Marita Rohr Inglehart

University of Michigan, Ann Arbor, Michigan, United States

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Publications (106)97.09 Total impact

  • Cancer Research 04/2015; 75(9 Supplement):P1-09-24-P1-09-24. DOI:10.1158/1538-7445.SABCS14-P1-09-24 · 9.28 Impact Factor
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    ABSTRACT: Background: Aromatase inhibitor (AI) use results in low estrogen levels which in turn affect bone mineral density (BMD). Periodontitis, alveolar bone loss, and tooth loss are associated with low BMD. The goal of this study was to assess the prevalence of periodontitis, perceived oral health, and evaluate salivary biomarkers in postmenopausal women who are early stage (I-IIIA) breast cancer (BCa) survivors and receive adjuvant AI therapy. Methods: Participants included 58 postmenopausal women; 29 with BCa on AIs and 29 controls without BCa diagnoses. Baseline periodontal status was assessed with: (1) periodontal pocket depth (PD); (2) bleeding on probing (BOP); and (3) attachment loss (AL). Demographic and dental utilization information was gathered by questionnaire. Linear regression modeling was used to analyze the outcomes. Results: No differences in mean PD or the number of teeth were found. The AI group had significantly more sites with BOP (27.8 vs. 16.7; p = 0.02), higher worst-site AL (5.2 mm vs. 4.0 mm; p < 0.01) and more sites with dental calculus than did controls (18.2 vs. 6.4; p < 0.001). Linear regression adjusted for income, tobacco use, and dental insurance, and previous radiation and chemotherapy exposure demonstrated AI use increased CAL over 2 mm (95% CI: 0.46 -3.92). Median salivary osteocalcin and Tumor Necrosis Factor levels were significantly higher in the BCa group than the control group. Conclusions: This first investigation of the periodontal status of women initiating adjuvant AI therapy identifies this population as having an increased risk for periodontitis (NCT1272570).
    Journal of Periodontology 02/2015; DOI:10.1902/jop.2015.140546 · 2.57 Impact Factor
  • L Susan Taichman, Jennifer J Griggs, Marita R Inglehart
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    ABSTRACT: This population-based analysis examined the prevalence of periodontal diseases along with the self-perceived oral health and patterns of dental care utilization of breast cancer survivors in the United States. Data from the 1999-2004 National Health and Nutrition Surveys were utilized, examining information from 3,354 women between 50 and 85 years of age. Primary outcomes were gingivitis and periodontitis, self-perceived oral health, and dental care utilization. Logistic regression analyses were used to estimate relationships of breast cancer diagnosis and primary outcomes while controlling for confounding factors. Breast cancer survivors were more likely to be older than 55 years, white, nonsmokers, have higher levels of education and income, and a higher prevalence of osteoporosis. Breast cancer survivors were significantly less likely to have dental insurance (P = 0.04). Utilization of dental services and reason for last dental visit did not significantly differ between groups. A history of a breast cancer diagnosis did not increase the odds of gingivitis [odds ratio (OR): 1.32; 95 percent confidence interval (CI): 0.53-3.63], periodontitis (OR: 1.82; 95 percent CI: 0.89-4.01), or poor self-perceived oral health (OR: 0.89; 95 percent CI: 0.61-1.33) after adjusting for age, race, education, dental care utilization, and smoking status. In this sample, a history of breast cancer does not significantly impact periodontal health, self-perceived oral health, and dental care utilization. However, efforts should be made to assure that breast cancer survivors have dental insurance. © 2015 American Association of Public Health Dentistry.
    Journal of Public Health Dentistry 02/2015; 75(2). DOI:10.1111/jphd.12084 · 1.64 Impact Factor
  • Marita R Inglehart
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    ABSTRACT: Starting in the 1970s, social scientists have discussed the importance of assessing subjective indicators of well-being and quality of life. Medical researchers followed this line of reasoning since the 1990s, emphasizing the significance of understanding how disease and its treatment affect patients' quality of life. Since the start of the 21(st) century, oral health-related quality of life (OHRQoL) received increasingly more attention. While research concerning the effects of periodontal disease and its surgical and non-surgical treatment on patients' lives has been considered in numerous studies, research including patient-reported outcomes when assessing how periodontal health can be enhanced through regenerative approaches is largely missing. This commentary proposes to consider 1) OHRQoL and 2) patients' treatment satisfaction as patient-reported outcomes in conjunction with objectively measured patient-centered factors, and discusses the value of such an approach.
    Journal of Periodontology 02/2015; 86(2 Suppl):S4-7. DOI:10.1902/jop.2015.140574 · 2.57 Impact Factor
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    ABSTRACT: Interprofessional education (IPE) has received increasingly more attention over recent years. The objectives of this study were to assess 1) how nursing students' considerations concerning their own oral health and oral health-related knowledge changed from before to after experiencing IPE; 2) how nursing students', dental students', and pediatric dentistry residents' IPE-related attitudes and Readiness for Interprofessional Learning Scale (RIPLS) scores changed after experiencing an IPE rotation; and 3) how these groups' attitudes and RIPLS scores were related. Data were collected from three groups who participated in an IPE rotation: thirty-eight of forty third-year dental students (95 percent response rate), all thirty-three nursing students (100 percent), and all six pediatric dentistry residents (100 percent) prior to the rotation, and 100 percent of each group after the rotation. As a control group, data were also collected at the beginning of the winter term from first-year dental students (104 out of 105; 99 percent response rate) and second-year dental students (102 out of 116; 88 percent); the same groups were surveyed at the end of term, with response rates of 98 percent for first-year students and 89 percent for second-year students. After the rotation, the nursing students' tooth brushing frequency increased, and their comfort level with dental visits and oral health-related knowledge improved. The dental students rated the importance of nurses' having oral health-related knowledge and skills lower than did the nursing students and pediatric dentistry residents. The groups' RIPLS scores correlated with these importance ratings. Overall, while the nursing students showed positive responses to IPE, the dental students' attitudes and RIPLS scores did not change as a result of the IPE experience. Future research should explore the conditions under which dental students are impacted by IPE.
    Journal of dental education 09/2014; 78(9):1301-12. · 1.04 Impact Factor
  • Mariya Volvovsky, Dmitry Vodopyanov, Marita R Inglehart
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    ABSTRACT: The objectives of this study were to explore 1) how students across the four years of a dental curriculum differed in attitudes towards underserved patients and community service at the beginning and end of each school year; 2) how these attitudes changed as a function of participating in required vs. voluntary community-based activities; and 3) what attitudes faculty members held about the effects of community service-learning on students. Surveys were distributed to 440 students at one dental school at the beginning and end of the school year. The overall response rate for those surveys was 75 percent, with variations among classes: first year, 94 percent; second year, 92 percent; third year, 69 percent; and fourth year, 43 percent. Survey data were also collected from twenty-two students (out of a possible forty-seven) who participated in voluntary service-learning and from fifty-four faculty members (out of approximately 150). The results showed that, at the beginning of the year, the first-year students' attitudes were more positive than the responses of students in all other cohorts. However, at the end of the year, their attitudes were less positive. Participating in voluntary service-learning improved students' attitudes towards treating underserved patients only in the short run, and experiencing ten weeks of community-based dental education did not improve their attitudes. The faculty respondents' attitudes, however, were quite positive. The decrease in students' positive attitudes towards treating underserved patients and participating in community service should raise questions about why this loss of idealism occurred.
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    ABSTRACT: Purpose: The purpose of this study was to determine if educating parents with visual aids after their child's treatment under general anesthesia would improve attendance at follow-up appointments, oral health outcomes, and treatment satisfaction. Methods: Fifty-four parent-child dyads were recruited and randomly assigned to two groups. The control group received verbal education, and the intervention group received verbal and visual education. Oral health was measured using the Gingival Index and the Simplified Oral Hygiene Index (OHI-S) before and after the treatment. Parent surveys were administered before and after treatment. MResults: Seventy-eight percent of the intervention group and 52 percent of the control group returned for follow-up appointments (P=.04). The plaque index decreased (PConclusions: Using visual aids had a positive impact on patient attendance at follow-up and parents' treatment satisfaction. There was an improvement in oral hygiene, as measured by the OHI-S, and an increase in brushing frequency for all children, regardless of whether their parents were educated with or without a visual aid.
    Pediatric dentistry 08/2014; 36(4). · 0.56 Impact Factor
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    ABSTRACT: Introduction: This randomized controlled clinical pilot trial compared the efficacy of 2 soft tissue grafting methods for correcting esthetic discrepancies associated with definitively restored implant crowns. Methods: Thirteen patients presenting with implants displaying recession, thin biotype, concavity defects, or a combination thereof associated with single crowned dental implants randomly received subepithelial connective tissue grafts (SCTG) in the control group (N = 7) or acellular dermal matrix (ADM) allografts in the test group (N = 6), both under coronally positioned flaps. Data regarding soft tissue, hard tissue, esthetics, and quality of life (QoL) parameters were collected over 6 months. Results: Both groups gained tissue thickness (SCTG: 63% and ADM: 105%), reduced concavity measures (SCTG: 82% and ADM: 96%), and improved recessions (SCTG: 40% and ADM: 28%) from baseline to 6 months. Clinicians determined improvement in esthetics for both groups (P = 0.001), unlike patients who did not change their esthetic ratings. No statistical differences were noted for QoL assessment; however, ADM subjects had more eventful wound healing (P = 0.021). Conclusions: Within the limitations of this study, both SCTG and ADM result in increased mucosal thickness, reduction in concavity dimensions, and have a potential for recession reduction on definitively restored dental implants.
    Implant Dentistry 07/2014; 23(4). DOI:10.1097/ID.0000000000000122 · 1.11 Impact Factor
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    Marita R Inglehart, Sven-Erik Widmalm, Paul J Syriac
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    ABSTRACT: Purpose: Occlusal splints are often prescribed when treating patients with bruxism. The objectives were to determine (a) whether using occlusal splints improves patients' oral health-related quality of life (ohrqol) and (b) whether the quality of the patient-provider relationship affects these patients' splint-related responses and their ohrqol. Materials and Methods: Survey data were collected from 233 patients who had received bite splints during the 5 years prior to data collection. Results: The data showed that 5% of these patients had never used their splint, 20% had used it in the past, and 75% still used it at the time of data collection. Patients using the splint agreed more strongly that their current oral health status had improved, had more positive splint-related responses and more positive pain-related ohrqol scores than patients who were no longer using the splint. The more patients agreed that they were satisfied with their provider, the more positively they evaluated their bite splints and the more positive was their ohrqol. Conclusions: Bite splint users have more positive splint-related responses and a better pain-related ohrqol than patients who received a bite splint but do not use it any longer. The quality of the patient-provider relationship plays an important role in the patients' splint-related responses as well as in the degree to which patients' ohrqol improves.
    Oral health & preventive dentistry 06/2014; 12(3). DOI:10.3290/j.ohpd.a32131 · 0.53 Impact Factor
  • L Susan Taichman, Russell S Taichman, Marita R Inglehart
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    ABSTRACT: The purpose of this study was to assess practicing dentists' perceptions of their leadership-related educational experiences during predoctoral education and after graduation, to investigate if these perceptions differed as a function of the respondents' graduation year and gender, and to explore the relationships between educational experiences and the respondents' understanding/perceptions of leadership, leadership-related attitudes, self-perceived effectiveness, and past and current leadership- related behavior. Of the 3,000 general dentist members of the American Dental Association who were invited to participate, 593 returned the survey for a response rate of 20 percent. Between 37 and 65 percent of the respondents indicated that their predoctoral dental education had not prepared them well on a series of factors related to being leaders in their practice, community, state, or at the national level. However, 33 to 77 percent of these dentists responded that educational experiences after graduation prepared them well for different types of leadership activities. Overall, respondents rated their predoctoral experiences significantly less positively than their experiences after graduation for each content area. The more recently the respondents had graduated, the higher they rated their leadership-related educational experiences. The better their educational experiences, the more important the respondents evaluated leadership activities in their practice, organized dentistry, and research/teaching, the more important they assessed leadership to be, and the more effective they evaluated themselves to be as leaders. The perceived quality of the respondents' predoctoral education was not correlated with their past and current leadership activities. The results of this study may suggest that improving leadership training during predoctoral education could positively affect future dentists' attitudes about leadership and ratings of their own effectiveness as leaders.
  • L Susan Taichman, Grace Gomez, Marita Rohr Inglehart
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    ABSTRACT: Approximately 200,000 women are diagnosed with breast cancer in the U.S. every year. These patients commonly suffer from oral complications of their cancer therapy. The purpose of this study was to assess dental hygienists' knowledge and professional practice related to providing care for breast cancer patients. A pre-tested 43-item survey was mailed to a random sample of 10% of all licensed dental hygienists in the state of Michigan (n=962). The survey assessed the respondents' knowledge of potential oral complications of breast cancer treatments as well as their professional practices when treating patients with breast cancer. After 2 mailings, the response rate was 37% (n=331). Descriptive and inferential analyses were conducted using SAS. Many dental hygienists were unaware of the recommended clinical guidelines for treating breast cancer patients and lacked specific knowledge concerning the commonly prescribed anti-estrogen medications for pre-and postmenopausal breast cancer patients. Over 70% of the respondents indicated they were unfamiliar with the AI class of medications. Only 13% of dental hygienists correctly identified the mechanism of action of anti-estrogen therapy. Dental hygienists reported increased gingival inflammation, gingival bleeding, periodontal pocketing, xerostomia and burning tissues in patients receiving anti-estrogen therapies. Less than 10% believed that their knowledge of breast cancer treatments and the potential oral side effects is up to date. Results indicate a need for more education about the oral effects of breast cancer therapies and about providing the best possible care for patients undergoing breast cancer treatment.
    Journal of dental hygiene: JDH / American Dental Hygienists' Association 04/2014; 88(2):100-13.
  • I.C. MCCOMB, S. ARONOVICH, M.R. INGLEHART
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    ABSTRACT: Objective: To investigate how a sense of competence concerning administering local anesthesia (LA) is related to (a) beliefs about the factors that are related to fail to obtain adequate anesthesia, (b) attitudes related to LA and the effectiveness of topical anesthesia (TA), and (c) actual behavior related to administering LA and TA. Method: Survey data were collected from 650 dental students in 14 different dental schools. Result: The more often the respondents administered LA and TA, the more competent they felt (r=.35/.32; p<.001). The more competent they felt with administering LA, (a) the less difficult it was for them to obtain profound LA (r=-.19; p<.001), (b) the less often they needed to re-anesthetize their patients (r=-.13; p<001), (c) the less they thought that restorative procedures (fillings and crowns) and extractions were related with inadequate anesthesia (r=-.23; p<.001 / r=.11; p=.004) and (d) the less they attributed failure to their own behavior such as incorrect placement, lack of experience, and inadequate preparation (r=-.16 / r=-.36 / r=-.18; p<.001). The more often they administered LA, the more positive were their attitudes about LA (r=.10; p<.023). The more positive the respondents’ attitudes were about LA, the less often they found it difficult to obtain profound LA (r=-.11; p=.008), and the more negative were their attitudes towards TA (r=-.20; p<.001). Conclusion: Results concerning the relationships between dental practitioners’ beliefs, attitudes and behavior related to the use of TA and LA shows an inverse relationship between increasing perceptions of competence in administering LA and the use of TA. Given the potential benefits of using TA for increasing trust and comfort in patients and thus reducing / preventing dental fear related to injections, educational efforts should focus on increasing providers’ acceptance of TA.
    AADR Annual Meeting & Exhibition 2014; 03/2014
  • B.S. SHOUKRI, E. BENAVIDES, M.R. INGLEHART
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    ABSTRACT: Objective: To assess the knowledge, interests and attitudes of dental, dental hygiene and graduate students and practicing clinicians concerning traditional radiology and cone beam computed tomography (CBCT) and to explore how knowledge, interests and attitudes are related. Method: Survey data were collected from 359 dental students, 66 dental hygiene students, 12 graduate students, and 38 clinicians. Result: The results showed that the overall interest in learning about radiology and CBCT was high (index based on 4 items with 5-point answer scale with 5=highest interest: Mean=4.30), with the clinicians and graduate students being most interested (means: 4.61 / 4.60). Attitudes concerning radiation exposure for patients when receiving CBCT scans showed that clinicians had low levels of concern (Mean=2.37), while graduate students had the highest concerns (Mean=3.96). There were no significant differences among the respondent groups in the degree to which they believed patients were concerned about radiation exposure when receiving CBCT scans (Overall mean=2.30). Respondents with previous educational experiences about CBCT (N=54) were more interested in learning more about this topic (4.61 vs. 4.24; p<.001), and thought patients were less concerned about radiation (2.61 vs. 2.21; p<.001) than respondents with no previous education (N=402). The more respondents knew about radiology and CBCT scans, the more they wanted to learn about it (r=.12; p=.011), the more they were concerned about their patients (r=.20; p<.001), and the more they thought their patients were concerned about radiation exposure when receiving CBCT scans (r=.51; p<.001). Conclusion: Interest in learning more about radiology and CBCT scans is high among dental and dental hygiene students and professionals. Given that increased education was associated with higher concerns for patients and the perceptions that patients were more concerned about radiation exposure when receiving CBCT scans should alert educators to address these concerns in educational interventions.
    AADR Annual Meeting & Exhibition 2014; 03/2014
  • A.N. KEWALLAL, C.M. JEN, M.R. INGLEHART
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    ABSTRACT: Objective: Research showed that having information about the level of functioning (e.g., ability to speak and engage in oral hygiene activities) of pediatric patients with special health care needs (SHCN) provides an excellent basis for educating these patients and their parents about oral health promotion. The objectives are to determine whether and how often pediatric dentists collect different types of patient information and how important they think it is to collect this information. Method: Survey data were collected from 273 pediatric dentists who were members of the American Academy of Pediatric Dentistry (AAPD). Result: The data showed that while all dentists collected medical information as well as information about the reason for the dental visit and about oral health-related behavior, considerable percentages did not ask about their patients’ level of functioning. For example, 25% did not ask how well the child interacts with others and 16% did not inquire how well the child is able to communicate. Concerning how often the dentist asked about concerns related to oral health behavior, the data showed that considerable percentages of dentists never inquired about whether the child can take care of him/herself (20%), how well coordinated the child is (23%), and how comfortable the parent is with teaching the child to brush (20%). The more important the dentists considered psychosocial information to be, the more often they asked about it. Conclusion: These findings show that it is important to raise pediatric dentists’ awareness about the significance of understanding the level of functioning of pediatric patients with SHCN. The more these professionals appreciate the importance of considering psychosocial information, the more likely they are to ask about this information when taking a patient history. Considering these issues should result in better oral health education and ultimately better oral health for this vulnerable patient population.
    AADR Annual Meeting & Exhibition 2014; 03/2014
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    ABSTRACT: Objective: Access to oral health care services is a major challenge for patients from socio-economically disadvantaged and/or minority backgrounds. One way to increase access to care for underserved patients is to engage dental hygienists in providing services for these patients. In Michigan, Public Act No. 161 (PA 161) was approved in 2005 allowing dental hygienists to provide preventive dental hygiene services to underserved patients. The objectives of this study were to assess how familiar and informed dental and dental hygiene students and faculty, and dental hygienists in Michigan are concerning PA 161, which attitudes they hold, what they know about PA 161, and how interested they are to learn more about it. The relationships between education/familiarity with PA 161, and the respondents' attitudes, knowledge and interests are explored as well. Method: Data were collected from 160 dental students and 30 faculty as well as from 206 dental hygiene students and 54 faculty members and 95 practicing dental hygienists. Result: Dental students were less familiar and educated/informed about PA 161 than dental hygiene students, and dental faculty were less informed than dental hygiene faculty members and dental hygienists. Dental hygiene faculty and dental hygienists held more positive attitudes towards PA 161 than students and dental faculty. The majority of dental hygiene faculty and dental hygienists knew a person who provides services under PA 161 and a program that is possible because of PA 161. The majority of dental hygiene students, faculty and dental hygienists were interested in more information about PA 161 programs. The more familiar and informed respondents were about PA 161, the better their attitudes were and the more interested they were in learning more about this program. Conclusion: Providing more information about PA 161 in educational settings as well as through media is likely to affect providers' attitudes and interest in this program positively.
    AADR Annual Meeting & Exhibition 2014; 03/2014
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    ABSTRACT: Objective: To investigate (a) how objective assessments of periodontal health (pocket depth, bleeding on probing, recession, furcation and mobility) are related to patients’ subjective assessments of their oral and gingival health and (b) how these indicators are related with the patients’ oral health-related quality of life (ohrqol) and oral health behavior. Method: Survey data were collected 432 regularly scheduled dental patients and periodontal chart review data were conducted for 322 patients. Oral health-related quality of life was assessed with 2 standardized scales (OHIP-14 and MOHRQoL). Result: The patients’ subjective assessment of their oral health on a scale from 1=poor to 5=excellent correlated significantly with the periodontal chart review indicators (pocket depth: r=.-.20; bleeding on probing: r=-.24; recession: r=-.20; furcation: r=-.12; mobility: r=-.12). The patients’ self-reported frequencies of noticing bleeding when brushing and flossing correlated only with the chart review assessments of pocket depth (r=-.17) and recession (r=-.17). The patients’ ohrqol scores correlated significantly with their subjective oral health and most periodontal indicators (MOHRQoL/OHIP-14: subjective oral health: r=-.56/-.50; perceived bleeding: r=.21/.23; pocket depth: r=.34/.34; bleeding on probing: r=.35/.39; recession: r=.32/.34; mobility: r=.12/.15). The patients’ oral health behavior index (frequencies of brushing and flossing) correlated significantly with their subjectively perceived oral health (r=.26) and some objective indicators (pocket depth: r=-.23; bleeding on probing: r=-.26; recession; r=-.23). Conclusion: Understanding which objective periodontal health indicators correlate with patients’ subjective awareness of their oral health status, their perceived gingival health and ohrqol can inform dental care providers about the way they need to communicate with patients about their treatment needs. Understanding that patients’ oral health behavior is related with their perceptions of their own oral health and ohrqol as well as with objective periodontal health indicators can be useful for dentists’ health education efforts. (This research was supported by a grant from the Colgate-Palmolive Company.)
    AADR Annual Meeting & Exhibition 2014; 03/2014
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    ABSTRACT: The objectives of this project were to create a program that would expose underrepresented minority (URM) and low income (LI) high school students to dental professions and provide an opportunity for dental and dental hygiene students from URM/LI groups to be engaged in teaching activities. Data were collected from participants during the school years 2009-10 (high school students: N=23, dental students: N=21, dental hygiene students: N=5) and 2010-11 (N=27, N=11, N=3, respectively). The students participated in fifteen Saturday sessions from October through March each year. The data showed that, from the beginning, mentees and mentors were very interested in participating in the program and getting to know each other. Lectures, general program activities, and patient-related events such as organizing a health fair and shadowing during two outreach clinics were evaluated positively by mentees and mentors. The end of program evaluations showed that the program and the mentee-mentor relationships were rated very positively and that the mentees had an increased interest in oral health-related careers. In conclusion, creating opportunities for URM/LI high school students to explore dental careers and for dental and dental hygiene students to engage in teaching resulted in positive experiences for both groups.
    Journal of dental education 03/2014; 78(3):423-436. · 1.04 Impact Factor
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    ABSTRACT: The objective of this study was to explore whether an experiential exercise in a nutrition class would a) increase dental students' motivation to change their own diet-related behavior, b) improve their understanding of theoretical concepts related to behavior change, and c) improve their attitudes towards educating their patients about diet-related behavior. Data were collected from 218 senior dental students in one dental school (2010: 106; 2011: 112) during their nutrition class. The students agreed at the beginning that it was important to change their own diet-related behavior. After one week, the majority agreed that they had changed how they felt and thought about the targeted behavior and what they actually did. After three weeks and at the end of the term, they rated the exercise as helpful for gaining a better understanding of health education theories. The majority indicated that the exercise had helped them understand the difficulty of diet-related behavior change and that it had increased their interest in helping patients change their diet-related behavior. In conclusion, this study suggests that experiential learning about diet-related behavior change is likely to affect students' own behavior positively and to result in increased understanding of behavior change theories and positive behavioral intentions concerning future health education efforts with patients.
    Journal of dental education 01/2014; 78(1):64-74. · 1.04 Impact Factor
  • Ashok K Rohra, Wilhelm A Piskorowski, Marita R Inglehart
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    ABSTRACT: The objectives of this study were to explore how dentists with well-structured vs. not well-structured community-based dental education (CBDE) experiences differ in perceptions of their CBDE and its impact on their professional lives and in their professional attitudes and behavior related to treating patients from underserved populations. The relationships between CBDE evaluations and impact on the dentists' professional lives and professional attitudes and behavior were explored as well. Data were collected from 254 dentists who participated in CBDE before graduating from the University of Michigan School of Dentistry between 1970 and 2011. The results showed that the alumni with well-structured experiences rated the quality of their CBDE more positively and its impact on their professional lives as stronger than those with less well-structured experiences. They also had more positive attitudes concerning treating underserved patients and were more likely to treat underserved patients than their peers with less well-structured experiences. These dentists' perceptions of the quality of CBDE and impact on their professional lives correlated significantly with their attitudes and behavior concerning treating underserved patients. Their perceptions of the quality of their CBDE experiences and perceptions of benefits from these experiences were significantly related to their professional attitudes and behavior related to providing care for patients from underserved populations.
    Journal of dental education 01/2014; 78(1):119-30. · 1.04 Impact Factor
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    ABSTRACT: Purpose: The purposes of this study were to increase dentists' understanding of how to best engage parents and their children with special health care needs (SHCN) in oral health promotion efforts and explore the relationships between these patients' level of functioning and oral health and their parents' comfort concerning oral health promotion. Methods: Survey data were collected from 154 caregivers of SHCN children. Children's oral health data were obtained from their clinical charts. Results: The patients' level of functioning ranged from the lowest to the highest regarding their ability to listen/understand, talk, relate to others, care for themselves, play with others, and participate in physical activities. Children's gingival health was correlated with their ability to talk (r=-.12; PConclusions: Understanding patient's level of functioning might predict the degree to which parents actually engage in oral health promotion efforts and are interested in oral health-related education.
    Pediatric dentistry 01/2014; 36(3). · 0.56 Impact Factor

Publication Stats

616 Citations
97.09 Total Impact Points

Institutions

  • 2002–2015
    • University of Michigan
      • • Department of Psychology
      • • School of Dentistry
      • • Department of Periodontics and Oral Medicine
      Ann Arbor, Michigan, United States
  • 2007–2014
    • Concordia University–Ann Arbor
      Ann Arbor, Michigan, United States
  • 2011
    • Midwestern University
      Glendale, Arizona, United States
  • 2010
    • Indiana University-Purdue University Indianapolis
      Indianapolis, Indiana, United States
  • 2003
    • Eastern Michigan University
      • Department of Psychology
      Ypsilanti, MI, United States