice of ART. MATERIAL AND METHODS: A validated and tested questionnaire on barriers that may hinder the practice of ART was administered to 20 practitioners working in 13 pilot clinics. Factor analysis was performed to generate barrier factors. These were patient load, management support, cost sharing, ART skills and operator opinion. The pilot clinics kept records of teeth extracted; teeth restored by conventional approach and teeth restored by ART approach. These treatment records were used to compute the percentage of ART restorations to total teeth treated, percentage of ART restorations to total teeth restored and percentage of total restorations to total teeth treated. The mean barrier scores were generated and compared to independent variables, using the t-test. The influence of barriers to ART-related dependent variables was determined using Pearson correlation coefficients. RESULTS: Mean barrier values were low, indicating low influence on ART practice. Female practitioners had higher scores on patient load than male practitioners (p = 0.003). Assistant Dental Officers had higher scores on cost sharing than Dental Therapists (p = 0.024). Practitioners working in urban clinics had higher mean scores on patient load than those who worked in rural clinics (p = 0.0008). All barrier factors were negatively correlated with ART practice indices but all had insignificant association with ART practice indices. CONCLUSION: The barriers studied were of low magnitude, with no significant impact on practice of ART in dental clinics in the pilot area. Universidade de São Paulo. Faculdade de Odontologia de Bauru2009-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/jaos/article/view/371110.1590/S1678-77572009000500011Journal of Applied Oral Science; Vol. 17 No. 5 (2009); 408-413 Journal of Applied Oral Science; Vol. 17 Núm. 5 (2009); 408-413 Journal of Applied Oral Science; v. 17 n. 5 (2009); 408-413 1678-77651678-7757reponame:Journal of applied oral science (Online)instname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/jaos/article/view/3711/4401Copyright (c) 2009 Journal of Applied Oral Scienceinfo:eu-repo/semantics/openAccessKikwilu, Emil N.Frencken, Jo E.Mulder, Jan2012-04-27T12:06:12Zoai:revistas.usp.br:article/3711Revistahttp://www.scielo.br/jaosPUBhttps://www.revistas.usp.br/jaos/oai||jaos@usp.br1678-77651678-7757opendoar:2012-04-27T12:06:12Journal of applied oral science (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
title Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
spellingShingle Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
Kikwilu, Emil N.
Atraumatic Restorative Treatment
Adoption
Barriers
Government dental clinics
Tanzania
title_short Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
title_full Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
title_fullStr Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
title_full_unstemmed Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
title_sort Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania
author Kikwilu, Emil N.
author_facet Kikwilu, Emil N.
Frencken, Jo E.
Mulder, Jan
author_role author
author2 Frencken, Jo E.
Mulder, Jan
author2_role author
author
dc.contributor.author.fl_str_mv Kikwilu, Emil N.
Frencken, Jo E.
Mulder, Jan
dc.subject.por.fl_str_mv Atraumatic Restorative Treatment
Adoption
Barriers
Government dental clinics
Tanzania
topic Atraumatic Restorative Treatment
Adoption
Barriers
Government dental clinics
Tanzania
description OBJECTIVES: This study aimed to determine the magnitude of the barriers to the practice of Atraumatic Restorative Treatment (ART) as perceived by dental practitioners working in pilot dental clinics, and determine the influence of these barriers on the practice of ART. MATERIAL AND METHODS: A validated and tested questionnaire on barriers that may hinder the practice of ART was administered to 20 practitioners working in 13 pilot clinics. Factor analysis was performed to generate barrier factors. These were patient load, management support, cost sharing, ART skills and operator opinion. The pilot clinics kept records of teeth extracted; teeth restored by conventional approach and teeth restored by ART approach. These treatment records were used to compute the percentage of ART restorations to total teeth treated, percentage of ART restorations to total teeth restored and percentage of total restorations to total teeth treated. The mean barrier scores were generated and compared to independent variables, using the t-test. The influence of barriers to ART-related dependent variables was determined using Pearson correlation coefficients. RESULTS: Mean barrier values were low, indicating low influence on ART practice. Female practitioners had higher scores on patient load than male practitioners (p = 0.003). Assistant Dental Officers had higher scores on cost sharing than Dental Therapists (p = 0.024). Practitioners working in urban clinics had higher mean scores on patient load than those who worked in rural clinics (p = 0.0008). All barrier factors were negatively correlated with ART practice indices but all had insignificant association with ART practice indices. CONCLUSION: The barriers studied were of low magnitude, with no significant impact on practice of ART in dental clinics in the pilot area.
publishDate 2009
dc.date.none.fl_str_mv 2009-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/jaos/article/view/3711
10.1590/S1678-77572009000500011
url https://www.revistas.usp.br/jaos/article/view/3711
identifier_str_mv 10.1590/S1678-77572009000500011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/jaos/article/view/3711/4401
dc.rights.driver.fl_str_mv Copyright (c) 2009 Journal of Applied Oral Science
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2009 Journal of Applied Oral Science
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia de Bauru
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Odontologia de Bauru
dc.source.none.fl_str_mv Journal of Applied Oral Science; Vol. 17 No. 5 (2009); 408-413
Journal of Applied Oral Science; Vol. 17 Núm. 5 (2009); 408-413
Journal of Applied Oral Science; v. 17 n. 5 (2009); 408-413
1678-7765
1678-7757
reponame:Journal of applied oral science (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Journal of applied oral science (Online)
collection Journal of applied oral science (Online)
repository.name.fl_str_mv Journal of applied oral science (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||jaos@usp.br
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