15 results on '"Douglas, G. V. A."'
Search Results
2. Factors associated with antibiotic prescribing for adults with acute conditions: an umbrella review across primary care and a systematic review focusing on primary dental care
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Thompson, W, primary, Tonkin-Crine, S, additional, Pavitt, S H, additional, McEachan, R R C, additional, Douglas, G V A, additional, Aggarwal, V R, additional, and Sandoe, J A T, additional
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- 2019
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3. Barriers and facilitators for prevention in Danish dental care
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Rosing, K., primary, Leggett, H., additional, Csikar, J., additional, Vinall-Collier, K., additional, Christensen, L. B., additional, Whelton, H., additional, and Douglas, G. V. A., additional
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- 2019
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4. Identifying the barriers and facilitators for homeless people to achieve good oral health.
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Csikar, J., Vinall-Collier, K., Richemond, J. M., Talbot, J., Serban, S. T., and Douglas, G. V. A.
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Objective: A qualitative exploration of the barriers and facilitators for people experiencing homelessness achieving good oral health. Participants: Adults using two homeless centres in Leeds. Methods: Focus group discussions were convened with homeless people using support services. Both an inductive and deductive approach to data analysis was taken. Themes were identified and then a framework applied to analysis using Nvivo software. Results: Three focus group discussions with 16 participants were conducted with people experiencing homelessness. The barriers identified were insufficient information on local dental services, negative attitudes of oral health professionals, low priority of dental care, anxiety and cost of dental treatments. Facilitators included single dental appointments, accessible dental locations and being treated with respect. Conclusions: Despite the barriers that prevent people experiencing homelessness from maintaining and improving their oral health, the participants were aware that they needed oral healthcare and requested that dental services were made available to them and were accessible in line with their socioeconomic status and needs. [ABSTRACT FROM AUTHOR]
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- 2019
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5. Primary care dentists' experience of treating avulsed permanent teeth
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Kenny, K. P., primary, Day, P. F., additional, Douglas, G. V. A., additional, and Chadwick, B. L., additional
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- 2015
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6. Toward More Patient-Centered and Prevention-Oriented Oral Health Care: The ADVOCATE Project.
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Leggett, H., Duijster, D., Douglas, G. V. A., Eaton, K., van der Heijden, G. J. M. G., O'Hanlon, K., Whelton, H., and Listl, S.
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- 2017
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7. Geographic and socioeconomic variations in adolescent toothbrushing: a multilevel cross-sectional study of 15 year olds in Scotland
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Levin, K. A., primary, Nicholls, N., additional, Macdonald, S., additional, Dundas, R., additional, and Douglas, G. V. A., additional
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- 2014
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8. Adult Dental Health Survey 2009: common oral health conditions and their impact on the population
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White, D. A., primary, Tsakos, G., additional, Pitts, N. B., additional, Fuller, E., additional, Douglas, G. V. A., additional, Murray, J. J., additional, and Steele, J. G., additional
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- 2012
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9. Antibiotic Prescribing : Towards a reducTion during Urgent NHS Dental appointments in England (The APTiTUDE Study)
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Thompson, Wendy, Douglas, G. V. A., Pavitt, S. H., Sandoe, J. A. T., and McEachan, R. R. C.
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617.6 - Abstract
Health problem: Slowing the development and spread of infections resistant to antibiotics is an urgent public health and patient safety need. Clinicians are encouraged to use antibiotics wisely but unnecessary antibiotic use by dentists remains high. In 2015, dentists issued 1-in-20 of all NHS antibiotic prescriptions, totalling 3.4 million per year. Approaches to date, such as issuing clinical guidance advising dental procedures rather than using antibiotics for toothache/infection, have been inadequate. Aim of the research: To develop ways to support reduced antibiotic prescribing for adults with acute conditions during urgent NHS dental appointments in England. How did I approach it? To understand the factors associated with dentists' antibiotic prescribing behaviour, influences on treatment decisions were explored during urgent dental appointments in NHS high-street practices and out-of-hours dental clinics. Based on observations and follow-up interviews with patients, dentists and dental nurses, a list of factors influencing treatment decisions was produced. Next, people with experience of receiving urgent dental care, dental team members and service/policy managers prioritised the factors and identified those potentially amenable to modification. Finally, behavioural science was applied to underpin the development of an intervention to reduce dental antibiotic prescribing. What was the outcome? A logic model was produced describing the theory of change and intervention components to reduce antibiotic prescribing by dentists for adults with acute conditions during urgent dental appointments in England. This will inform development of a complex intervention aimed at individual dentists and patients, the dentist-patient dyad and at organisational level for future evaluation after completion of this doctoral research. Dissemination: Co-production with patients and key stakeholders has provided a wide network for disseminating the findings of this research, including addition to the national dental antimicrobial stewardship toolkit. Presentations at national and international dental, and antimicrobial stewardship conferences have generated extensive interest in the research.
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- 2019
10. Study protocol for an online questionnaire survey on symptoms/signs, protective measures, level of awareness and perception regarding covid-19 outbreak among dentists. A global survey
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Guglielmo Campus, Javier F. Cortés-Martinicorena, Maria Grazia Cagetti, Daniela Prócida Raggio, Thomas Gerhard Wolf, Francisco Ramos-Gomez, Ana Vukovic, Marcela Diaz-Betancourt, Gail Douglas, Vita Machiulskiene, David J. Manton, Rodrigo A. Giacaman, Joana Christina Carvalho, Ruxandra Sava-Rosianu, Natalia S. Morozova, James Deschner, Thiago Saads Carvalho, Gianrico Spagnuolo, Campus, G., Diaz-Betancourt, M., Cagetti, M. G., Carvalho, J. C., Carvalho, T. S., Cortes-Martinicorena, J. F., Deschner, J., Douglas, G. V. A., Giacaman, R., Machiulskiene, V., Manton, D. J., Raggio, D. P., Ramos-Gomez, F., Sava-Rosianu, R., Morozova, N. S., Spagnuolo, G., Vukovic, A., and Wolf, T. G.
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Male ,Health, Toxicology and Mutagenesis ,Dentists ,lcsh:Medicine ,Infection control ,Computer-assisted web interviewing ,010501 environmental sciences ,01 natural sciences ,Disease Outbreaks ,0302 clinical medicine ,Surveys and Questionnaires ,Pandemic ,Protective measure ,Prevalence ,awareness ,030212 general & internal medicine ,COVID-19 ,infection ,dentist ,protective measures ,infection control ,Disease Outbreak ,Risk of infection ,3. Good health ,Italy ,Preparedness ,Female ,Psychology ,Coronavirus Infections ,Infection ,Human ,Project Report ,medicine.medical_specialty ,Attitude of Health Personnel ,Health Personnel ,Pneumonia, Viral ,610 Medicine & health ,Dentist ,03 medical and health sciences ,Betacoronavirus ,medicine ,Humans ,Personal protective equipment ,Pandemics ,Personal Protective Equipment ,0105 earth and related environmental sciences ,Protocol (science) ,Betacoronaviru ,SARS-CoV-2 ,Coronavirus Infection ,lcsh:R ,Public Health, Environmental and Occupational Health ,Outbreak ,Awarene ,Family medicine - Abstract
The Centres for Disease Control and Prevention and the World Health Organization have developed preparedness and prevention checklists for healthcare professionals regarding the containment of COVID-19. The aim of the present protocol is to evaluate the impact of the COVID-19 outbreak among dentists in different countries where various prevalence of the epidemic has been reported. Several research groups around the world were contacted by the central management team. The online anonymous survey will be conducted on a convenience sample of dentists working both in national health systems and in private or public clinics. In each country/area, a high (~5–20%) proportion of dentists working there will be invited to participate. The questionnaire, developed and standardized previously in Italy, has four domains: (1) personal data; (2) symptoms/signs relative to COVID-19; (3) working conditions and PPE (personal protective equipment) adopted after the infection’s outbreak; (4) knowledge and self-perceived risk of infection. The methodology of this international survey will include translation, pilot testing, and semantic adjustment of the questionnaire. The data will be entered on an Excel spreadsheet and quality checked. Completely anonymous data analyses will be performed by the central management team. This survey will give an insight into the dental profession during COVID-19 pandemic globally.
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- 2020
11. A scoping review of dental practitioners' perspectives on perceived barriers and facilitators to preventive oral health care in general dental practice.
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Leggett H, Vinall-Collier K, Csikar J, Owen J, Edwebi S, and Douglas GVA
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- Humans, Preventive Dentistry, Oral Health, Health Services Accessibility, General Practice, Dental, Dentists psychology, Attitude of Health Personnel
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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., (© 2024. The Author(s).)
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- 2024
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12. Letter to the Editor, "Methodological Gaps in Studying the Oral-Systemic Disease Connection".
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Serban S, Chapple ILC, D'Aiuto F, Douglas GVA, and Pavitt S
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- Humans, Mouth Diseases
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- 2021
- Full Text
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13. Whose Responsibility Is It Anyway? Exploring Barriers to Prevention of Oral Diseases across Europe.
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Leggett H, Csikar J, Vinall-Collier K, and Douglas GVA
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- Europe, Germany, Humans, Hungary, Ireland, Netherlands, United Kingdom, Dental Caries prevention & control
- Abstract
Introduction: Dental caries, gum disease, and tooth loss are all preventable conditions. However, many dental care systems remain treatment oriented rather than prevention oriented. This promotes the treatment of oral diseases over preventive treatments and advice. Exploring barriers to prevention and understanding the requirements of a paradigm shift are the first steps toward delivering quality prevention-focused health care., Objectives: To qualitatively explore perceived barriers and facilitators to oral disease prevention from a multistakeholder perspective across 6 European countries., Methods: A total of 58 interviews and 13 focus groups were undertaken involving 149 participants from the United Kingdom, Denmark, Germany, the Netherlands, Ireland, and Hungary. Interviews and focus groups were conducted in each country in its native language between March 2016 and September 2017. Participants were patients ( n = 50), dental team members ( n = 39), dental policy makers( n = 33), and dental insurers ( n = 27). The audio was transcribed, translated, and analyzed via deductive thematic analysis., Results: Five broad themes emerged that were both barriers and facilitators: dental regulation, who provides prevention, knowledge and motivation, trust, and person-level factors. Each theme was touched on in all countries; however, cross-country differences were evident surrounding the magnitude of each theme., Conclusion: Despite the different strengths and weaknesses among the systems, those who deliver, organize, and utilize each system experience similar barriers to prevention. The findings suggest that across all 6 countries, prevention in oral health care is hindered by a complex interplay of factors, with no particular dental health system offering overall greater user satisfaction. Underlying the themes were sentiments of blame, whereby each group appeared to shift responsibility for prevention to other groups. To bring about change, greater teamwork is needed in the commissioning of prevention to engender its increased value by all stakeholders within the dental system., Knowledge Transfer Statement: The results from this study provide an initial first step for those interested in exploring and working toward the paradigm shift to preventive focused dentistry. We also hope that these findings will encourage more research exploring the complex relationship among dental stakeholders, with a view to overcoming the barriers. In particular, these findings may be of use to dental public health researchers, dentists, and policy makers concerned with the prevention of oral diseases.
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- 2021
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14. Child Caries Management: A Randomized Controlled Trial in Dental Practice.
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Innes NP, Clarkson JE, Douglas GVA, Ryan V, Wilson N, Homer T, Marshman Z, McColl E, Vale L, Robertson M, Abouhajar A, Holmes RD, Freeman R, Chadwick B, Deery C, Wong F, and Maguire A
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- Child, Child, Preschool, Dentists, Humans, Pit and Fissure Sealants, Professional Role, Tooth, Deciduous, Dental Caries prevention & control, Dental Caries therapy
- Abstract
This multicenter 3-arm, parallel-group, patient-randomized controlled trial compared clinical effectiveness of 3 treatment strategies over 3 y for managing dental caries in primary teeth in UK primary dental care. Participants aged 3 to 7 y with at least 1 primary molar with dentinal carious lesion were randomized across 3 arms (1:1:1 via centrally administered system with variable-length random permuted blocks): C+P, conventional carious lesion management (complete carious tooth tissue removal and restoration placement) with prevention; B+P, biological management (sealing in carious tooth tissue restoratively) with prevention; and PA, prevention alone (diet, plaque removal, fluorides, and fissure sealants). Parents, children, and dentists were not blind to allocated arm. Co-primary outcomes were 1) the proportion of participants with at least 1 episode of dental pain and/or infection and 2) the number of episodes of dental pain and/or infection during follow-up (minimum, 23 mo). In sum, 1,144 participants were randomized (C+P, n = 386; B+P, n = 381; PA, n = 377) by 72 general dental practitioners, of whom 1,058 (C+P, n = 352; B+P, n = 352; PA, n = 354) attended at least 1 study visit and were included in the primary analysis. The median follow-up was 33.8 mo (interquartile range, 23.8 to 36.7). Proportions of participants with at least 1 episode of dental pain and/or infection were as follows: C+P, 42%; B+P, 40%; PA, 45%. There was no evidence of a difference in incidence of dental pain and/or infection when B+P (adjusted risk difference [97.5% CI]: -2% [-10% to 6%]) or PA (4% [-4% to 12%]) was compared with C+P. The mean (SD) number of episodes of dental pain and/or infection were as follows: C+P, 0.62 (0.95); B+P, 0.58 (0.87); and PA, 0.72 (0.98). Superiority could not be concluded for number of episodes between B+P (adjusted incident rate ratio (97.5% CI): 0.95 [0.75 to 1.21]) or PA (1.18 [0.94 to 1.48]) and C+P. In conclusion, there was no evidence of a difference among the 3 treatment approaches for incidence or number of episodes of dental pain and/or infection experienced by these participants with high caries risk and established disease (trial registration: ISRCTN77044005).
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- 2020
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15. Geographic and socioeconomic variations in adolescent toothbrushing: a multilevel cross-sectional study of 15 year olds in Scotland.
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Levin KA, Nicholls N, Macdonald S, Dundas R, and Douglas GV
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- Adolescent, Age Factors, Cross-Sectional Studies, Female, Humans, Male, Scotland, Sex Factors, Socioeconomic Factors, Adolescent Behavior psychology, Health Behavior, Rural Population statistics & numerical data, Toothbrushing statistics & numerical data, Urban Population statistics & numerical data
- Abstract
Background: This study examined urban-rural and socioeconomic differences in adolescent toothbrushing., Methods: The data were modelled using logistic multilevel modelling and the Markov Chain Monte Carlo method of estimation. Twice-a-day toothbrushing was regressed upon age, family affluence, family structure, school type, area-level deprivation and rurality, for boys and girls separately., Results: Boys' toothbrushing was associated with area-level deprivation but not rurality. Variance at the school level remained significant in the final model for boys' toothbrushing. The association between toothbrushing and area-level deprivation was particularly strong for girls, after adjustment for individuals' family affluence and type of school attended. Rurality too was independently significant with lower odds of brushing teeth in accessible rural areas., Conclusion: The findings are at odds with the results of a previous study which showed lower caries prevalence among children living in rural Scotland. A further study concluded that adolescents have a better diet in rural Scotland. In total, these studies highlight the need for an examination into the relative importance of diet and oral health on caries, as increases are observed in population obesity and consumption of sugars., (© The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2015
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