{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:49:32Z","timestamp":1791492572171,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Eur J Dental Education"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>As global populations age, dental professionals must be better prepared to meet the complex needs of older adults and individuals with disabilities. This mixed\u2010methods study examined whether participation in an ageing and disability simulation curriculum was associated with changes in dental students' self\u2010reported awareness, confidence, and reflective understanding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Third\u2010year students at a U.S. dental school participated in a required geriatric rotation; 226 completed the pre\u2010intervention survey, 231 the post\u2010intervention survey, and 219 provided matched responses for paired analyses. The two half\u2010day curriculum included immersive simulations of physical, sensory, and cognitive challenges, asynchronous modules, and an interdisciplinary case\u2010based discussion. Likert\u2010scale surveys assessed awareness, attitudes, and confidence immediately before and after the curriculum; open\u2010ended responses were analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant pre\u2010 to post\u2010intervention differences were observed across most measured domains (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), including self\u2010reported awareness of age\u2010 and disability\u2010related challenges and confidence in communicating with, assessing, and adapting care for patients with disabilities. Perceptions of whether dental practices adequately accommodate individuals with disabilities did not change significantly (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.084), although responses shifted toward greater disagreement. Qualitative themes included empathy and understanding of patient experience, person\u2010centred and adaptable care, and interprofessional collaboration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participation was associated with increased self\u2010reported awareness and confidence and reflections emphasising patient experience, individualised care, and interprofessional collaboration. These findings do not establish improved clinical competence or sustained changes in practice. Studies incorporating objective performance measures and longitudinal follow\u2010up are needed to determine whether perceived gains translate into demonstrable changes in patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/eje.70322","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:04:10Z","timestamp":1791489850000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Aging and Disability Simulation in Dental Education: A Mixed\u2010Methods Evaluation of Student Perceptions"],"prefix":"10.1111","author":[{"given":"Troi","family":"Davis","sequence":"first","affiliation":[{"name":"Tufts University School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Pagni","sequence":"additional","affiliation":[{"name":"Tufts University School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5460-7382","authenticated-orcid":false,"given":"Karin","family":"Arsenault","sequence":"additional","affiliation":[{"name":"Tufts University School of Dental Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.18356\/9789210019682"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1922\/CDH_00173Asiri09"},{"key":"e_1_2_10_4_1","volume-title":"Global Status Report on the Public Health Response to Dementia","author":"World Health Organization","year":"2021"},{"key":"e_1_2_10_5_1","volume-title":"Health at a Glance: Europe 2024: State of Health in the EU Cycle","author":"OECD\/European Commission","year":"2024"},{"key":"e_1_2_10_6_1","volume-title":"Second European Programme of Work, 2026\u20132030: United Action for Better Health","author":"World Health Organization Regional Office for Europe","year":"2026"},{"key":"e_1_2_10_7_1","unstructured":"European Commission \u201cEU4Health Programme 2021\u20132027: a vision for a healthier European Union \u201dhttps:\/\/health.ec.europa.eu\/funding\/eu4health\u2010programme\u20102021\u20102027\u2010vision\u2010healthier\u2010european\u2010union_en."},{"key":"e_1_2_10_8_1","unstructured":"European Commission \u201cEuropean Skills Agenda for Sustainable Competitiveness Social Fairness and Resilience 2020\u201d."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12461"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/jioh.jioh_146_19"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj12020030"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14577"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afad235"},{"key":"e_1_2_10_14_1","volume-title":"Experiential Learning: Experience as the Source of Learning and Development","author":"Kolb D. 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