Original Article

Comparison between Two Kinds of Online Educational Interventions on Knowledge-Attitude and Practice of Prosthodontists about the Role of Intra-Oral Appliances in Management of Obstructive Sleep Apnea

Abstract

Background and Objective: Obstructive sleep apnea (OSA) needs early detection and effective treatments to reduce the risk of its harmful consequences. The aim of this study was to assess the knowledge and practice of prosthodontists about OSA and oral appliances (OAs) after a period of training and comparative evaluation between two types of virtual education.


Materials and Methods: This study was a randomized clinical trial with two types of educational interventions (Pow-erPoint and podcast) performed among the members of the Association of Prosthodontists (dentists who are specialist in prosthodontics) in 2020. The participants answered to a questionnaire which assessed their knowledge and practical actions about OSA. Data were analyzed using SPSS software and independent-sample t-test.


Results: Group A (PowerPoint) obtained higher scores in all knowledge sections compared to group B (podcast). Totally, the mean scores of group A in knowledge and practical sections were 77.56 ± 9.09 and 81.75 ± 12.39, respectively. In ad-dition, the mean scores of group B in knowledge and practical sections were 74.72 ± 10.79 and 80.69 ± 14.05, respectively. The difference between the mean scores of the two groups in knowledge and practical sections was not significant.


Conclusion: The virtual educational intervention had positive effects on the knowledge and practice of prosthodontists about OSA and OAs. Although the power Point was more effective than podcasts, there was not significant difference between them.

1. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: A population health perspec-tive. Am J Respir Crit Care Med 2002; 165: 1217-39.
2. Jauhar S, Lyons MF, Banham SW, et al. The attitudes of general dental practitioners and medical specialists to the provision of intra-oral appliances for the management of snoring and sleep apnoea. Br Dent J 2008; 205: 653-7.
3. Perez C. Obstructive sleep apnea syndrome in children. Gen Dent 2018; 66: 46-50.
4. Bian H. Knowledge, opinions, and clinical experience of general practice dentists toward obstructive sleep apnea and oral appliances. Sleep Breath 2004; 8: 85-90.
5. Schotland HM, Jeffe DB. Development of the obstructive sleep apnea knowledge and attitudes (OSA-KA) questionnaire. Sleep Med 2003; 4: 443-50.
6. Arnold J, Sunilkumar M, Krishna V, et al. Obstructive sleep apnea. J Pharm Bioallied Sci 2017; 9: S26-S28.
7. Kuna ST, Sant'Ambrogio G. Pathophysiology of upper airway closure during sleep. JAMA 1991; 266: 1384-9.
8. Jayan B, Prasad B, Dhiman RK. Role of Oral appliances in the management of sleep disorders. Med J Armed Forces India 2009; 65: 123-7.
9. Lowe AA. Dental appliances for the treatment of snoring and/or obstructive sleep apnea. In: Kryger M, Roth T, Dement W, editors. Principles and practice of sleep medicine. Philadelphia, PA: Elsevier Saunders. 1994; p. 722-35.
10. Ahrens A, McGrath C, Hagg U. A systematic re-view of the efficacy of oral appliance design in the management of obstructive sleep apnoea. Eur J Orthod 2011; 33: 318-24.
11. Hoffstein V. Review of oral appliances for treatment of sleep-disordered breathing. Sleep Breath 2007; 11: 1-22.
12. Davoodi M, Niakan S, Shamshiri A, et al. Development and implementation of a questionnaire on the knowledge, attitude and practice regarding the diagnosis and treatment of sleep apnea of dental prosthodon-24 J Sleep Sci, Vol. 6, No. 1-2, 2021
http://jss.tums.ac.ir
tists in Iran in 2019 [DDS Thesis]. Tehran, Iran: Dental School, Tehran University of Medical Sciences; 2019. [In Persian].
13. Najafipour S, Najafipour S, Raoofi R. The role of podcasting in education. Interdisciplinary Journal of Virtual Learning in Medical Sciences 2011; 2: 34-40. [In Persian].
14. Mesrabadi J. Cognitive and affective outcomes of powerpoint slides usage in the classroom. Technology of Education Journal 2011; 5: 193-202. [In Persian].
15. Vuorjoki-Ranta TR, Lobbezoo F, Vehkalahti M, et al. Treatment of obstructive sleep apnoea patients in community dental care: knowledge and attitudes among general dental practitioners and specialist dentists. J Oral Rehabil 2016; 43: 937-42.
16. Bian H, Smith CL. Development of a questionnaire to assess dentists' knowledge, opinion, education re-sources, physician cooperation, and clinical practice regarding obstructive sleep apnea (OSAQ-D). Sleep Breath 2006; 10: 76-82.
17. Bailey DR, Attanasio R. Dentistry's role in the management of sleep disorders. Recognition and management. Dent Clin North Am 2001; 45: 619-30.
18. Loube MD, Strauss AM. Survey of oral appliance practice among dentists treating obstructive sleep apnea patients. Chest 1997; 111: 382-6.
19. Quan SF, Schmidt-Nowara W. The role of dentists
in the diagnosis and treatment of obstructive sleep apnea: Consensus and controversy. J Clin Sleep Med 2017; 13: 1117-9.
20. Thepwongsa I, Kirby CN, Schattner P, et al. Online continuing medical education (CME) for GPs: does it work? A systematic review. Aust Fam Physician 2014; 43: 717-21.
21. Bernardes CM, Ratnasekera IU, Kwon JH, et al. Contemporary educational interventions for general practitioners (GPs) in primary care settings in Australia: A systematic literature review. Front Public Health 2019; 7: 176.
22. Salama FS, Al-Balkhi BK. Effectiveness of educational intervention of oral health for special needs on knowledge of dental students in Saudi Arabia. Disabil Health J 2020; 13: 100789.
23. Tornava M, Koivula M, Helminen M, et al. Web-based education about vulvodynia and its care among student healthcare staff: A quasi-experimental study. Nurse Educ Pract 2018; 31: 194-9.
24. Schreiber BE, Fukuta J, Gordon F. Live lecture versus video podcast in undergraduate medical education: A randomised controlled trial. BMC Med Educ 2010; 10: 68.
25. Walls S, Kucsera J, Walker J, et al. Podcasting in education: Are students as ready and eager as we think they are? Comput Educ 2010; 54: 371-8.
Files
IssueVol 6 No 1-2 (2021): Winter-Spring QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/jss.v6i(1-2).9290
Keywords
Obstructive sleep apnea Mandibular advancement Knowledge Distance learning Online education
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Niakan S, Allahyari S, Vakilli A. Comparison between Two Kinds of Online Educational Interventions on Knowledge-Attitude and Practice of Prosthodontists about the Role of Intra-Oral Appliances in Management of Obstructive Sleep Apnea. J Sleep Sci. 2022;6(1-2):19-24.