scholarly journals More than just a dental practitioner: A realist evaluation of a dental anxiety service in Norway

2021 ◽  
Author(s):  
Emilie Bryne ◽  
Sarah Hean ◽  
Kjersti Evensen ◽  
Vibeke Bull
Keyword(s):  
Dental Anxiety ◽  
Realist Evaluation ◽  
Dental Practitioner

scholarly journals Exploring the Contexts, Mechanisms and Outcomes of a Dental Anxiety Service in Norway: A Realist Evaluation

2021 ◽  
Author(s):  
Emilie Bryne ◽  
Sarah Catherine Patricia Duff Hean ◽  
Kjersti Berge Evensen ◽  
Vibeke Hervik Bull
Keyword(s):  
Oral Health ◽  
Patient Group ◽  
Dental Anxiety ◽  
Psychosocial Health ◽  
Realist Evaluation ◽  
Dental Service ◽  
Dimensional Structure ◽  
Service Access ◽  
Torture Survivors ◽  
Dental Services

Abstract Background: Torture, abuse and dental phobia are often precursors to developing a pathological relationship with dental care due to elevated anxiety and the risk for re-traumatisation. Consequently, this patient group tends to avoid dental services, leaving them with severe tooth decay that affects both their general and psychosocial health. Norwegian dental services have implemented a specific dental service targeting this patient group, aiming to both alleviate their dental anxiety and restore their oral health. The outcomes of this service have been positive, but for this model to be transferrable to other national contexts, it is necessary not just to understand whether the service works, but also how and why it works. Therefore, this study developed theories on how the structure of the service alleviates dental anxiety and restores patients’ oral health. Although developed specifically in a Norwegian context, these theories may be applicable to other national and international contexts. Methods: This realist evaluation comprised sequential, multiple methods encompassing a review of service and policy documentation (n=12), followed by realist interviews with service developers and deliverers (n=12). Guided by a retroductive approach consisting of coding, cataloguing and configuring through content analyses and context-mechanism-outcome (CMO) heuristics, the analyses generated four programme theories.Results: First, the state-subsidised dental service affects service access and service uptake. Second, this service can be adapted and tailored to regional resources to meet the needs of the heterogenous patient group. Third, regional service teams are cohesive because of a lack of national communication and cooperative practice. Fourth, the complexity of migration processes and poor dissemination practices leads to poor recruitment of torture survivors to the service. Conclusions: The service follows a hybrid bottom-up, top-down approach, allowing teams to practise discretion and tailor their approach to meet individual needs. With its bi-dimensional structure, the service reaches a patient population that would otherwise avoid dental services. Service uptake is beneficial as patients report experiencing improved quality of life. However, the service is struggling to reach torture survivors, which may be attributable to multiple contextual factors. More research is therefore required to understand the lack of service uptake among torture survivors.

Oral Health Condition and Dental Anxiety Among Students

2012 ◽  
Vol 3 (3) ◽  
pp. 295-298
Author(s):  
Ema Aleksic ◽  
◽  
jasmina milic ◽  
Maja Lalic ◽  
Adam Malesevic ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Anxiety ◽  
Health Condition

Dental anxiety & phobia: prevalence and most frequent causes among dentists and public in Saudi Arabia

2020 ◽  
pp. 325-330
Author(s):  
Yagoub Alyami ◽  
Khames Alzahrani ◽  
Amal Masmali ◽  
Alaa Abulaban ◽  
Jameel Qahwaji ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Dental Anxiety

Assessment of Dental Anxiety triggers at Riyadh Elm University clinics, Riyadh, Saudi Arabia

2020 ◽  
pp. 1
Author(s):  
Yasmine Ahmed ◽  
Reem Alhokair ◽  
Rana Babsail ◽  
Sarah Albabtain ◽  
Khames Alzahrani
Keyword(s):  
Saudi Arabia ◽  
Dental Anxiety

On Advisor Education: Evaluating Departmental Training and Professional Development Practices of Academic Staff in a Japanese University

Relay Journal ◽  
2019 ◽  
pp. 271-291
Author(s):  
Huw Davies
Keyword(s):  
Professional Development ◽  
Academic Staff ◽  
Realist Evaluation ◽  
International Studies ◽  
Peer Observation ◽  
Research Issue ◽  
Training Aids ◽  
The People ◽  
The University ◽  
Initial Research

This study is an evaluation of the professional development (PD) programme for learning advisors employed in the self-access centre at Kanda University of International Studies in Japan. The research issue investigated was whether the PD activities of advisors allow them to provide appropriate support to students at the University. The implementation of policies, the people and the setting were all considered in building an understanding of what may make the programme work. The framework used to understand this programme is realist evaluation (Pawson & Tilley, 1997), in which theories related to the initial research issue were refined and developed to offer new perspectives. Results suggest that initial training aids advisors in supporting students, but that future implementation decisions are needed for the mentoring element of the programme and on whether more peer observation should take place. The implication that informal discussion among the workgroup and the freedom to choose personal PD journeys are fundamental drivers of effective practice is a finding that may be applied to other teacher and advisor education settings.

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