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Volume 16 (4)
Volume 16, Issue 4, Fall 1996
J Contin Educ Health Prof 1996; 16(3):215-224
ORIGINAL ARTICLES
Increasing Access to Dentists by HIV+ People: An Intervention Strategy
Donald Sadowsky, DDS, MPh, PhD
Carol Kunzel, PhD
A b s t r a c t
There is ample evidence of problems of access to oral health care for HIV+ people.
This situation is particularly unfortunate because of the importance of absence of infection in
people who are immunocompromised and because oral manifestations of HIV infection are
important markers of the progress of the disease. An experimental intervention protocol designed
to increase access to oral health care for people who are HIV+ is described. The interventions
used theoretical perspectives associated with cognitive constructions of anxiety and
avoidance and with social learning theory. The interventions combined educational and cognitive
behavioral techniques including reframing and modeling. Although there was some
preliminary evidence of a positive effect among younger dentists, unanticipated problems associated
with the complexity of the research design compromised the effectiveness of the
interventions. Explanations for the absence of positive findings are supplied, as well as suggestions
for implementing successful educational interventions intended to induce behavioral
change.
Keywords: Dentists; dentistry; educational intervention; HIV+ persons; oral health care
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