NUTRITION TO PREVENT AND MANAGE DENTAL CARIES: UNDERSTANDING THE PERCEIVED KNOWLEDGE, ATTITUDES, AND PRACTICES OF DIETITIANS IN CANADA
Notice bibliographique
Résumé
Background: Dental caries is the most prevalent chronic disease worldwide and represents an important public health challenge. There is a strong relationship between nutrition and dental caries, as food choices and eating behaviours influence the risk of developing dental caries. Likewise, dental caries can affect dietary patterns, eating behaviours and nutritional status. Dietitians, oral health professionals (OHP), and other health professionals have an important role in helping with the prevention and management of dental caries, in order to reduce the burden of this disease. Collaboration between dietitians and OHP is also encouraged and recommended in education, research and practice to prevent and manage dental caries. Objective: To describe the perceived knowledge, attitudes, and practices of dietitians regarding nutrition to prevent and manage dental caries in Canada. Methods: A survey was developed with a variety of question types (e.g., multiple choice, open-ended) to address the study objective. An interdisciplinary advisory committee composed of health professionals, patient partners, and the research team, guided the study. The survey development consisted of several steps, including: 1-literature review and survey draft; 2-expert review with the advisory committee and other professionals; 3- cognitive interviews with three dietitians; the survey was revised after each of these steps. The survey was available in English and French and was mounted on SurveyMonkey. The survey was advertised to dietitians across Canada from June-August 2021 using social media, e-mail lists, and word of mouth. Quantitative data were analyzed using SPSSv28, and qualitative data were analyzed using content analysis. Results: In total, n=235 responses were included. Most respondents reported living in British Columbia (n=75; 36.6%), Saskatchewan (n=59; 28.8%) and Ontario (n=31; 15.1%). Overall, since 2015, n=168 (84.0%) respondents reported to have worked in nutrition care, and n=59 (29.5%) respondents reported to have worked in public health/health promotion. In total, n=198 (84.2%) respondents agreed or strongly agreed that there is a strong relationship between nutrition and dental caries. One-on-one nutrition counselling was the most common practice conducted by dietitians regarding nutrition and dental caries; in total, n=144 (64.3%) of respondents reported conducting this activity frequently or occasionally since 2015. The most common message provided by dietitians in their practice about nutrition and dental caries was to limit the amount of consumption of sugar-sweetened beverages, being reported by n=141 (65.3%) respondents. In total, n=128 (58.7%) of respondents reported experiencing barriers in their practice related to nutrition and dental caries, and not having enough knowledge about the topic was the most mentioned barrier (n=66, 51.2%). In addition, n=177 (85.5%) respondents reported to have never received any training on the topic of nutrition and dental caries; however, n=209 (91.7%) of respondents reported interest in attending a structured session on the topic. Collaboration practices between dietitians and OHP were reported to be conducted in a limited capacity. In total, only n=25 (11.5%) of respondents reported to have been consulted or have received a patient/client referral from another health professional regarding nutrition and dental caries. In addition, only n=67 (30.6%) of respondents reported consulting with an OHP about nutrition and dental caries. Conclusion: Dietitian respondents demonstrated substantial enthusiasm about the importance of nutrition and dental caries; however, the results of this thesis showed that practices concerning nutrition and dental caries are limited, and that they experience barriers working in this area. Although most respondents reported to have never received training on nutrition and dental caries, they reported high interest in attending a structured educational session in the future about the topic. The results of this study show the need for increased educational programs that will help to enhance the confidence and comfort level of dietitians about different topics around nutrition and dental caries to ultimately help to decrease the burden of dental caries in Canada and beyond.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,006 | 0,001 |
| Communication savante | 0,003 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».