Evaluation of the Intensive Treatment and Rehabilitation Program for Residential Treatment and Rehabilitation Centers (INTREPRET) in the Philippines: a study protocol for a randomized controlled trial

Background The Philippines has been severely affected by the methamphetamine crisis. The government has launched a policy war against drug use, although the severe sanctions imposed on drug users have been criticized internationally. To help implement a more effective and humane approach to drug use, this study aimed to introduce a comprehensive treatment program for methamphetamine users based on cognitive-behavioral therapy (CBT) whose effectiveness will be evaluated through a randomized controlled trial. Methods Methamphetamine users admitted into government-run rehabilitation facilities are recruited and randomly assigned to either a CBT-based treatment program or existing therapeutic community (TC)-based treatment. The CBT treatment program was developed based on the Matrix Model that considers cultural and social factors in the Philippines. After 6 months of treatment, there will be a three-month follow-up, when the participants’ drug use (tested through urine testing) and other psychological variables, including craving, coping skills, and well-being, will be compared. Potential participants are given a summary of the study and a consent form. The consent form is signed and dated by participants prior to their study participation. Ethical approval was obtained prior to the commencement of the study. Discussion This is the first randomized controlled trial to compare the residential CBT program and the TC model for methamphetamine users in the Philippines. The study aims to fill the current knowledge and capacity gaps by introducing a CBT-based treatment program to improve the psychosocial well-being of drug users in the Philippines. Moreover, if the effectiveness of the treatment program is demonstrated, anti-drug campaigns and severe sanctions against drug users may be reconsidered. Trial registration UMIN Clinical Trials Registry JPRN-UMIN000038597. Registered on 15 November 2019. Protocol version October 17, 2021 ver.2

Factors Affecting the Material Choice for Restoration in Posterior Teeth

Aim: To determine the factors affecting the selection of material of choice in posterior teeth. Methods: Descriptive cross-sectional study done June-December 2015 at Liaquat University of Medical and Health Sciences, Jamshoro. Individuals who refused to participate in the study were eliminated from the sample. Each dentist signed an informed consent form. Personal data were entered on a proforma/consent form. The data collection tool was a Proforma/Questionnaire with all required questions. Dentists were personally briefed on the study's objectives and the importance of their participation. Informed permission forms were gathered one week later. Not returning the questionnaires after two professional visits was deemed participant loss. The analysis employed descriptive statistics and SPSS version 17.0. Results: 200 people responded to the survey. 70% advised amalgam for posterior tooth repair, 28% recommended composite, and 2% recommended Glass Ionomer. In this study, 65% selected amalgam, 34% preferred composite, and 1% preferred glass ionomer. In this series, 60% of people selected amalgam, followed by composite (37%), and glass ionomer (3%). In this series, 60% chose amalgam, while 40% chose composite. No glass ionomer In this study, 55% of participants advocated composite, 40% recommended amalgam, and 5% recommended GIC. Patients' preferences impacted material selection for posterior restorations in this study: 55% chose amalgam, 35% composite, and 10% glass ionomer. Most participants (60%) picked composite for moisture management, followed by amalgam (35%), and GIC (5%). Conclusion: Most posterior teeth restorations involve amalgam fillings. Determinants include strength, durability, color match and dental structure preservation. Amalgam was connected to strength, while composite saved tooth structure. Keywords: Amalgam; Composite; Material Choice; Pakistani Dentists

TP8.2.1 Quality Improvement Project: Improving the percentage of patients receiving their consent form copy

Aim Good practice set out by the GMC and DoH is to acquire written informed consent for surgery, despite it not being a legal requirement. Baseline data of 50 consecutive surgical cases, undertaken in the UK’s largest trust, found that only 12% of patients were being offered their consent form copy prior to surgery. We constructed a SMART aim to increase this percentage by 20% each month on the general surgical wards of a city hospital. Method On analysing the patients’ physical notes, the three primary drivers identified were factors intrinsic to the department, consent form and our patients; signifying there was a lack of standard awareness, education and safety-net to ensure sustainability. To tackle this in-turn, we designed three PDSA cycles: Departmental seminar and poster, legal education session, and theatre checklist adaptation. Results Following our first PDSA cycle, the mean percentage increased from 12% to 44%. Using projection analysis, we anticipate this to increase to 76% after the second PDSA cycle, and 100% after PDSA3, with 100% sustainability 1 year later. Conclusions Overall, our results to-date show that the proportion of patients receiving their consent form copy has improved following our first PDSA cycle, indicating that awareness plays an important role in the consenting process. We predict that education plays an equal role; and given the research supporting the implications of checklists, we forecast that this later element will be the ultimatum leading to 100% sustainability of patients receiving their consent form copy prior to surgery.

SP10.2.9 An audit of consenting practice for elective surgical procedures and patients overall satisfaction

Introduction We evaluated our consenting practice for surgical procedures and patients’ satisfaction. Patients and Methods 100 patients were evaluated for the timing, details, understanding and satisfaction with the consenting process. Procedures were elective general and colorectal operations. Patients’ overall satisfaction level was rated on visual analogue score. Results 54 males and 46 females were included, median age was 65 (16-93) years. The mean time between consenting and surgery was 29 (0-358) ± SD 73 days. Legible writings in 88% with completed details in 51%. The names of the responsible surgeon were missing in 49%. All patients fully understood the intended procedure and its possible outcomes. 99% were comfortable with the consenting environment. One patient preferred a different setting and an earlier date. Two patients felt the consenting process was performed in a hurry, but all patients submitted that they had enough time to reflect on the consent and the procedure before surgery. The overall satisfaction levels were excellent in 93% (9&10), good in 5% (7&8) and fair in 2% (5&6). One patient with low satisfaction score was unhappy with the anaesthetist. Conclusion Improvement in the legibility and completeness of the consent form are to be encouraged. The overall patients’ satisfaction was good to excellent.

Knowledge, Attitude and Practices of Parents in Bangalore Regarding the Oral Health of Children during COVID-19 Pandemic

BACKGROUND COVID-19 (coronavirus disease 2019) was declared a pandemic by WHO in early 2020. In India during the month of March, a lockdown was announced. All dental institutions and clinics were closed by looking at the emergency situation all around the world. The study was intended to evaluate the knowledge, attitude and practice of parents in relation to the oral health of their children during the COVID-19 pandemic. METHODS A self-designed, structured, online questionnaire of 26 close-ended questions was distributed to 500 mothers of children aged 1 to 10 years of age through messages, WhatsApp, and emails. Participants were given a consent form to be filled online and it was a prerequisite to attend all the questions. Data obtained were subjected to statistical analysis using the chi-square goodness of fit test. The P-value where P ≤ 5 was considered statistically significant. RESULTS A standardized self-designed online questionnaire was used to perform this crosssectional survey. Before commencing with the study, the institutional review board reviewed and approved it. A panel of specialists created the questionnaire and consent form, which were then evaluated by parents to determine its face validity. A parent or caretaker then completed the questionnaire. CONCLUSIONS Parents’ knowledge, attitude, and perspective towards the oral hygiene of their children during the pandemic were very good and parents took proper home measures to tackle their oral health problems. KEY WORDS COVID-19, Oral Health, Child, Parents, Oral Hygiene