Abstract：
Objective risk communication tools can supplement clinical judgement and support the understanding of potential health risks. This study used the Theoretical Domains Framework (TDF) to identify barriers and facilitators to implementing a risk communication aid within primary care dental consultations.
Dentists (N = 13), recruited via a dental practice database and through professional contacts were interviewed using a TDF-informed semi-structured interview schedule. Data were analysed inductively and deductively coding the themes using the TDF.
Eight theoretical domains (environmental context and resources; beliefs about consequences; goals; memory, attention, and decision processes; optimism; reinforcement; social influences and behavioural regulation) and thirteen sub-themes were identified. Insufficient resources and patient factors were commonly encountered barriers and led to increasing pressure to prioritise other tasks. Whilst dentists had a favourable view towards a risk communication aid and acknowledged its benefits, some were sceptical about its ability to facilitate behaviour change. Self-monitoring strategies and colleague support facilitated tool usage.
This study identified six barriers and seven facilitators to implementing a risk communication tool within primary care dental settings. Dentists appreciated the value of using a risk communication tool during dental consultations, although some required further support to integrate the tool into practice.
Our findings provide a sound theoretical base for interventions aimed at facilitating patient behaviour change through the use of risk communication in dentistry. Further research should apply behavioural science to support the implementation of the tool in clinical practice.
Dentists (N = 13), recruited via a dental practice database and through professional contacts were interviewed using a TDF-informed semi-structured interview schedule. Data were analysed inductively and deductively coding the themes using the TDF.
Eight theoretical domains (environmental context and resources; beliefs about consequences; goals; memory, attention, and decision processes; optimism; reinforcement; social influences and behavioural regulation) and thirteen sub-themes were identified. Insufficient resources and patient factors were commonly encountered barriers and led to increasing pressure to prioritise other tasks. Whilst dentists had a favourable view towards a risk communication aid and acknowledged its benefits, some were sceptical about its ability to facilitate behaviour change. Self-monitoring strategies and colleague support facilitated tool usage.
This study identified six barriers and seven facilitators to implementing a risk communication tool within primary care dental settings. Dentists appreciated the value of using a risk communication tool during dental consultations, although some required further support to integrate the tool into practice.
Our findings provide a sound theoretical base for interventions aimed at facilitating patient behaviour change through the use of risk communication in dentistry. Further research should apply behavioural science to support the implementation of the tool in clinical practice.
摘要：
目的：目的风险沟通工具可以补充临床判断，支持对潜在健康风险的理解。本研究使用理论领域框架（TDF）来确定在初级保健牙科咨询中实施风险沟通辅助的障碍和促进者。
方法：牙医（N=13），通过牙科诊所数据库和专业联系人招募。使用TDF通知的半结构化面试时间表对他们进行了面试。数据进行了归纳和演绎分析，使用TDF编码主题。
结果：八个理论领域（环境背景和资源；对后果的信念；目标；记忆，注意,和决策过程；乐观；强化；社会影响和行为规范）和13个子主题被确定。资源不足和患者因素通常会遇到障碍，并导致优先考虑其他任务的压力越来越大。虽然牙医对风险沟通援助持积极态度，并承认其好处，一些人对它促进行为改变的能力持怀疑态度。自我监控策略和同事支持促进了工具的使用。
结论：这项研究确定了在初级保健牙科环境中实施风险沟通工具的六个障碍和七个促进因素。牙医赞赏在牙科咨询期间使用风险沟通工具的价值，尽管有些人需要进一步的支持才能将该工具集成到实践中。
结论：我们的研究结果为旨在促进牙科风险沟通的干预措施提供了良好的理论基础。进一步的研究应应用行为科学来支持该工具在临床实践中的实施。
方法：牙医（N=13），通过牙科诊所数据库和专业联系人招募。使用TDF通知的半结构化面试时间表对他们进行了面试。数据进行了归纳和演绎分析，使用TDF编码主题。
结果：八个理论领域（环境背景和资源；对后果的信念；目标；记忆，注意,和决策过程；乐观；强化；社会影响和行为规范）和13个子主题被确定。资源不足和患者因素通常会遇到障碍，并导致优先考虑其他任务的压力越来越大。虽然牙医对风险沟通援助持积极态度，并承认其好处，一些人对它促进行为改变的能力持怀疑态度。自我监控策略和同事支持促进了工具的使用。
结论：这项研究确定了在初级保健牙科环境中实施风险沟通工具的六个障碍和七个促进因素。牙医赞赏在牙科咨询期间使用风险沟通工具的价值，尽管有些人需要进一步的支持才能将该工具集成到实践中。
结论：我们的研究结果为旨在促进牙科风险沟通的干预措施提供了良好的理论基础。进一步的研究应应用行为科学来支持该工具在临床实践中的实施。
