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.
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Yksityiskohtainen kuvaus
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.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
-
-
Rio Grande do Sul
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Santa Maria, Rio Grande do Sul, Brasilia, 97501-650
- Universidade Federal de Santa Maria
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Lapsi
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
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.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Terveyspalvelututkimus
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Kaksinkertainen
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: 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.
|
|
Kokeellinen: 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.
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Treatment Recommendation for Posterior Tooth
Aikaikkuna: 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
Aikaikkuna: 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
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Yhteistyökumppanit ja tutkijat
Sponsori
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muut tutkimustunnusnumerot
- CAEE 55339221.3.0000.5346
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