The Impact of Oral Health Literacy on Dental Anxiety and Utilization of Oral Health Services

Overview

Oral Health Literacy is an integral part that should be taken into measures when evaluating the oral health status of any population. It has been stated that adults with low oral health literacy are more prone to miss their dental appointments and that low levels of oral health literacy, and being anxious and fearful of the dentist is a common barrier to the utilization of dental services. Unfortunately no previous studies assessed the oral health literacy level, dental anxiety and utilization of dental services among the Egyptian population. So the aim of the current study is to detect the impact of oral health literacy on level of dental anxiety and utilization of dental services among Misr International University (MIU) dental patients.

Full Title of Study: “The Impact of Oral Health Literacy on Dental Anxiety and Utilization of Oral Health Services Among Dental Patients: A Cross Sectional Study”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Cross-Sectional
  • Study Primary Completion Date: May 30, 2020

Detailed Description

The current study is a cross sectional study that includes an interview lead questionnaire that will be carried out by second year dental students of the academic years (2018-2019, 2019- 2020). The questionnaire consists of four sections; a demographic section, a modified Arabic Rapid Estimate of Adult Literacy (ARELAD-30) Tool, Arabic Modified Dental Anxiety Scale (AMDAS), and Utilization of oral health services questionnaire. Before conducting the study, orientation sessions and thorough training of the students will be performed to ensure that the students can conduct the interview consistently and efficiently. Students will be asked to design educational materials (brochures, leaflets and posters) that aim at improving patients' knowledge and awareness regarding oral health and the utilization of oral health services. The aim of this study is to detect the impact of oral health literacy on the level of dental anxiety and utilization of dental services among dental patients.

Clinical Trial Outcome Measures

Primary Measures

  • Level of Oral Health Literacy
    • Time Frame: 14 months from the first enrollment
    • modified version of the Arabic Version of Rapid Estimate of Adult Literacy in Medicine (AREALD-30): grades 0 (Complete illiteracy)-30 (Complete literacy)

Secondary Measures

  • Level of Dental Anxiety
    • Time Frame: 14 months from the first enrollment
    • Arabic Modified Dental Anxiety Scale (AMDAS): Likert scale 1(Extreme anxiety) -5 (Not anxious at all)
  • Level of utilization of oral health services
    • Time Frame: 14 months from the first enrollment
    • Questionnaire: Nominal outcome (%)

Participating in This Clinical Trial

Inclusion Criteria

  • Both genders.
  • Age: 18 – 60 years old.
  • Dentate or partially edentulous patients with or without fixed or removable appliances.
  • Healthy adults as well as adults with any chronic condition and/or under regular use of medication.

Exclusion Criteria

  • Subjects with mental or psychological problems.
  • Subjects who cannot read or write.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 60 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Misr International University
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Mahassen M. Farghaly, Professor, Study Director, Vice President for Community Services & Environmental Affairs

References

Guo Y, Logan HL, Dodd VJ, Muller KE, Marks JG, Riley JL 3rd. Health literacy: a pathway to better oral health. Am J Public Health. 2014 Jul;104(7):e85-91. doi: 10.2105/AJPH.2014.301930. Epub 2014 May 15.

Batista MJ, Lawrence HP, Sousa MDLR. Oral health literacy and oral health outcomes in an adult population in Brazil. BMC Public Health. 2017 Jul 26;18(1):60. doi: 10.1186/s12889-017-4443-0. Erratum in: BMC Public Health. 2017 Sep 22;17 (1):736. BMC Public Health. 2017 Oct 18;17 (1):821.

Bahammam MA, Hassan MH. Validity and reliability of an Arabic version of the modified dental anxiety scale in Saudi adults. Saudi Med J. 2014 Nov;35(11):1384-9.

Saatchi M, Abtahi M, Mohammadi G, Mirdamadi M, Binandeh ES. The prevalence of dental anxiety and fear in patients referred to Isfahan Dental School, Iran. Dent Res J (Isfahan). 2015 May-Jun;12(3):248-53.

Fayad MI, Elbieh A, Baig MN, Alruwaili SA. Prevalence of Dental Anxiety among Dental Patients in Saudi Arabia. J Int Soc Prev Community Dent. 2017 Mar-Apr;7(2):100-104. doi: 10.4103/jispcd.JISPCD_19_17. Epub 2017 Mar 29.

Tadakamadla SK, Quadri MF, Pakpour AH, Zailai AM, Sayed ME, Mashyakhy M, Inamdar AS, Tadakamadla J. Reliability and validity of Arabic Rapid Estimate of Adult Literacy in Dentistry (AREALD-30) in Saudi Arabia. BMC Oral Health. 2014 Sep 29;14:120. doi: 10.1186/1472-6831-14-120.

Bommireddy VS, Koka KM, Pachava S, Sanikommu S, Ravoori S, Chandu VC. Dental Service Utilization: Patterns and Barriers among Rural Elderly in Guntur District, Andhra Pradesh. J Clin Diagn Res. 2016 Mar;10(3):ZC43-7. doi: 10.7860/JCDR/2016/17834.7456. Epub 2016 Mar 1.

Crego A, Carrillo-Díaz M, Armfield JM, Romero M. From public mental health to community oral health: the impact of dental anxiety and fear on dental status. Front Public Health. 2014 Feb 28;2:16. doi: 10.3389/fpubh.2014.00016. eCollection 2014. Review.

Burgette JM, Lee JY, Baker AD, Vann WF Jr. Is Dental Utilization Associated with Oral Health Literacy? J Dent Res. 2016 Feb;95(2):160-6. doi: 10.1177/0022034515617457. Epub 2015 Nov 13.

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