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.
Studienübersicht
Status
Intervention / Behandlung
Detaillierte Beschreibung
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.
Studientyp
Einschreibung (Tatsächlich)
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
-
-
Rio Grande do Sul
-
Santa Maria, Rio Grande do Sul, Brasilien, 97501-650
- Universidade Federal de Santa Maria
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Kind
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Versorgungsforschung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: 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.
|
|
Experimental: 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.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Treatment Recommendation for Posterior Tooth
Zeitfenster: 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
Zeitfenster: 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
|
Mitarbeiter und Ermittler
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Andere Studien-ID-Nummern
- CAEE 55339221.3.0000.5346
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .