A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice
Abstract Background Oral health has an important role in the general health and well-being of individuals. Dental teams are ideally placed to support patients in preventing ill-health. Understanding the barriers and facilitators to the adoption, promotion and facilitation of preventive advice and tr...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-02-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-024-04022-1 |
| _version_ | 1797272962159607808 |
|---|---|
| author | H. Leggett K. Vinall-Collier J. Csikar J. Owen S. Edwebi G. V.A Douglas |
| author_facet | H. Leggett K. Vinall-Collier J. Csikar J. Owen S. Edwebi G. V.A Douglas |
| author_sort | H. Leggett |
| collection | DOAJ |
| description | Abstract Background Oral health has an important role in the general health and well-being of individuals. Dental teams are ideally placed to support patients in preventing ill-health. Understanding the barriers and facilitators to the adoption, promotion and facilitation of preventive advice and treatment is key to improving oral health services. The Theoretical Domains Framework (TDF) is a useful psychological framework to help identify individual, interpersonal and environmental issues which could be impacting clinicians’ ability to provide preventive advice and care. The aim of this review was to identify the perceived barriers and facilitators to preventive oral health care from the perspectives of the oral healthcare team within the general dental practice. Methods A search strategy was developed, piloted, and run in: Medline via Ovid, PsycInfo, Web of Science, SCOPUS, EMBASE, Conference Proceedings Citation Index- Science, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews and followed PRISMA guidelines. Identified records were screened independently by two researchers. Data were coded using the Theoretical Domains Framework (TDF) and analysed using narrative data synthesis. Results 5610 papers were identified, and 19 included in this review. Thirteen papers focussed on dentists. Of the 106 items mapped onto the TDF, 48 were facilitators. The domains most frequently represented were, environmental context and resources, beliefs about consequences, social professional role and identity, skills, beliefs about capabilities and knowledge. Six studies focussed on dental hygienists. There were 47 items mapped onto the TDF, 18 were facilitators. The domains most frequently represented were environmental context and resources, social influences, beliefs about consequences and knowledge. Conclusions The review identified that the delivery of preventive activities did not focus solely on the patient and dental professional interaction as many previous studies have highlighted. The review found that multiple factors influence whether prevention is delivered to patients. The largest barrier and facilitator for the dental professionals identified in this review was the environmental context and resources. Further research is needed to evaluate the effectiveness of interventions that aim to promote preventive oral health care in primary care settings to understand whether they address the barriers identified in this review. |
| first_indexed | 2024-03-07T14:37:46Z |
| format | Article |
| id | doaj.art-6450d1516b2d4000879e954abf27251c |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-07T14:37:46Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-6450d1516b2d4000879e954abf27251c2024-03-05T20:34:23ZengBMCBMC Oral Health1472-68312024-02-0124111310.1186/s12903-024-04022-1A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practiceH. Leggett0K. Vinall-Collier1J. Csikar2J. Owen3S. Edwebi4G. V.A Douglas5York Trials Unit, The University of YorkThe School of Dentistry, The University of LeedsThe School of Dentistry, The University of LeedsThe School of Dentistry, The University of LeedsThe School of Dentistry, The University of LeedsThe School of Dentistry, The University of LeedsAbstract Background Oral health has an important role in the general health and well-being of individuals. Dental teams are ideally placed to support patients in preventing ill-health. Understanding the barriers and facilitators to the adoption, promotion and facilitation of preventive advice and treatment is key to improving oral health services. The Theoretical Domains Framework (TDF) is a useful psychological framework to help identify individual, interpersonal and environmental issues which could be impacting clinicians’ ability to provide preventive advice and care. The aim of this review was to identify the perceived barriers and facilitators to preventive oral health care from the perspectives of the oral healthcare team within the general dental practice. Methods A search strategy was developed, piloted, and run in: Medline via Ovid, PsycInfo, Web of Science, SCOPUS, EMBASE, Conference Proceedings Citation Index- Science, Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews and followed PRISMA guidelines. Identified records were screened independently by two researchers. Data were coded using the Theoretical Domains Framework (TDF) and analysed using narrative data synthesis. Results 5610 papers were identified, and 19 included in this review. Thirteen papers focussed on dentists. Of the 106 items mapped onto the TDF, 48 were facilitators. The domains most frequently represented were, environmental context and resources, beliefs about consequences, social professional role and identity, skills, beliefs about capabilities and knowledge. Six studies focussed on dental hygienists. There were 47 items mapped onto the TDF, 18 were facilitators. The domains most frequently represented were environmental context and resources, social influences, beliefs about consequences and knowledge. Conclusions The review identified that the delivery of preventive activities did not focus solely on the patient and dental professional interaction as many previous studies have highlighted. The review found that multiple factors influence whether prevention is delivered to patients. The largest barrier and facilitator for the dental professionals identified in this review was the environmental context and resources. Further research is needed to evaluate the effectiveness of interventions that aim to promote preventive oral health care in primary care settings to understand whether they address the barriers identified in this review.https://doi.org/10.1186/s12903-024-04022-1Oral healthPreventionDentistryReview |
| spellingShingle | H. Leggett K. Vinall-Collier J. Csikar J. Owen S. Edwebi G. V.A Douglas A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice BMC Oral Health Oral health Prevention Dentistry Review |
| title | A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice |
| title_full | A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice |
| title_fullStr | A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice |
| title_full_unstemmed | A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice |
| title_short | A scoping review of dental practitioners’ perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice |
| title_sort | scoping review of dental practitioners perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice |
| topic | Oral health Prevention Dentistry Review |
| url | https://doi.org/10.1186/s12903-024-04022-1 |
| work_keys_str_mv | AT hleggett ascopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT kvinallcollier ascopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT jcsikar ascopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT jowen ascopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT sedwebi ascopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT gvadouglas ascopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT hleggett scopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT kvinallcollier scopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT jcsikar scopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT jowen scopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT sedwebi scopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice AT gvadouglas scopingreviewofdentalpractitionersperspectivesonperceivedbarriersandfacilitatorstopreventiveoralhealthcareingeneraldentalpractice |