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J Dent Educ. 73(6): 718-729 2009
© 2009 American Dental Education Association
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Educational Methodologies

Development and Evaluation of a Web-Based Training Program for Oral Health Care Providers on Secondary Prevention of Eating Disorders

Rita D. DeBate, Ph.D.; Herbert Severson, Ph.D.; Marissa L. Zwald, M.P.H.; Tracy Shaw, M.A.; Steve Christiansen, B.A.; Anne Koerber, D.D.S., Ph.D.; Scott Tomar, D.M.D., Dr.P.H.; Kelli McCormack Brown, Ph.D.; Lisa A. Tedesco, Ph.D.

Key words: eating disorders, dentistry, dental education, dental hygienists, students, dental, oral health, knowledge, attitudes

Submitted for publication 12/19/08; accepted 03/18/09

Although oral health care providers (OHP) are key in the secondary prevention of eating disorders (ED), the majority are not engaged in assessment, referral, and case management. This innovative pilot project developed and evaluated a web-based training program for dental and dental hygiene students and providers on the secondary prevention of ED. The intervention combined didactic and skill-based objectives to train OHP on ED and its oral health effects, OHP roles, skills in identifying the oral signs of ED, communication, treatment, and referral. Using a convenience sample of OHP (n=66), a pre-/post-test evaluated short-term outcomes and user satisfaction. Results revealed statistically significant improvements in self-efficacy (p<.001); knowledge of oral manifestations from restrictive behaviors (p<.001) and purging behaviors (p<.001); knowledge of oral treatment options (p<.001); and attitudes towards the secondary prevention of ED (p<.001). Most participants strongly agreed or agreed that the program provided more information (89 percent) and resources (89 percent) about the secondary prevention of ED than were currently available; 91 percent strongly agreed or agreed that they would access this program for information regarding the secondary prevention of ED. This pilot project provides unique training in the clinical evaluation, patient approach, referral, and oral treatment that takes a multidisciplinary approach to address ED.






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