Influence of continuing education on dental hygienists' knowledge and behavior related to oral cancer screening and tobacco cessation.
Influence of continuing education on dental hygienists' knowledge and behavior related to oral cancer screening and tobacco cessation.
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发表时间：
2013-04
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通讯作者：
M. Walsh;K. Rankin;S. Silverman
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作者：
M. Walsh;K. Rankin;S. Silverman
每年有超过35，000例新的口腔和咽癌（OPC）确诊病例。大多数OPCs在晚期被诊断，需要积极治疗，导致比早期诊断时更高的发病率和死亡率。OPC的5年生存率约为60%。早期发现OPC病变是生存的关键。OPC的一个主要危险因素是长期吸烟。本文的目的是报告与基线值相比，参加关于早期OPC检测和戒烟咨询的标准化讲座形式继续教育（CE）课程6个月后，牙科医生的知识，态度和行为的变化。方法在美国10个公共卫生区为牙科专业人员提供了64门CE课程，以确定OPC筛查和戒烟咨询行为是否可以在培训后6个月进行修改。在基线和6个月后使用前/后测试设计获得样本。结果：共有1,463名牙科医师在基线时参与，543名在6个月随访时参与。数据显示，与基线值相比，知识和行为有显著差异。结论CE对参与者的OPC和戒烟知识和行为有显著影响，并可能对预防、早期发现和最终控制OPC产生影响。
PURPOSE There are more than 35,000 new cases of oral and pharyngeal cancers (OPC) diagnosed each year. Most OPCs are diagnosed in advanced stages, requiring aggressive treatment and resulting in higher morbidity and mortality than when diagnosed early. The overall 5 year survival rate of OPC is about 60%. Early detection of OPC lesions are the key to survival. A major risk factor for OPC is chronic tobacco use. The purpose of this paper is to report changes in dental hygienists' knowledge, attitudes and behaviors 6 months after attending a standardized lecture format continuing education (CE) course on early OPC detection and tobacco cessation counseling compared to baseline values. METHODS A total of 64 CE courses were given for dental professionals throughout the 10 U.S. public health districts to determine if OPC screenings and tobacco cessation counseling behaviors could be modified at 6 months post-training. Questionnaires were obtained at baseline and 6 months later using a pre-/post-test design. RESULTS A total of 1,463 dental hygienists participated at baseline and 543 at a 6 month follow-up. Data showed a significant difference in knowledge and behavior compared to baseline values. CONCLUSION CE appeared to have a significant influence on participants' OPC and tobacco cessation knowledge and behavior, and could potentially make a difference on prevention, early detection and ultimately on OPC control.