What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey
Identifieur interne : 005646 ( Ncbi/Merge ); précédent : 005645; suivant : 005647What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey
Auteurs : Caoimhin Mac Giolla Phadraig [Irlande (pays)] ; June Nunn [Irlande (pays)] ; Alison Dougall [Irlande (pays)] ; Eunan O'Neill [Royaume-Uni] ; Jacinta Mcloughlin [Irlande (pays)] ; Suzanne Guerin [Irlande (pays)]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
This study aimed to generate prioritised goals for oral health services for people with disabilities as a first step in meeting the need for evidence based oral health services for people with disabilities in Ireland.
The study used a three round modified e-Delphi method, involving dental service professionals and people with disabilities or their representatives, in Ireland. Three rounds were completed online using SurveyMonkey. Round 1 asked: “List what you think dental services for people with disabilities in Ireland should be like.” Items for subsequent rounds were generated from responses to Round 1. Round 2 and Round 3 used 5 point Likert scales to rank these items by priority: from No Priority (1) to Top Priority (5). Consensus was achieved on each item where at least 80% of respondents considered an item either High or Top Priority. A consensus meeting concluded the process.
Sixty-one panelists started and 48 completed the survey. The Delphi panel agreed on level of priority for 69 items and generated 16 consensus statements. These statements covered a range of topics such as access to care, availability of information and training, quality of care, dental treatment and cost. A recurrent theme relating to the appropriateness of care to individual need arose across topics suggesting a need to match service delivery according to the individual's needs, wants and expectations rather than the disability type/diagnosis based service which predominates today.
This process produced a list of prioritised goals for dental services for people with disabilities. This creates a foundation for building evidence-based service models for people with disabilities in Ireland.
Url:
DOI: 10.1371/journal.pone.0113393
PubMed: 25420015
PubMed Central: 4242628
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey</title><author><name sortKey="Mac Giolla Phadraig, Caoimhin" sort="Mac Giolla Phadraig, Caoimhin" uniqKey="Mac Giolla Phadraig C" first="Caoimhin" last="Mac Giolla Phadraig">Caoimhin Mac Giolla Phadraig</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Nunn, June" sort="Nunn, June" uniqKey="Nunn J" first="June" last="Nunn">June Nunn</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Dougall, Alison" sort="Dougall, Alison" uniqKey="Dougall A" first="Alison" last="Dougall">Alison Dougall</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="O Neill, Eunan" sort="O Neill, Eunan" uniqKey="O Neill E" first="Eunan" last="O'Neill">Eunan O'Neill</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Public Health, Oxfordshire County Council, Oxford, Oxfordshire, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Public Health, Oxfordshire County Council, Oxford, Oxfordshire</wicri:regionArea><wicri:noRegion>Oxfordshire</wicri:noRegion></affiliation></author><author><name sortKey="Mcloughlin, Jacinta" sort="Mcloughlin, Jacinta" uniqKey="Mcloughlin J" first="Jacinta" last="Mcloughlin">Jacinta Mcloughlin</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Guerin, Suzanne" sort="Guerin, Suzanne" uniqKey="Guerin S" first="Suzanne" last="Guerin">Suzanne Guerin</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>School of Psychology, University College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>School of Psychology, University College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25420015</idno><idno type="pmc">4242628</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242628</idno><idno type="RBID">PMC:4242628</idno><idno type="doi">10.1371/journal.pone.0113393</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000435</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000435</idno><idno type="wicri:Area/Pmc/Curation">000435</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000435</idno><idno type="wicri:Area/Pmc/Checkpoint">001117</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001117</idno><idno type="wicri:Area/Ncbi/Merge">005646</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey</title><author><name sortKey="Mac Giolla Phadraig, Caoimhin" sort="Mac Giolla Phadraig, Caoimhin" uniqKey="Mac Giolla Phadraig C" first="Caoimhin" last="Mac Giolla Phadraig">Caoimhin Mac Giolla Phadraig</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Nunn, June" sort="Nunn, June" uniqKey="Nunn J" first="June" last="Nunn">June Nunn</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Dougall, Alison" sort="Dougall, Alison" uniqKey="Dougall A" first="Alison" last="Dougall">Alison Dougall</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="O Neill, Eunan" sort="O Neill, Eunan" uniqKey="O Neill E" first="Eunan" last="O'Neill">Eunan O'Neill</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Public Health, Oxfordshire County Council, Oxford, Oxfordshire, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Public Health, Oxfordshire County Council, Oxford, Oxfordshire</wicri:regionArea><wicri:noRegion>Oxfordshire</wicri:noRegion></affiliation></author><author><name sortKey="Mcloughlin, Jacinta" sort="Mcloughlin, Jacinta" uniqKey="Mcloughlin J" first="Jacinta" last="Mcloughlin">Jacinta Mcloughlin</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Guerin, Suzanne" sort="Guerin, Suzanne" uniqKey="Guerin S" first="Suzanne" last="Guerin">Suzanne Guerin</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>School of Psychology, University College Dublin, Dublin, Ireland</addr-line></nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>School of Psychology, University College Dublin, Dublin</wicri:regionArea><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>This study aimed to generate prioritised goals for oral health services for people with disabilities as a first step in meeting the need for evidence based oral health services for people with disabilities in Ireland.</p></sec><sec><title>Methods</title><p>The study used a three round modified e-Delphi method, involving dental service professionals and people with disabilities or their representatives, in Ireland. Three rounds were completed online using SurveyMonkey. Round 1 asked: “List what you think dental services for people with disabilities in Ireland should be like.” Items for subsequent rounds were generated from responses to Round 1. Round 2 and Round 3 used 5 point Likert scales to rank these items by priority: from No Priority (1) to Top Priority (5). Consensus was achieved on each item where at least 80% of respondents considered an item either High or Top Priority. A consensus meeting concluded the process.</p></sec><sec><title>Results</title><p>Sixty-one panelists started and 48 completed the survey. The Delphi panel agreed on level of priority for 69 items and generated 16 consensus statements. These statements covered a range of topics such as access to care, availability of information and training, quality of care, dental treatment and cost. A recurrent theme relating to the appropriateness of care to individual need arose across topics suggesting a need to match service delivery according to the individual's needs, wants and expectations rather than the disability type/diagnosis based service which predominates today.</p></sec><sec><title>Conclusions</title><p>This process produced a list of prioritised goals for dental services for people with disabilities. This creates a foundation for building evidence-based service models for people with disabilities in Ireland.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Costello, Pj" uniqKey="Costello P">PJ Costello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holland, Tj" uniqKey="Holland T">TJ Holland</name></author><author><name sortKey="O Mullane, Dm" uniqKey="O Mullane D">DM O'Mullane</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Smith, G" uniqKey="Smith G">G Smith</name></author><author><name sortKey="Rooney, S" uniqKey="Rooney S">S Rooney</name></author><author><name sortKey="Nunn, J" uniqKey="Nunn J">J Nunn</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Holland, Tj" 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uniqKey="Nunn J">JH Nunn</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Faulks, D" uniqKey="Faulks D">D Faulks</name></author><author><name sortKey="Norderyd, J" uniqKey="Norderyd J">J Norderyd</name></author><author><name sortKey="Molina, G" uniqKey="Molina G">G Molina</name></author><author><name sortKey="Mac Giolla Phadraig, C" uniqKey="Mac Giolla Phadraig C">C Mac Giolla Phadraig</name></author><author><name sortKey="Scagnet, G" uniqKey="Scagnet G">G Scagnet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Faulks, D" uniqKey="Faulks D">D Faulks</name></author><author><name sortKey="Freedman, L" uniqKey="Freedman L">L Freedman</name></author><author><name sortKey="Thompson, S" uniqKey="Thompson S">S Thompson</name></author><author><name sortKey="Sagheri, D" uniqKey="Sagheri D">D Sagheri</name></author><author><name sortKey="Dougall, A" uniqKey="Dougall A">A 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25420015</article-id><article-id pub-id-type="pmc">4242628</article-id><article-id pub-id-type="publisher-id">PONE-D-14-30374</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0113393</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and Health Sciences</subject><subj-group><subject>Health Care</subject><subj-group><subject>Health Care Providers</subject><subj-group><subject>Allied Health Care Professionals</subject></subj-group></subj-group><subj-group><subject>Communication in Health Care</subject><subject>Geographic and National Differences in Health Care</subject><subject>Health Care Policy</subject><subject>Health Care Quality</subject><subject>Health Services Research</subject></subj-group></subj-group><subj-group><subject>Oral Medicine</subject><subj-group><subject>Dentistry</subject><subject>Oral Health</subject></subj-group></subj-group><subj-group><subject>Public and Occupational Health</subject><subj-group><subject>Disabilities</subject></subj-group></subj-group></subj-group></article-categories><title-group><article-title>What Should Dental Services for People with Disabilities Be Like? Results of an Irish Delphi Panel Survey</article-title><alt-title alt-title-type="running-head">Project SMILE Ireland Delphi Panel</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mac Giolla Phadraig</surname><given-names>Caoimhin</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Nunn</surname><given-names>June</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Dougall</surname><given-names>Alison</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>O'Neill</surname><given-names>Eunan</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>McLoughlin</surname><given-names>Jacinta</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Guerin</surname><given-names>Suzanne</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Department of Public and Child Dental Health, Dublin Dental University Hospital and Trinity College Dublin, Dublin, Ireland</addr-line></aff><aff id="aff2"><label>2</label><addr-line>Public Health, Oxfordshire County Council, Oxford, Oxfordshire, United Kingdom</addr-line></aff><aff id="aff3"><label>3</label><addr-line>School of Psychology, University College Dublin, Dublin, Ireland</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Milgrom</surname><given-names>Peter M.</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>University of Washington, United States of America</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>macgiolla@dental.tcd.ie</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: CMGP JN JM AD EON. Performed the experiments: CMGP. Analyzed the data: CMGP AD SG. Wrote the paper: CMGP JN AD JM SG EON.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>24</day><month>11</month><year>2014</year></pub-date><volume>9</volume><issue>11</issue><elocation-id>e113393</elocation-id><history><date date-type="received"><day>7</day><month>7</month><year>2014</year></date><date date-type="accepted"><day>23</day><month>10</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Mac Giolla Phadraig et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><sec><title>Background</title><p>This study aimed to generate prioritised goals for oral health services for people with disabilities as a first step in meeting the need for evidence based oral health services for people with disabilities in Ireland.</p></sec><sec><title>Methods</title><p>The study used a three round modified e-Delphi method, involving dental service professionals and people with disabilities or their representatives, in Ireland. Three rounds were completed online using SurveyMonkey. Round 1 asked: “List what you think dental services for people with disabilities in Ireland should be like.” Items for subsequent rounds were generated from responses to Round 1. Round 2 and Round 3 used 5 point Likert scales to rank these items by priority: from No Priority (1) to Top Priority (5). Consensus was achieved on each item where at least 80% of respondents considered an item either High or Top Priority. A consensus meeting concluded the process.</p></sec><sec><title>Results</title><p>Sixty-one panelists started and 48 completed the survey. The Delphi panel agreed on level of priority for 69 items and generated 16 consensus statements. These statements covered a range of topics such as access to care, availability of information and training, quality of care, dental treatment and cost. A recurrent theme relating to the appropriateness of care to individual need arose across topics suggesting a need to match service delivery according to the individual's needs, wants and expectations rather than the disability type/diagnosis based service which predominates today.</p></sec><sec><title>Conclusions</title><p>This process produced a list of prioritised goals for dental services for people with disabilities. This creates a foundation for building evidence-based service models for people with disabilities in Ireland.</p></sec></abstract><funding-group><funding-statement>The authors have no support or funding to report.</funding-statement></funding-group><counts><page-count count="17"></page-count></counts><custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name><meta-value>The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper and its Supporting Information files.</meta-value></custom-meta></custom-meta-group></article-meta><notes><title>Data Availability</title><p>The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper and its Supporting Information files.</p></notes></front></pmc><affiliations><list><country><li>Irlande (pays)</li><li>Royaume-Uni</li></country></list><tree><country name="Irlande (pays)"><noRegion><name sortKey="Mac Giolla Phadraig, Caoimhin" sort="Mac Giolla Phadraig, Caoimhin" uniqKey="Mac Giolla Phadraig C" first="Caoimhin" last="Mac Giolla Phadraig">Caoimhin Mac Giolla Phadraig</name></noRegion><name sortKey="Dougall, Alison" sort="Dougall, Alison" uniqKey="Dougall A" first="Alison" last="Dougall">Alison Dougall</name><name sortKey="Guerin, Suzanne" sort="Guerin, Suzanne" uniqKey="Guerin S" first="Suzanne" last="Guerin">Suzanne Guerin</name><name sortKey="Mcloughlin, Jacinta" sort="Mcloughlin, Jacinta" uniqKey="Mcloughlin J" first="Jacinta" last="Mcloughlin">Jacinta Mcloughlin</name><name sortKey="Nunn, June" sort="Nunn, June" uniqKey="Nunn J" first="June" last="Nunn">June Nunn</name></country><country name="Royaume-Uni"><noRegion><name sortKey="O Neill, Eunan" sort="O Neill, Eunan" uniqKey="O Neill E" first="Eunan" last="O'Neill">Eunan O'Neill</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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