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Browsing by Author "Giraudeau, Nicolas"

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    Developing the teledentistry acceptance survey for dentists - TAS-D : a Delphi study
    (2024-12) El Tantawi, Maha; Ammar, Nour; Marino, Rodrigo; Uribe, Sergio E; Manton, David; Hugo, Fernando N; Clément, Celine; Sim, Christina P C; Maret, Delphine; Kopycka-Kedzierawski, Dorota T; Mbende, Eliane; Kruger, Estie; Lan, Romain; Doghri, Leila Larbi; Castelaz, McAllister; Alam, Mohammad Khursheed; Ibiyemi, Olushola; Naidoo, Sudeshni; Schwarz, Eli; Priya, Harsh; Braga, Mariana Minatel; Giraudeau, Nicolas; Foláyan, Morẹ Nikẹ Oluwátóyìn; Department of Conservative Dentistry and Oral Health
    INTRODUCTION: The increasing interest in teledentistry since the COVID-19 pandemic warrants an evaluation of dentists' willingness to adopt it. This study aimed to develop a questionnaire to assess dentist's intention to use teledentistry and the associated factors. METHODS: A literature search was used to identify items for the questionnaire. The Unified Theory of Acceptance and Use of Technology (UTAUT2) was adopted as framework. A Delphi panel was constituted of researchers with relevant publications and the International Association of Dental Research e-Oral Health Network members. Three Delphi consultations were conducted to establish consensus on items. Consensus was set at 80% agreement and content validity ratio (CVR), reaffirmed iteratively. RESULTS: Nineteen out of 25 (76%) invited experts participated in the first round, 17 in the second and 15 in the third. The preliminary questionnaire had 81 items in three sections, reduced to 66, 45 and 33 items in the first, second and third rounds. After revision, the final version comprised eight items assessing dentists' backgrounds in Sect. 1, seven items identifying teledentistry uses in Sect. 2, and 17 items assessing intention to use teledentistry and its determinants in seven dimensions in Sect. 3. The initial CVR was 0.45, which increased to 0.80 at the end of the third round. CONCLUSION: A survey tool was developed to assess the acceptance of teledentistry, and its determinants based on the UTAUT2 framework through consensus among teledentistry experts. The tool had excellent validity and needs further evaluation of its psychometric properties.
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    Teledentistry from research to practice : a tale of nineteen countries
    (2023-06-16) El Tantawi, Maha; Lam, Walter Yu Hang; Giraudeau, Nicolas; Virtanen, Jorma I; Matanhire, Cleopatra; Chifamba, Timothy; Sabbah, Wael; Gomaa, Noha; Al-Maweri, Sadeq Ali; Uribe, Sergio E; Mohebbi, Simin Z; Hasmun, Noren; Guan, Guangzhao; Polonowita, Ajith; Khan, Sadika Begum; Pisano, Massimo; Ellakany, Passent; Baraka, Marwa Mohamed; Ali, Abdalmawla Alhussin; Orellana Centeno, José Eduardo; Pavlic, Verica; Folayan, Morenike Oluwatoyin; Department of Conservative Dentistry and Oral Health
    AIM: The COVID-19 pandemic has accelerated teledentistry research with great interest reflected in the increasing number of publications. In many countries, teledentistry programs were established although not much is known about the extent of incorporating teledentistry into practice and healthcare systems. This study aimed to report on policies and strategies related to teledentistry practice as well as barriers and facilitators for this implementation in 19 countries. METHODS: Data were presented per country about information and communication technology (ICT) infrastructure, income level, policies for health information system (HIS), eHealth and telemedicine. Researchers were selected based on their previous publications in teledentistry and were invited to report on the situation in their respective countries including Bosnia and Herzegovina, Canada, Chile, China, Egypt, Finland, France, Hong Kong SAR, Iran, Italy, Libya, Mexico, New Zealand, Nigeria, Qatar, Saudi Arabia, South Africa, United Kingdom, Zimbabwe. RESULTS: Ten (52.6%) countries were high income, 11 (57.9%) had eHealth policies, 7 (36.8%) had HIS policies and 5 (26.3%) had telehealth policies. Six (31.6%) countries had policies or strategies for teledentistry and no teledentistry programs were reported in two countries. Teledentistry programs were incorporated into the healthcare systems at national ( n  = 5), intermediate (provincial) ( n  = 4) and local ( n  = 8) levels. These programs were established in three countries, piloted in 5 countries and informal in 9 countries. CONCLUSION: Despite the growth in teledentistry research during the COVID-19 pandemic, the use of teledentistry in daily clinical practice is still limited in most countries. Few countries have instituted teledentistry programs at national level. Laws, funding schemes and training are needed to support the incorporation of teledentistry into healthcare systems to institutionalize the practice of teledentistry. Mapping teledentistry practices in other countries and extending services to under-covered populations increases the benefit of teledentistry.
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    Terminology of e-Oral Health : Consensus Report of the IADR's e-Oral Health Network Terminology Task Force
    (2024-02-28) Mariño, Rodrigo J; Uribe, Sergio E; Chen, Rebecca; Schwendicke, Falk; Giraudeau, Nicolas; Scheerman, Janneke F M; Department of Conservative Dentistry and Oral Health
    OBJECTIVE: Authors reported multiple definitions of e-oral health and related terms, and used several definitions interchangeably, like mhealth, teledentistry, teleoral medicine and telehealth. The International Association of Dental Research e-Oral Health Network (e-OHN) aimed to establish a consensus on terminology related to digital technologies used in oral healthcare. METHOD: The Crowdsourcing Delphi method used in this study comprised of four main stages. In the first stage, the task force created a list of terms and definitions around digital health technologies based on the literature and established a panel of experts. Inclusion criteria for the panellists were: to be actively involved in either research and/or working in e-oral health fields; and willing to participate in the consensus process. In the second stage, an email-based consultation was organized with the panel of experts to confirm an initial set of terms. In the third stage, consisted of: a) an online meeting where the list of terms was presented and refined; and b) a presentation at the 2022-IADR annual meeting. The fourth stage consisted of two rounds of feedback to solicit experts' opinion about the terminology and group discussion to reach consensus. A Delphi-questionnaire was sent online to all experts to independently assess a) the appropriateness of the terms, and b) the accompanying definitions, and vote on whether they agreed with them. In a second round, each expert received an individualised questionnaire, which presented the expert's own responses from the first round and the panellists' overall response (% agreement/disagreement) to each term. It was decided that 70% or higher agreement among experts on the terms and definitions would represent consensus. RESULTS: The study led to the identification of an initial set of 43 terms. The list of initial terms was refined to a core set of 37 terms. Initially, 34 experts took part in the consensus process about terms and definitions. From them, 27 experts completed the first rounds of consultations, and 15 the final round of consultations. All terms and definitions were confirmed via online voting (i.e., achieving above the agreed 70% threshold), which indicate their agreed recommendation for use in e-oral health research, dental public health, and clinical practice. CONCLUSION: This is the first study in oral health organised to achieve consensus in e-oral health terminology. This terminology is presented as a resource for interested parties. These terms were also conceptualised to suit with the new healthcare ecosystem and the place of e-oral health within it. The universal use of this terminology to label interventions in future research will increase the homogeneity of future studies including systematic reviews.

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