title: Relationships among and demographic predictors of dentists' self-reported adherence to national guidelines.
abstract: How dentists learn about and integrate new procedures and techniques into dental practice are major concerns in innovation research in dentistry. The purposes of this study were to: (1) develop reliable measures of self-reported adherence to different national guidelines; (2) to examine the relationships among the different measures; and (3) to determine if predictors of these adherence behaviours exist. One thousand U.S. general dentists were asked to complete a survey of adherence behaviours to established guidelines in infection control, radiation protection, and antibiotic prophylaxis. Thirty-five percent responded to the mailed survey. Reliable scales were developed in infection control and antibiotic prophylaxis behaviors. Step-wise multiple regression analysis produced several weak predictors of adherence to guidelines in these two areas. Characteristics of early adopters such as office complexity, membership in professional associations, and year of graduation, were consistent with other dental innovation literature. Significant correlations were found between adherence behaviors in infection control and antibiotic prophylaxis. These correlations do support the findings that practitioners who are early adopters of innovation are likely to do so in more than one area.
authors.affiliation: University of Missouri-Kansas City, School of Denistry, Department of Dental Hygiene, MO 64108-2795.
authors.forename: M
authors.initials: M
authors.lastname: Dorsey
authors.forename: P
authors.initials: P
authors.lastname: Overman
authors.forename: W J
authors.initials: WJ
authors.lastname: Hayden
authors.forename: W
authors.initials: W
authors.lastname: Mayberry
authors.forename: B
authors.initials: B
authors.lastname: Requa-Clark
authors.forename: K
authors.initials: K
authors.lastname: Krust
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003140:Communicable Disease Control; D003730:Dental Care for Persons with Disabilities; D003815:Dentists; D004059:Diffusion of Innovation; D015438:Health Behavior; D006287:Health Planning Guidelines; D006306:Health Surveys; D006801:Humans; D011292:Premedication / Q000592:standards*; D011835:Radiation Protection / Q000592:standards*; D012044:Regression Analysis; D012655:Self-Evaluation Programs; D012953:Societies, Dental; D012959:Socioeconomic Factors; D014481:United States
chemical_list: D000900:Anti-Bacterial Agents