Clinical Impact of a Novel Interprofessional Dental and Pharmacy Student Tobacco Cessation Education Program on Dental Patients

Objectives: • To compare the difference between IPE care and standard care (SC) groups regarding dental patients\u27 perceptions of knowledge gained about tobacco cessation, intentions to quit tobacco use, and quit attempts at follow-up. • To evaluate perceptions of IPE care. Background: Based on the link between tobacco use and oral health and the frequent contact between dental providers and patients, the dental clinic is an ideal setting to address tobacco use.1 • Many dentists feel unprepared providing tobacco cessation education, particularly pharmacologic treatment options.1-3 • Pharmacists promote safe and effective pharmacologic treatment options for tobacco dependence and patients’ perceptions toward pharmacist-provided tobacco cessation education have been positive.4-6 • A novel interprofessional education (IPE) program involving dental and pharmacy students may address the need for tobacco cessation education in the dental clinic setting

Evaluating the Impact of an Interprofessional Practice Experience Involving Pharmacy and Dental Students on Medication Histories within an Urban Academic Dental Admissions Clinic

Primary Objective: To compare interprofessional (IP) care versus standard care on medication history clarifications in dental patients. Secondary Objectives: To assess the clinical significance of these clarifications with regards to the potential impact on dental treatment plans. To describe the interventions provided by IP care to clarify discrepancies and/or resolve medication-related problems

Designing and Evaluating an Interprofessional Practice Experience Involving Dental and Pharmacy Students

Purpose: To describe the design and evaluation of an innovative interprofessional practice experience involving pharmacy and dental students. Background: Accreditation standards for pharmacy and dentistry schools mandate that interprofessional education (IPE) is introduced and practiced throughout the curriculum. There is a paucity of data involving interprofessional practice experiences with dental and pharmacy students. Description of Program: Pharmacy and dental student-teams conduct health and medication histories for patients seen at Temple University’s dental admissions clinic. Additionally, these teams collaborate to conduct tobacco cessation counseling for current tobacco users. This interprofessional practice experience was designed to prepare students to build more effective collaborative healthcare teams. In order to evaluate this experience, we measured student perceptions with the SPICE-R Instrument and collected student and faculty feedback regarding achievement of pre-specified learning objectives for the experience. Preliminary Results: The SPICE-R pre- and post-surveys were completed by 108 students (80 dental and 18 pharmacy) as part of the experience. Mean item scores significantly increased, indicating that student perceptions were more favorable after the practice experience. Mean scores on factor subscales significantly increased for all students (Interprofessional Teamwork and Team-Based Practice from 4.35 to 4.63, p\u3c0.001; Roles/Responsibilities for Collaborative Practice from 4.08 to 4.48, p\u3c0.001; Patient Outcomes from Collaborative Practice from 4.3 to 4.57, p\u3c0.001). The item and factor subscale increases were similar when analyzed separately by profession. The majority of dental and pharmacy faculty and students agreed that the learning objectives of this practice experience were achieved. Relevance: Pharmacy and dental students’ perceptions about IPE and collaborative practice were more favorable after completing this interprofessional practice experience which is consistent with previous studies. Recommendations: Evaluation of student perceptions of IPE can be utilized as one strategy to demonstrate learner outcomes within IPE. Faculty feedback can be utilized to evaluate IPE outcomes and improve practice experiences. Learning Objectives Describe approaches for engaging students and faculty in interprofessional practice experiences. Describe assessment strategies and tools that can be used to evaluate interprofessional practice experiences. Design an innovative interprofessional curriculum within a collaborative practice environment with attention to actualizing academic and clinical partnerships

Holding Back, Intimacy, and Psychological and Relationship Outcomes Among Couples Coping With Prostate Cancer

The present study evaluated intimacy as a mechanism for the effects of holding back sharing concerns about cancer on couples' psychological distress, well-being, and marital satisfaction using the actor-partner interdependence model (APIM), and evaluated 2 possible moderators of these associations: the number of patient and spouse cancer concerns. We had 139 men treated for localized prostate cancer in the past year and their spouses complete surveys about holding back sharing cancer concerns, intimacy, distress, and relationship satisfaction, as well as patient and spouse cancer concerns. APIM-indicated that the association between holding back sharing concerns, and patient and spouse distress, well-being, and relationship satisfaction could be partially accounted for by their influence on patient and spouse perceptions of relationship intimacy. The number of cancer concerns did not moderate the mediational model. Holding back has strong associations with both partners' well-being and distress. Holding back sharing concerns was particularly detrimental for couples' intimacy and relationship satisfaction

Holding back, intimacy, and psychological and relationship outcomes among couples coping with prostate cancer.

The present study evaluated intimacy as a mechanism for the effects of holding back sharing concerns about cancer on couples’ psychological distress, well-being, and marital satisfaction using the actor-partner interdependence model (APIM), and evaluated 2 possible moderators of these associations: the number of patient and spouse cancer concerns. We had 139 men treated for localized prostate cancer in the past year and their spouses complete surveys about holding back sharing cancer concerns, intimacy, distress, and relationship satisfaction, as well as patient and spouse cancer concerns. APIM-indicated that the association between holding back sharing concerns, and patient and spouse distress, well-being, and relationship satisfaction could be partially accounted for by their influence on patient and spouse perceptions of relationship intimacy. The number of cancer concerns did not moderate the mediational model. Holding back has strong associations with both partners’ well-being and distress. Holding back sharing concerns was particularly detrimental for couples’ intimacy and relationship satisfaction

Cancer-related concerns among women with a new diagnosis of gynecological cancer: an exploration of age group differences.

OBJECTIVE: The study aimed to characterize cancer-related concerns among women with a new diagnosis of gynecological cancer from a developmental life stage perspective. The study compared the degree of cancer-related concern between young women (45 years or younger), middle age women (46-64 years), and older women (65 years or older). MATERIALS/METHODS: Data from women (N = 243) with a condition diagnosed as primary gynecological cancer who were participating in a randomized control trial were analyzed. Women completed a measure that assessed the degree of concern in 12 cancer-related domains (physical functioning, cancer treatment, emotional functioning, sexual functioning, disease progression/death, own well-being, partner well-being, relationship with spouse/partner, body image, relationship with others, employment, and finances). Multivariate comparisons were made between the 3 age groups on the cancer-related concerns. RESULTS: There were age group differences in overall cancer-related concern and specific cancer-related domains. Young women reported the greatest cancer-related concern (P \u3c 0.001). They reported greater concern over emotional functioning (P \u3c 0.001) and sexual functioning (P \u3c 0.001) compared to the middle- and older-age groups. Older women reported less concern over the impact of cancer on finances (P = 007). There were no differences between age groups in concern over physical impairment, cancer treatment, disease progression/death, own well-being, partner well-being, relationship with spouse/partner, body image, and relationship with others. CONCLUSIONS: Age may play an important role in the impact of a gynecological cancer diagnosis in domains of functioning, specifically emotional functioning, sexual functioning, and finances. Other cancer-related areas may represent more universal degree of impact. Professionals may benefit from considering the impact of cancer from a developmental life stage perspective