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Abstract(s)
Introdução: A ferramenta informática “Implant Success Prediction Tool (ISPT)” foi desenvolvida a partir da adaptação da ferramenta “Implant Disease Risk Assessment (IDRA)”, com o objetivo de determinar o risco individual de desenvolvimento de peri-implantite em pacientes submetidos à reabilitação com implantes dentários. Funciona como um diagrama com 8 parâmetros, que integram dados clínicos, radiográficos e moleculares. O objetivo deste estudo foi explorar as perceções dos médicos dentistas sobre a implementação da ferramenta através de um teste de usabilidade qualitativo. Materiais e métodos: Foi definida uma amostra de conveniência de 10 médicos dentistas da Faculdade de Medicina Dentária da Universidade Católica Portuguesa. Foi-lhes pedido que determinassem o risco peri-implantar de 3 casos clínicos através do preenchimento da ISPT, utilizando o método think-aloud. De seguida, preencheram a “escala de usabilidade do sistema”. Posteriormente, foi utilizada uma técnica de entrevista semi-estruturada com gravação áudio para permitir a livre expressão dos participantes. A informação recolhida foi categorizada e analisada. Resultados: O tempo médio de preenchimento da ferramenta diminuiu à medida que os clínicos avançavam nos casos clínicos, o que demonstra uma boa interação ferramenta-utilizador e uma curva de aprendizagem baixa, com a eficiência a melhorar. Os desafios relatados e as pontuações de usabilidade destacam a necessidade de clarificação do método de preenchimento, apoio técnico e prática regular. Vários participantes sugeriram a integração da ferramenta num programa para automatizar os vetores e o cálculo dos resultados. Para metade dos participantes, a ISPT facilitou a compreensão de casos complexos, organização dos dados clínicos e apoio à decisão, evitando a omissão de parâmetros relevantes. Conclusão: A ISPT foi bem aceite destacando-se pela utilidade na categorização de dados, eficácia e eficiência melhorando com a utilização. Foram identificadas dificuldades iniciais de preenchimento com necessidade de apoio. Propôs-se a inclusão de novas variáveis clínicas e a digitalização da ferramenta.
Introduction: The Implant Success Prediction Tool (ISPT) was developed based on the adaptation of the Implant Disease Risk Assessment (IDRA) tool, with the aim of determining the individual risk of peri-implantitis development in patients undergoing rehabilitation with dental implants. It works as a diagram with 8 parameters, which integrate clinical, radiographic and molecular data. This study aimed to explore dentists' perceptions of the tool's implementation with a qualitative usability test. Materials and methods: A sample of 10 dentists from the Faculty of Dental Medicine of the Portuguese Catholic University was defined. They were asked to determine the peri-implant risk of 3 clinical cases by filling in the ISPT, using the think-aloud method. They were then asked to fill in the System Usability Scale. Later, a semi-structured interview was used with audio recording to allow free participants' expression. The information from the interviews was categorized and analysed. Results: The average time taken to fill in the tool decreased as the clinician progressed with the introduction of clinical cases, which shows good tool-user interaction and a low learning curve, with efficiency improving with use. The challenges reported and the usability scores highlight the need for clarification of the filling method, technical support and regular practice. Several participants suggested integrating the tool into a program or application to automate the vectors and the calculation of results. For five of them, the tool helped to better understand complex cases, structure clinical data and guide decision-making by avoiding the omission of certain vectors. Conclusion: The ISPT was well accepted and stood out for its usefulness in categorizing data, its effectiveness and efficiency, which improved with use. Initial difficulties in filling out the form were identified, and support was needed. It was proposed that new clinical variables be included and that the tool be digitized.
Introduction: The Implant Success Prediction Tool (ISPT) was developed based on the adaptation of the Implant Disease Risk Assessment (IDRA) tool, with the aim of determining the individual risk of peri-implantitis development in patients undergoing rehabilitation with dental implants. It works as a diagram with 8 parameters, which integrate clinical, radiographic and molecular data. This study aimed to explore dentists' perceptions of the tool's implementation with a qualitative usability test. Materials and methods: A sample of 10 dentists from the Faculty of Dental Medicine of the Portuguese Catholic University was defined. They were asked to determine the peri-implant risk of 3 clinical cases by filling in the ISPT, using the think-aloud method. They were then asked to fill in the System Usability Scale. Later, a semi-structured interview was used with audio recording to allow free participants' expression. The information from the interviews was categorized and analysed. Results: The average time taken to fill in the tool decreased as the clinician progressed with the introduction of clinical cases, which shows good tool-user interaction and a low learning curve, with efficiency improving with use. The challenges reported and the usability scores highlight the need for clarification of the filling method, technical support and regular practice. Several participants suggested integrating the tool into a program or application to automate the vectors and the calculation of results. For five of them, the tool helped to better understand complex cases, structure clinical data and guide decision-making by avoiding the omission of certain vectors. Conclusion: The ISPT was well accepted and stood out for its usefulness in categorizing data, its effectiveness and efficiency, which improved with use. Initial difficulties in filling out the form were identified, and support was needed. It was proposed that new clinical variables be included and that the tool be digitized.
Description
Keywords
Peri-implantite Tomada de decisão clínica Diagnóstico precoce Avaliação de risco Fatores de risco Peri-implantitis Clinical decision-making Early diagnosis Risk assessment Risk factors
Pedagogical Context
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