{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:33:52Z","timestamp":1792805632095,"version":"4.5.0"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>This study aims to explore perspectives on managing patients with Down\u2019s syndrome among orthodontists in Saudi Arabia using a vignette study and COM-B model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>\n                      This was a cross-sectional study for orthodontists working in Saudi Arabia. Participants were asked about their demographic data. Vignette (clinical scenarios) and COM-B model (C: capability, O: opportunity, M: motivation, and B: behavior) were used to assess orthodontists\u2019 perspectives regarding the management of patients with Down\u2019s syndrome. A model of Alpha (Cronbach) was used to study the properties of measurement scales. A Pearson\u2019s correlation coefficient was used to correlate variables represented by means. An independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test and one-way ANOVA, with least significant difference (LSD) as a\n                      <jats:italic toggle=\"yes\">post hoc<\/jats:italic>\n                      test, were used to compare two group means and more than two groups, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Most participants (n = 70, 85.4%) reported that they had no training\/exposure to dealing with Down\u2019s syndrome patients during their orthodontic clinical training. Participants reported an average of 3.82 (SD = 1.1) when treating moderate Down\u2019s syndrome and 2.48 (SD = 1.4) when treating severe Down\u2019s syndrome with mild occlusion discrepancies. Participants also showed that their behavior and attitude are significantly related to their capability, opportunity, and motivation regarding the management of patients with Down\u2019s syndrome. The average reported agreement ranges from 2.46 (SD = 1) for the hypoplasia of the mandible to 4.38 (SD = 0.8) for the congenitally missing teeth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>This study found that orthodontists in Saudi Arabia showed low confidence levels to manage Down\u2019s syndrome patients with moderate and severe challenging behavior. Despite this, the likelihood of increasing their confidence levels and attitude regarding the management of patients with Down\u2019s syndrome increased by increasing their capability, opportunity, motivation, and knowledge in this field.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jos.jos_14_24","type":"journal-article","created":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T13:18:59Z","timestamp":1726579139000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Perspectives on managing patients with Down\u2019s syndrome among orthodontists in Saudi Arabia: A vignette and a COM-B analysis study"],"prefix":"10.4103","volume":"13","author":[{"given":"Hassan","family":"Abed","sequence":"first","affiliation":[{"name":"Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi 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