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Early Childhood Caries and Health Professionals' Perception: a Qualitative Research Protocol to Assess Oral Health Stigma

Conditions
Early Childhood Caries (ECC)
Interventions
Other: Exploring health professionals' perceptions of patients with ECC using semi-structured interviews
Registration Number
NCT05284279
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Dental caries is the most common non-communicable disease in childhood. Disease management of caries rests on surgical treatment as well as various preventive strategies such as fluoridation, sealants, personal counselling...

With other non-communicable diseases (obesity, overweight...), it has been demonstrated that health professionals' negative perceptions of their patients could affect disease management quality. Concerning dental caries, some data might suggest that discriminating believes and behaviours toward children with dental caries and their families exist in the medical setting. However, oral health related stigma remains an unexplored issue. This study would be the first to our knowledge to specifically address the question of stigmatisation and discrimination of patients with dental caries. The present project is to conduct an exploratory study focusing on perceptions and attitudes of health professionals toward children with early childhood caries and their parents.

The questions the study aims to answer are: (i) What are health professionals 'perceptions of children with ECC and their family? And (ii) according to health professionals, do these perceptions influence the quality of their care? We hypothesize that some practitioners have negative opinions on children with ECC and their parents, affecting the quality of their care, especially concerning oral health prevention.

Method: Individual semi-structured interviews will be conducted among dentists (general or pediatric), general practitioners and paediatricians.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • speak French fluently
  • practice with children as a dentist (general or pediatric), a general practitioner, or a paediatrician
  • work in hospital or ambulatory facility
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Exclusion Criteria
  • NA
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Health professionals practicing with childrenExploring health professionals' perceptions of patients with ECC using semi-structured interviewsTo participate, health professionals will have to speak French fluently, practice with children as a dentist (general or pediatric), a general practitioner, or a paediatrician and work in hospital or ambulatory facility. As paediatricians and general practitioners meet the child regularly during the first 6 years of life for medical follow-up, they are key stakeholders in the early detection of caries, referrals to dentist and counselling. The participants will be recruited using a semi-random sampling method. The sample will be constituted with a maximum variation in age, gender, years in practice, occupation and types of practice (solo, group or interdisciplinary team).
Primary Outcome Measures
NameTimeMethod
Health professionals' representations of children with dental caries and their familyThe main outcome will be collected during the interviews.

Individual semi-structured interviews will be conducted among dentists, general practitioners and paediatricians to explore health professionals' representations of children with dental caries and their family. All the interviews will be audio recorded and transcribed into verbatims. Verbatims will be analysed using the N'Vivo qualitative analysis software. The thematic analysis of the data will then be carried out using the 6-steps method of Braun and Clarke. A transversal analysis will be conducted by classifying the verbatims of each interview into themes and main theme.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

As much as possible, interviews will be performed face to face at a location convenient to the respondent or using videoconference due to COVID19 pandemic context.

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Rhone-Alpes Region, France

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