{"id":{"repo_id":"dundee","oai_identifier":"oai:discovery.dundee.ac.uk:studenttheses/f3087955-94c6-4537-a602-7a8a64d04dc6"},"canonical_url":"https://search.dev.ndltd.org/etd/dundee/oai:discovery.dundee.ac.uk:studenttheses/f3087955-94c6-4537-a602-7a8a64d04dc6","repository":{"repo_id":"dundee","name":"University of Dundee","base_url":"https://discovery.dundee.ac.uk/ws/oai"},"display":{"title":"Dentists and their Willingness to Treat Adolescents with Learning Disabilities : a Survey of Accessibility in Primary Dental Care","abstract":"The aim of this study is to examine primary dental care practitioners’ <br/>willingness to treat adolescents with learning disability (LD) in two contrasting <br/>areas of Northern Ireland (NI) and Scotland using Cohen’s accessibility <br/>‘dental health professional’factors (Cohen, 1987).<br/>A non-probability sample of all primary care dentists in the more urban <br/>EHSSB [NI] and remote and rural health board of NHS Highland (Scotland)<br/>(537) in both the Salaried Dental Services (SDS) and General Dental Services <br/>(GDS), were invited to take part in the survey. The main outcome measures <br/>were demographic profile, previous undergraduate and postgraduate <br/>experience, knowledge of LD and its’ management in the clinical setting, <br/>numbers of adolescents with LD treated, attitudes towards individuals LD and <br/>willingness to treat this patient group. <br/>The data was analysed by t-tests, Analysis of Variance (ANOVA), factor <br/>analysis and pathway analysis. Three hundred SDS and GDS dentists <br/>completed the self-administered questionnaire. The valid response rate <br/>was 61%. <br/>There was no significant difference in numbers of adolescents with <br/>LD treated in the health boards examined in NI and Scotland. <br/>Willingness to treat adolescents with LD was positively associated with a <br/>social model perspective on disability. This in turn translated to the <br/>development of positive attitudes. <br/>Conversely, dentists who held a medical model of disability, were found to have more negative attitudes and <br/>were less willing to treat adolescents with LD. <br/>The acquisition of knowledge and increased level of undergraduate training in<br/>relation to LD and its’ management would appear to strengthen a social model<br/>perspective and hence promote positive attitudes and willingness to treat those<br/>adolescents with LD. Meanwhile, undergraduate training and knowledge <br/>pertaining to disability did not significantly contribute to dentists <br/>whose beliefs underpinned the medical model of disability. These findings were <br/>consistent for dentists working<br/>in two distinct health board areas of the United Kingdom and within both<br/>the SDS and GDS. Therefore area of work per se (ie rural or urban location) <br/>is not an influential factor in willingness to treat and hence unmet <br/>treatment need. This does not exclude the possibility that area of work may <br/>have a bearing on willingness to treat as a consequence of university attended <br/>for their undergraduate training.<br/>It is recommended that suggestions for undergraduate training and <br/>postgraduate education are commensurate with Government policy<br/> (DoH, 2007) on the mainstreaming of dental services for special care patients.","abstract_html":"The aim of this study is to examine primary dental care practitioners’ &lt;br/&gt;willingness to treat adolescents with learning disability (LD) in two contrasting &lt;br/&gt;areas of Northern Ireland (NI) and Scotland using Cohen’s accessibility &lt;br/&gt;‘dental health professional’factors (Cohen, 1987).&lt;br/&gt;A non-probability sample of all primary care dentists in the more urban &lt;br/&gt;EHSSB [NI] and remote and rural health board of NHS Highland (Scotland)&lt;br/&gt;(537) in both the Salaried Dental Services (SDS) and General Dental Services &lt;br/&gt;(GDS), were invited to take part in the survey. The main outcome measures &lt;br/&gt;were demographic profile, previous undergraduate and postgraduate &lt;br/&gt;experience, knowledge of LD and its’ management in the clinical setting, &lt;br/&gt;numbers of adolescents with LD treated, attitudes towards individuals LD and &lt;br/&gt;willingness to treat this patient group. &lt;br/&gt;The data was analysed by t-tests, Analysis of Variance (ANOVA), factor &lt;br/&gt;analysis and pathway analysis. Three hundred SDS and GDS dentists &lt;br/&gt;completed the self-administered questionnaire. The valid response rate &lt;br/&gt;was 61%. &lt;br/&gt;There was no significant difference in numbers of adolescents with &lt;br/&gt;LD treated in the health boards examined in NI and Scotland. &lt;br/&gt;Willingness to treat adolescents with LD was positively associated with a &lt;br/&gt;social model perspective on disability. This in turn translated to the &lt;br/&gt;development of positive attitudes. &lt;br/&gt;Conversely, dentists who held a medical model of disability, were found to have more negative attitudes and &lt;br/&gt;were less willing to treat adolescents with LD. &lt;br/&gt;The acquisition of knowledge and increased level of undergraduate training in&lt;br/&gt;relation to LD and its’ management would appear to strengthen a social model&lt;br/&gt;perspective and hence promote positive attitudes and willingness to treat those&lt;br/&gt;adolescents with LD. Meanwhile, undergraduate training and knowledge &lt;br/&gt;pertaining to disability did not significantly contribute to dentists &lt;br/&gt;whose beliefs underpinned the medical model of disability. These findings were &lt;br/&gt;consistent for dentists working&lt;br/&gt;in two distinct health board areas of the United Kingdom and within both&lt;br/&gt;the SDS and GDS. Therefore area of work per se (ie rural or urban location) &lt;br/&gt;is not an influential factor in willingness to treat and hence unmet &lt;br/&gt;treatment need. This does not exclude the possibility that area of work may &lt;br/&gt;have a bearing on willingness to treat as a consequence of university attended &lt;br/&gt;for their undergraduate training.&lt;br/&gt;It is recommended that suggestions for undergraduate training and &lt;br/&gt;postgraduate education are commensurate with Government policy&lt;br/&gt; (DoH, 2007) on the mainstreaming of dental services for special care patients.","abstract_has_math":false,"creators":["Coyle, Catherine"],"institution":"University of Dundee","degree_name":"Master of Philosophy","degree_level":"Master's Thesis","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Freeman, Ruth"],"committee_chairs":[],"committee_members":[],"year":2011,"date_issued":"2011","date_published":"2011","updated_at":"2026-07-24T02:07:46Z","subjects":[],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:discovery.dundee.ac.uk:studenttheses/f3087955-94c6-4537-a602-7a8a64d04dc6"],"render_values":[{"text":"oai:discovery.dundee.ac.uk:studenttheses/f3087955-94c6-4537-a602-7a8a64d04dc6","href":null,"code":true}]}]},"links":{"outbound_url":"https://discovery.dundee.ac.uk/en/studentTheses/f3087955-94c6-4537-a602-7a8a64d04dc6","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Freeman, Ruth"]},{"key":"dc:creator","label":"Author","values":["Coyle, Catherine"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2011"]},{"key":"dc:date.issued","label":"Date","values":["2011"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["DHSRU"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Dundee"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://discovery.dundee.ac.uk/en/studentTheses/f3087955-94c6-4537-a602-7a8a64d04dc6"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Master's Thesis"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["Master of Philosophy"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["oai:discovery.dundee.ac.uk:studenttheses/f3087955-94c6-4537-a602-7a8a64d04dc6","https://discovery.dundee.ac.uk/en/studentTheses/f3087955-94c6-4537-a602-7a8a64d04dc6"]},{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://discovery.dundee.ac.uk/files/3411696/Catherine_Coyle_MPhil.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The aim of this study is to examine primary dental care practitioners’ <br/>willingness to treat adolescents with learning disability (LD) in two contrasting <br/>areas of Northern Ireland (NI) and Scotland using Cohen’s accessibility <br/>‘dental health professional’factors (Cohen, 1987).<br/>A non-probability sample of all primary care dentists in the more urban <br/>EHSSB [NI] and remote and rural health board of NHS Highland (Scotland)<br/>(537) in both the Salaried Dental Services (SDS) and General Dental Services <br/>(GDS), were invited to take part in the survey. The main outcome measures <br/>were demographic profile, previous undergraduate and postgraduate <br/>experience, knowledge of LD and its’ management in the clinical setting, <br/>numbers of adolescents with LD treated, attitudes towards individuals LD and <br/>willingness to treat this patient group. <br/>The data was analysed by t-tests, Analysis of Variance (ANOVA), factor <br/>analysis and pathway analysis. Three hundred SDS and GDS dentists <br/>completed the self-administered questionnaire. The valid response rate <br/>was 61%. <br/>There was no significant difference in numbers of adolescents with <br/>LD treated in the health boards examined in NI and Scotland. <br/>Willingness to treat adolescents with LD was positively associated with a <br/>social model perspective on disability. This in turn translated to the <br/>development of positive attitudes. <br/>Conversely, dentists who held a medical model of disability, were found to have more negative attitudes and <br/>were less willing to treat adolescents with LD. <br/>The acquisition of knowledge and increased level of undergraduate training in<br/>relation to LD and its’ management would appear to strengthen a social model<br/>perspective and hence promote positive attitudes and willingness to treat those<br/>adolescents with LD. Meanwhile, undergraduate training and knowledge <br/>pertaining to disability did not significantly contribute to dentists <br/>whose beliefs underpinned the medical model of disability. These findings were <br/>consistent for dentists working<br/>in two distinct health board areas of the United Kingdom and within both<br/>the SDS and GDS. Therefore area of work per se (ie rural or urban location) <br/>is not an influential factor in willingness to treat and hence unmet <br/>treatment need. This does not exclude the possibility that area of work may <br/>have a bearing on willingness to treat as a consequence of university attended <br/>for their undergraduate training.<br/>It is recommended that suggestions for undergraduate training and <br/>postgraduate education are commensurate with Government policy<br/> (DoH, 2007) on the mainstreaming of dental services for special care patients."]},{"key":"dc:title","label":"Title","values":["Dentists and their Willingness to Treat Adolescents with Learning Disabilities : a Survey of Accessibility in Primary Dental Care"]}]}],"canonical_facts":{"dc:contributor.advisor":["Freeman, Ruth"],"dc:creator":["Coyle, Catherine"],"dc:date":["2011"],"dc:date.issued":["2011"],"dc:description.abstract":["The aim of this study is to examine primary dental care practitioners’ <br/>willingness to treat adolescents with learning disability (LD) in two contrasting <br/>areas of Northern Ireland (NI) and Scotland using Cohen’s accessibility <br/>‘dental health professional’factors (Cohen, 1987).<br/>A non-probability sample of all primary care dentists in the more urban <br/>EHSSB [NI] and remote and rural health board of NHS Highland (Scotland)<br/>(537) in both the Salaried Dental Services (SDS) and General Dental Services <br/>(GDS), were invited to take part in the survey. The main outcome measures <br/>were demographic profile, previous undergraduate and postgraduate <br/>experience, knowledge of LD and its’ management in the clinical setting, <br/>numbers of adolescents with LD treated, attitudes towards individuals LD and <br/>willingness to treat this patient group. <br/>The data was analysed by t-tests, Analysis of Variance (ANOVA), factor <br/>analysis and pathway analysis. Three hundred SDS and GDS dentists <br/>completed the self-administered questionnaire. The valid response rate <br/>was 61%. <br/>There was no significant difference in numbers of adolescents with <br/>LD treated in the health boards examined in NI and Scotland. <br/>Willingness to treat adolescents with LD was positively associated with a <br/>social model perspective on disability. This in turn translated to the <br/>development of positive attitudes. <br/>Conversely, dentists who held a medical model of disability, were found to have more negative attitudes and <br/>were less willing to treat adolescents with LD. <br/>The acquisition of knowledge and increased level of undergraduate training in<br/>relation to LD and its’ management would appear to strengthen a social model<br/>perspective and hence promote positive attitudes and willingness to treat those<br/>adolescents with LD. Meanwhile, undergraduate training and knowledge <br/>pertaining to disability did not significantly contribute to dentists <br/>whose beliefs underpinned the medical model of disability. These findings were <br/>consistent for dentists working<br/>in two distinct health board areas of the United Kingdom and within both<br/>the SDS and GDS. Therefore area of work per se (ie rural or urban location) <br/>is not an influential factor in willingness to treat and hence unmet <br/>treatment need. This does not exclude the possibility that area of work may <br/>have a bearing on willingness to treat as a consequence of university attended <br/>for their undergraduate training.<br/>It is recommended that suggestions for undergraduate training and <br/>postgraduate education are commensurate with Government policy<br/> (DoH, 2007) on the mainstreaming of dental services for special care patients."],"dc:identifier":["oai:discovery.dundee.ac.uk:studenttheses/f3087955-94c6-4537-a602-7a8a64d04dc6","https://discovery.dundee.ac.uk/en/studentTheses/f3087955-94c6-4537-a602-7a8a64d04dc6"],"dc:identifier.uri":["https://discovery.dundee.ac.uk/files/3411696/Catherine_Coyle_MPhil.pdf"],"dc:language":["eng"],"dc:publisher.department":["DHSRU"],"dc:publisher.institution":["University of Dundee"],"dc:relation.isreferencedby":["https://discovery.dundee.ac.uk/en/studentTheses/f3087955-94c6-4537-a602-7a8a64d04dc6"],"dc:title":["Dentists and their Willingness to Treat Adolescents with Learning Disabilities : a Survey of Accessibility in Primary Dental Care"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["Master's Thesis"],"dc:type.qualificationname":["Master of Philosophy"]},"updated_at":"2026-07-24T02:07:46Z"}