Abstract
Objective Only a small proportion of eligible dentists become dental vocational trainers. The aim of this study was to apply Social Cognitive Theory to further an understanding of beliefs underpinning intention to become a dental vocational trainer.
Subjects Primary care dentists.
Design A self-administered questionnaire was distributed at all continuing professional development courses during November 2004 regardless of course enrolment numbers, content or duration.
Outcome measure Intention to train. Predictive measures Attitude toward being a trainer, attitude toward attending the trainer course, and confidence in ability to train (training self-efficacy).
Results Of the 316 respondents, 47% intended never to train. Training self-efficacy accounted for the majority of variance in intention to train (15%, step 1) with attitude to training accounting for a further 4% (step 2) (Hosmer and Lemeshow test: Chi-square = 7.36, df = 8, p = 0.498; 95% CI for EXP(b): training self-efficacy = 1.38-2.06, attitude = 1.17-2.08). Attitude to the trainer course did not enter the regression model. The most influential belief relating to intention to train was confidence in teaching, and for intention never to train was evaluating a trainee's skills. Both intenders and non-intenders believed training and attending training courses would be time-consuming and financially costly, suggesting these are not primary factors in making the decision to become a trainer.
Conclusions Using a psychological model provided a starting point for understanding intention to become a vocational trainer and a rationale for the format of future interventions. Results suggest intention to train may be influenced by targeting dentists' confidence in teaching and performing evaluative aspects of training.
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References
Bartlett D W, Coward P Y, Wilson R, Goodsman D, Darby J . Experiences and perceptions of vocational training reported by the 1999 cohort of vocational dental practitioners and their trainers in England and Wales. Br Dent J 2001; 191: 265–270.
Baldwin P J, Dodd M, Rennie J S . Postgraduate dental education and the 'new' graduate. Br Dent J 1998; 185: 591–594.
Prescott L E, McKinlay P, Rennie J S . The development of an assessment system for dental vocational training and general professional training: a Scottish approach. Br Dent J 2001; 190: 41–44.
Prescott L E, Norcini J J, McKinlay P, Rennie J S . Facing the challenges of competency-based assessment of postgraduate dental training: longitudinal evaluation of performance (LEP). Med Educ 2002; 36: 92–97.
NHS Education for Scotland. Competencies for dental vocational training and general professional training in Scotland. Edinburgh: NHS Education for Scotland, 2002.
Armitage C J, Conner M . Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol 2001; 40: 471–499.
Hardeman W, Johnston M, Johnston D, Bonetti D, Wareham N, Kinmonth A L . Application of the theory of planned behaviour in behaviour change interventions: a systematic review. Psychol Health 2002; 17: 123–158.
Walker A E, Grimshaw J M, Armstrong E . Salient beliefs and intentions to prescribe antibiotics for patients with a sore throat. Br J Health Psychol 2001; 6: 347–360.
Bonetti D, Johnston M, Pitts N B et al. Can psychological models bridge the gap between clinical guidelines and clinicians' behaviour? A randomised controlled trial of an intervention to influence dentists' intention to implement evidence-based practice. Br Dent J 2003; 195: 403–407.
Bonetti D, Eccles M, Johnston M et al. Implementation of evidence-based practice: experimental simulation of complex intervention trials. Soc Sci Med 2005; 60: 2135–2147.
Bandura A . Self-efficacy – the exercise of control. New York: Freeman & Company, 1997.
Conner M, Norman P (eds). Predicting health behaviour. Research and practice with social cognition models. Buckingham: Open University Press, 1996.
Norusis M J/SPSS Inc. SPSS for Windows. Base system user's guide. Release 5.0. Chicago: SPSS Inc. Marketing Department, 1993.
Acknowledgements
DB led the scientific development, conduct and interpretation of the study; contributed to survey questionnaire development and design; contributed to data analysis; authored drafts of the paper; approved the final version of the paper. JR and SS assisted with the research design and administration of the project and reviewed the manuscript. JC assisted with the scientific development, conduct and interpretation of the study; contributed to survey questionnaire development and design; contributed to data analysis; approved the final version of the paper. The authors wish to acknowledge Kirsteen Doyle, Louise Cardno, Alana Gowans, Kate Levin and NES funding.
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Bonetti, D., Ross, J., Stewart, S. et al. What influences intention to become a postgraduate trainer?. Br Dent J 203 (Suppl 5), 31–35 (2007). https://doi.org/10.1038/bdj.2007.780
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DOI: https://doi.org/10.1038/bdj.2007.780
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