Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California

Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We cond...

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Autores principales: Tseng, Winston, Pleasants, Elizabeth, Ivey, Susan L., Sokal-Gutierrez, Karen, Kumar, Jayanth, Hoeft, Kristin S., Horowitz, Alice M., Ramos-Gomez, Francisco, Sodhi, Miku, Liu, Jessica, Neuhauser, Linda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7795206/
https://www.ncbi.nlm.nih.gov/pubmed/33396682
http://dx.doi.org/10.3390/ijerph18010216
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author Tseng, Winston
Pleasants, Elizabeth
Ivey, Susan L.
Sokal-Gutierrez, Karen
Kumar, Jayanth
Hoeft, Kristin S.
Horowitz, Alice M.
Ramos-Gomez, Francisco
Sodhi, Miku
Liu, Jessica
Neuhauser, Linda
author_facet Tseng, Winston
Pleasants, Elizabeth
Ivey, Susan L.
Sokal-Gutierrez, Karen
Kumar, Jayanth
Hoeft, Kristin S.
Horowitz, Alice M.
Ramos-Gomez, Francisco
Sodhi, Miku
Liu, Jessica
Neuhauser, Linda
author_sort Tseng, Winston
collection PubMed
description Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association’s (AMA) recommended communication techniques and only 3 of the 7 AMA’s basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes.
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spelling pubmed-77952062021-01-10 Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California Tseng, Winston Pleasants, Elizabeth Ivey, Susan L. Sokal-Gutierrez, Karen Kumar, Jayanth Hoeft, Kristin S. Horowitz, Alice M. Ramos-Gomez, Francisco Sodhi, Miku Liu, Jessica Neuhauser, Linda Int J Environ Res Public Health Article Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association’s (AMA) recommended communication techniques and only 3 of the 7 AMA’s basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes. MDPI 2020-12-30 2021-01 /pmc/articles/PMC7795206/ /pubmed/33396682 http://dx.doi.org/10.3390/ijerph18010216 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tseng, Winston
Pleasants, Elizabeth
Ivey, Susan L.
Sokal-Gutierrez, Karen
Kumar, Jayanth
Hoeft, Kristin S.
Horowitz, Alice M.
Ramos-Gomez, Francisco
Sodhi, Miku
Liu, Jessica
Neuhauser, Linda
Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California
title Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California
title_full Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California
title_fullStr Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California
title_full_unstemmed Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California
title_short Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California
title_sort barriers and facilitators to promoting oral health literacy and patient communication among dental providers in california
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7795206/
https://www.ncbi.nlm.nih.gov/pubmed/33396682
http://dx.doi.org/10.3390/ijerph18010216
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