Impact of Gender Identity on Dentists' Clinical Decision-Making (GID-CDM)
Does Gender Identity Influence Dentists' Clinical Decision-Making? A Randomized Study
This randomized study evaluated whether patient gender identity influences dentists' clinical decision-making. Dentists in southern Brazil were randomly assigned to receive one of two versions of the same hypothetical dental clinical case. The cases were identical except for the patient's gender identity, which was presented as either a transgender woman or a cisgender woman.
Participants selected treatment options for anterior and posterior teeth and completed questionnaires regarding professional characteristics and knowledge about transgender health. The primary objective was to determine whether patient gender identity influenced treatment recommendations. Differences in clinical decision-making between groups were analyzed using regression models.
Studieoversigt
Status
Intervention / Behandling
Detaljeret beskrivelse
Clinical decision-making in dentistry may be influenced by factors beyond clinical findings, including professional characteristics, personal beliefs, and social perceptions. While disparities related to race and socioeconomic status have been documented in oral health care, little is known about the influence of patient gender identity on dentists' treatment decisions.
This randomized parallel-group study was conducted among practicing dentists in southern Brazil between September 2023 and April 2024. Participants were randomly assigned to evaluate one of two versions of a hypothetical dental clinical case. The clinical information, photographs, complaints, and treatment scenarios were identical in both versions, differing only in the patient's gender identity. In one version, the patient was identified as a transgender woman, while in the other the patient was identified as a cisgender woman.
Participants selected treatment options for an anterior tooth and a posterior tooth and subsequently completed questionnaires addressing sociodemographic characteristics, professional profile, previous experience with transgender patients, and training related to transgender health. The primary outcome was the treatment recommendation provided by the dentist. Recommendations were categorized into conservative and invasive treatment approaches for analysis.
The study aimed to determine whether patient gender identity influences dentists' clinical decision-making and to identify professional characteristics associated with treatment recommendations.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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-
Rio Grande do Sul
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Santa Maria, Rio Grande do Sul, Brasilien, 97501-650
- Universidade Federal de Santa Maria
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Professionally active dentists.
- Able and willing to provide informed consent.
- Practicing dentistry during the data collection period.
Exclusion Criteria:
- Dentists not actively practicing during the data collection period.
- Dentists who participated in the pilot study.
- Individuals who declined participation or did not provide informed consent.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Transgender Woman Case
Participants evaluated a hypothetical dental clinical case in which the patient was identified as a transgender woman.
Clinical information, complaints, and treatment options were identical to the comparison arm.
|
Participants were randomly assigned to evaluate one of two versions of a hypothetical dental clinical case.
The cases contained identical clinical information, photographs, complaints, and treatment options, differing only in the patient's gender identity.
One version described a transgender woman and the other described a cisgender woman.
Participants selected treatment recommendations based on the assigned scenario.
|
|
Eksperimentel: Cisgender Woman Case
Participants evaluated a hypothetical dental clinical case in which the patient was identified as a cisgender woman.
Clinical information, complaints, and treatment options were identical to the comparison arm.
|
Participants were randomly assigned to evaluate one of two versions of a hypothetical dental clinical case.
The cases contained identical clinical information, photographs, complaints, and treatment options, differing only in the patient's gender identity.
One version described a transgender woman and the other described a cisgender woman.
Participants selected treatment recommendations based on the assigned scenario.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Treatment Recommendation for Posterior Tooth
Tidsramme: Immediately after questionnaire completion
|
Treatment recommendation for tooth 26 based on the assigned clinical case.
Available options included endodontic treatment followed by direct composite restoration, endodontic treatment followed by indirect ceramic restoration, or extraction.
|
Immediately after questionnaire completion
|
|
Treatment Recommendation for Anterior Tooth
Tidsramme: Immediately after questionnaire completion
|
Treatment recommendation for tooth 11 based on the assigned clinical case.
Available options included no intervention, repair of the composite restoration, replacement of the restoration, direct composite veneer, or indirect ceramic veneer.
|
Immediately after questionnaire completion
|
Samarbejdspartnere og efterforskere
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- CAEE 55339221.3.0000.5346
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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