{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T15:13:29Z","timestamp":1782746009490,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,1,27]],"date-time":"2020-01-27T00:00:00Z","timestamp":1580083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Analyze reflection essays written by one graduating class of students after an initial experience in a clinic for adults with special health care needs (SHCN) and intellectual and developmental disabilities, to draw insights from the patterns of observations expressed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Essays were written by students from the University of Colorado School of Dental Medicine during the 2016\u20102017 academic year after completing a 1\u2010day clinical experience treating this patient population. Readers identified 18 primary themes (PTs) previously identified in essays written during 2012\u20102013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The PT <jats:italic>Complex communicating through third party<\/jats:italic> was identified in 79.4% of essays. Least common were <jats:italic>Frustrated patient could not understand<\/jats:italic> (1.9%) and <jats:italic>Frustrated patient could not talk<\/jats:italic> (1.9%). Nine PTs were grouped to represent 3 component themes (CTs): CT1 <jats:italic>Communication challenges<\/jats:italic>, CT2 <jats:italic>Behavioral challenge<\/jats:italic>, and CT3 <jats:italic>Altruistic responses<\/jats:italic>. This grouping showed moderate internal reliability. A fourth, CT4 <jats:italic>Emotional challenges<\/jats:italic>, was rejected due to low internal reliability. CT1 was most frequently identified, followed by CT3 then CT2. Three PTs were chosen as indicative of desirable outcomes and were labeled outcome themes (OTs): OT1 <jats:italic>Willing to see patients with SHCNs after graduation<\/jats:italic>, OT2 <jats:italic>Would like more Special Care Clinic (SCC) experiences in the future<\/jats:italic>, and OT3 <jats:italic>Looking forward to next SCC experience<\/jats:italic>. Associations between CTs and OTs were not statistically significant, but provided useful insights.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Reflection essays indicate discussion of strategies to manage behavioral challenges and encouragement of altruistic feelings are both vital in orientation sessions. These topics may be critical to positive student perceptions of the experience.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jdd.12040","type":"journal-article","created":{"date-parts":[[2020,6,12]],"date-time":"2020-06-12T18:11:07Z","timestamp":1591985467000},"page":"543-551","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Analyzing essays about treating adults with special health care needs and intellectual and developmental disabilities"],"prefix":"10.1002","volume":"84","author":[{"given":"JoAnn P.","family":"LeClaire","sequence":"first","affiliation":[{"name":"Department of Community Dentistry and Population Health University of Colorado School of Dental Medicine  Aurora Colorado USA"},{"name":"Special Care Clinic Program  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila O.","family":"Stille","sequence":"additional","affiliation":[{"name":"Special Care Clinic Program  Aurora Colorado USA"},{"name":"Department of Surgical Dentistry University of Colorado School of Dental Medicine  Aurora Colorado USA"},{"name":"General Practice Residency Program  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen D.","family":"Foster","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry and Population Health University of Colorado School of Dental Medicine  Aurora Colorado USA"},{"name":"Special Care Clinic Program  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob G.","family":"Berg","sequence":"additional","affiliation":[{"name":"Department of Community Dentistry and Population Health University of Colorado School of Dental Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,1,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934-9556-57.5.376"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934-9556-57.5.347"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jppi.12220"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1352\/1934-9556-57.5.421"},{"key":"e_1_2_7_6_1","unstructured":"Census Profile: United States 2019 at Available at:https:\/\/censusreporter.org\/profiles\/01000US-united-states\/. Accessed October 12 2019."},{"key":"e_1_2_7_7_1","first-page":"16","article-title":"Definition of special health care needs","volume":"38","author":"American Academy of Pediatric Dentistry","year":"2016","journal-title":"Pediatr Dent."},{"key":"e_1_2_7_8_1","unstructured":"National Council on Disability.Neglected for Too Long: Dental Care for People with Intellectual and Developmental Disabilities.2018Available at:https:\/\/ncd.gov\/newsroom\/2017\/ncd-highlights-scarce-dental-care-patients-idd-latest-policy-brief. Accessed September 14 2018; Appendix 2 Subpage 1:1501\u201010."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12191"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2004.68.1.tb03730.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2005.69.10.tb04011.x"},{"key":"e_1_2_7_12_1","unstructured":"Commission on Dental Accreditation.Accreditation standards for dental education programs 2019; p.31."},{"key":"e_1_2_7_13_1","unstructured":"Overview of Learning Styles.2019. Available at:https:\/\/www.learning-styles-online.com\/overview\/. Accessed March 8 2019."},{"key":"e_1_2_7_14_1","unstructured":"Understanding the 7 Types of Learning Styles. Available at:https:\/\/blog.mindvalley.com\/types-of-learning-styles\/. Accessed September 16 2019."},{"key":"e_1_2_7_15_1","first-page":"13","article-title":"Education for critical citizenship: John Dewey's contributing to the pedagogy of community service learning","volume":"3","author":"Salmarsh J","year":"1996","journal-title":"Mich J Comm Service Learning"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2003.67.5.tb03653.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/eje.12111"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2014.78.1.tb05663.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2014.78.8.tb05783.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2015.79.9.tb05994.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2016.80.3.tb06081.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2004.0187"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCIDE.S178114"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2011.75.1.tb05018.x"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2010.74.11.tb04991.x"},{"key":"e_1_2_7_26_1","article-title":"Dental students\u2019 knowledge of oral health for persons with special needs: a pilot study","author":"Salama F","year":"2015","journal-title":"The Scientific World Journal"},{"issue":"1","key":"e_1_2_7_27_1","first-page":"1","article-title":"Mount Sinai Hospital dental program for persons with disabilities: role in undergraduate dental education","volume":"76","author":"Sigal MJ","year":"2010","journal-title":"J Can Dent Assoc"},{"issue":"2012","key":"e_1_2_7_28_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1111\/j.1600-0579.2012.00736.x","article-title":"The value of education in special care dentistry as a means of reducing inequalities in oral health","volume":"16","author":"Faulks D","year":"2012","journal-title":"Eur J Dent Educ"},{"issue":"2","key":"e_1_2_7_29_1","first-page":"226","article-title":"Student reflections on first day in a Dental SchoolClinic for patients with special health care needs, abstract presented at ADEA annual session & exhibition","volume":"77","author":"LeClaire JP","year":"2013","journal-title":"J Dent Educ"}],"container-title":["Journal of Dental Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjdd.12040","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jdd.12040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T12:47:17Z","timestamp":1694004437000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jdd.12040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,27]]},"references-count":28,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1002\/jdd.12040"],"URL":"https:\/\/doi.org\/10.1002\/jdd.12040","archive":["Portico"],"relation":{},"ISSN":["0022-0337","1930-7837"],"issn-type":[{"value":"0022-0337","type":"print"},{"value":"1930-7837","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,27]]},"assertion":[{"value":"2019-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}