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.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
Rio Grande do Sul
-
Santa Maria, Rio Grande do Sul, Brésil, 97501-650
- Universidade Federal de Santa Maria
-
-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Recherche sur les services de santé
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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.
|
|
Expérimental: 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.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Treatment Recommendation for Posterior Tooth
Délai: 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
Délai: 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
|
Collaborateurs et enquêteurs
Parrainer
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- CAEE 55339221.3.0000.5346
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .