Japan has one of the worldʼs highest rates of population aging. Therefore, it is necessary for dentists to acquire a broad understanding of older adults. They are also required to learn to interact with older adults through gerodontology clinical practice and homebound dentistry practice. However, several students could not receive such training due to the COVID-19 pandemic. Therefore, this study aimed to investigate changes in attitudes toward older adults and the self-assessment of knowledge in dentistry among older adults before and after clinical practice in gerodontology from 2019 to 2021. The study used a questionnaire on required competencies, consisting of behavioral and achievement goals for older adults and the Japanese version of the Attitudes Towards the Elderly（ATE）, which represents emotional attitudes toward older adults. The results demonstrate that students self-rated their abilities more positively after clinical practice and homebound dentistry practice than before（p<0.01）. Attitudes toward older adults also changed more favorably（p=0.012）. However, when comparing the amount of change in each survey item based on experience of home-based dentistry practice and the duration of interruption of clinical practice, no statistically significant differences were observed between the groups. This study showed changes in attitudes toward older adults and self-evaluation of required competencies through clinical practice. The evaluation of changes in attitudes toward older adults and self-evaluation of knowledge in gerodontology may help to confirm the effectiveness of training in gerodontology and to improve the content of future education.
"},{"@language":"ja","@value":"我が国は超高齢社会であり，歯科医師は高齢者に対する幅広い知識と患者に合わせた対応が求められており，臨床実習生も，高齢者歯科における外来臨床実習や歯科訪問診療実習を通して，高齢者とのかかわり方を学んでいる。現在，歯科臨床実習が臨床実習生に与える影響を調査した研究はほとんどなく，新型コロナウイルス感染症流行による外来臨床実習の中断などの影響に関する報告も少ない。そこで本研究では，2019年度から2021年度において歯学部臨床実習を受けた学生91名を対象に，実習前後における高齢者に対する意識および高齢者歯科医学における知識についての自己評価の変化を調査することを目的とした。調査には，高齢者に対する行動目標や到達目標の指標となる項目が示された，要求される能力に関する質問紙と高齢者に対する感情的な態度を測定する日本語版Koganʼs Scale of Attitudes Towards the Elderlyを用いた。対象学生はすべての実習修了時，みずからの能力の上昇に肯定的な評価を認めた（p＜0.01）。高齢者に対する態度についても，肯定的に変化していた（p＝0.012）。実習前後の各調査項目における変化量について，歯科訪問診療実習の経験の有無および外来臨床実習の中断期間別に比較したところ，群間に統計学的な有意差は認められなかった。本研究により，臨床実習を通じて，高齢者に対する態度や要求される能力に対する自己評価に変化が認められた。高齢者に対する意識および高齢者歯科医学における知識についての自己評価の変化を評価することは，高齢者歯科医学の学修効果の確認や，今後の教育内容を向上するための一助となる可能性があると思われる。
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410584431730222211","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"友岡 祥子"},{"@language":"en","@value":"Tomooka Shoko"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"九州大学病院高齢者歯科・全身管理歯科"},{"@language":"en","@value":"Geriatric Dentistry and Perioperative Medicine in Dentistry, Kyushu University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410584431730222210","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"水谷 慎介"},{"@language":"en","@value":"Mizutani Shinsuke"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"九州大学大学院歯学研究院附属OBT研究センター"},{"@language":"en","@value":"OBT Research Center, Faculty of Dental Science, Kyushu University"},{"@language":"en","@value":"Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and 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良介"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Geriatric Dentistry and Perioperative Medicine in Dentistry, Kyushu University Hospital"},{"@language":"ja","@value":"九州大学病院高齢者歯科・全身管理歯科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410584431730222214","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Yamazoe Junichi"},{"@language":"ja","@value":"山添 淳一"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Geriatric Dentistry and Perioperative Medicine in Dentistry, Kyushu University Hospital"},{"@language":"ja","@value":"九州大学病院高齢者歯科・全身管理歯科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410584431730222212","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Iwasa Yasuyuki"},{"@language":"ja","@value":"岩佐 康行"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"原土井病院歯科"},{"@language":"en","@value":"Sciences, Faculty of Dental Science, Kyushu University Department of Dentistry, Haradoi Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410584431730222209","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Kashiwazaki Haruhiko"},{"@language":"ja","@value":"柏﨑 晴彦"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical"},{"@language":"ja","@value":"九州大学大学院歯学研究院口腔顎顔面病態学講座高齢者歯科学・全身管理歯科学分野"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09143866"},{"@type":"EISSN","@value":"18847323"}],"prism:publicationName":[{"@language":"en","@value":"Ronen Shika Igaku"},{"@language":"ja","@value":"老年歯科医学"},{"@language":"en","@value":"Japanese Journal of Gerodontology"},{"@language":"en","@value":"JJGerodont"},{"@language":"ja","@value":"老年歯学"},{"@language":"en","@value":"J J Gerodont"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society of Gerodontology"},{"@language":"ja","@value":"一般社団法人 日本老年歯科医学会"}],"prism:publicationDate":"2024-12-31","prism:volume":"39","prism:number":"3","prism:startingPage":"162","prism:endingPage":"170"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2025110655"}],"availableAt":"2024-12-31","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E9%AB%98%E9%BD%A2%E8%80%85%E6%AD%AF%E7%A7%91%E5%8C%BB%E5%AD%A6","dc:title":"高齢者歯科医学"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%AD%AF%E5%AD%A6%E9%83%A8%E8%87%A8%E5%BA%8A%E5%AE%9F%E7%BF%92","dc:title":"歯学部臨床実習"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%AD%AF%E7%A7%91%E8%A8%AA%E5%95%8F%E8%A8%BA%E7%99%82","dc:title":"歯科訪問診療"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%AD%A6%E4%BF%AE%E5%8A%B9%E6%9E%9C","dc:title":"学修効果"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%96%B0%E5%9E%8B%E3%82%B3%E3%83%AD%E3%83%8A%E3%82%A6%E3%82%A4%E3%83%AB%E3%82%B9%E6%84%9F%E6%9F%93%E7%97%87","dc:title":"新型コロナウイルス感染症"},{"@id":"https://cir.nii.ac.jp/all?q=gerodontology","dc:title":"gerodontology"},{"@id":"https://cir.nii.ac.jp/all?q=clinical%20practice","dc:title":"clinical practice"},{"@id":"https://cir.nii.ac.jp/all?q=homebound%20dentistry","dc:title":"homebound dentistry"},{"@id":"https://cir.nii.ac.jp/all?q=effectiveness%20of%20training","dc:title":"effectiveness of training"},{"@id":"https://cir.nii.ac.jp/all?q=COVID-19%20pandemic","dc:title":"COVID-19 pandemic"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2013692272"}]}