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CompletedNCT04449081Updated Sep 2, 2020

Knowledge, Attitude and Practice of Dental Students About COVID-19

An observational study in Acute Respiratory Distress Syndrome, Corona Virus Infection and Acute Lung Injury, sponsored by Melaka Manipal Medical College. Completed at 1 site in Malaysia. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-09-02.

Sponsored by Melaka Manipal Medical College · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
215
Ages
18 Years to 30 Years
Sex
All
01

Study summary

Coronavirus disease 2019 (abbreviated "COVID- 19") is a pandemic respiratory disease that is caused by a novel coronavirus and was first detected in December 2019 in Wuhan, China. The disease is highly infectious, and its main clinical symptoms include fever, dry cough, fatigue, myalgia, and dyspnoea.1 In China, 18.5% of the patients with COVID-19 developed to the severe stage, which is characterized by acute respiratory distress syndrome, septic shock, difficult-to-tackle metabolic acidosis, and bleeding and coagulation dysfunction.

After China, COVID-19 spread across the world and many governments implemented unprecedented measures like suspension of public transportation, the closing of public spaces, close management of communities, and isolation and care for infected people and suspected cases. The Malaysian government had enforced Movement Control Order (MCO) from 18th March to 4th May 2020 and henceforth Conditional Movement Control Order (CMCO) until 9th June 2020. The battle against COVID-19 is still continuing in Malaysia and all over the world.

Due to the CMO and CMCO in the country, public and private universities have activated the e-learning mode for classes and as the government ordered, universities are closed and no face-to-face activities allowed. This has forced students of all disciplines including dentistry to stay at home which are wide-spread across Malaysia and shift to e- learning mode. To guarantee the final success for fight against COVID-19, regardless of their education status, students' adherence to these control measures are essential, which is largely affected by their knowledge, attitudes, and practices (KAP) towards COVID-19 in accordance with KAP theory. Once the restrictions are eased students have to come back and resume their clinical work in the campus.

Hence, in this study we assessed the Knowledge, Attitude, and Practice (KAP) towards COVID-19 and the students preference for online learning.

Read the detailed description

Due to the CMO and CMCO in the country, public and private universities have activated the e-learning mode for classes and as the government ordered, universities are closed and no face-to-face activities allowed. This has forced students of all disciplines including dentistry to stay at home which is wide-spread across Malaysia and shift to e-learning mode. To guarantee the final success for the fight against COVID-19, regardless of their education status, students' adherence to these control measures is essential, which is largely affected by their knowledge, attitudes, and practices (KAP) towards COVID-19 in accordance with KAP theory.

Background:

In the KAP study conducted among residents in China, it was noticed that KAP scores were associated with a lower likelihood of negative attitudes and preventive practices towards COVID-2019. Most Chinese residents of a relatively high socioeconomic status, in particular women, are knowledgeable about COVID-19, hold optimistic attitudes, and have appropriate practices towards COVID-19. Health education programs aimed at improving COVID-19 knowledge are helpful for Chinese residents to hold optimistic attitudes and maintain appropriate practices. In a cross-sectional study among pregestational and pregnant women was conducted in Shaanxi, China, women at the periconceptional period in Shaanxi lacked the total KAP level of periconceptional healthcare, especially those who live in rural areas and have less education. The authors concluded that government agencies should reinforce more effective primary preventive measures and policies for the prevention of adverse pregnancy outcomes.

In a study aimed to assess the level of awareness, perception, and attitude regarding COVID-19 and infection control among Jordanian dentists, the authors concluded that Jordanian dentists were aware of COVID-19 symptoms, mode of transmission, and infection controls and measures in dental clinics. But dentists had limited comprehension of the extra precautionary measures that protect the dental staff and other patients from COVID-19. They also recommended that it would be best practice to send National and international guidelines established by the regional and national dental associations to all registered dentists during a crisis, including the COVID-19 pandemic, to ensure that dentists are well informed and aware of best practices and recommended disease management approaches.

The outbreak of COVID-19 was unprecedented and forced many universities to launch online courses to ensure the continuity of teaching-learning activities, with students staying at homes or dorms. It is a massive, challenging shift to move all the existing courses online in a matter of days. In general, a complete online course requires an elaborate lesson plan design, teaching materials such as audio and video contents, as well as technology support teams.

Many academic institutions in Malaysia commit themselves to eLearning because they believe in its effectiveness as an alternative approach to the traditional classroom method of disseminating information. A study conducted on e-learning shows that higher education institutions in Malaysia offer more than 50% of their courses online. The data also shows that 13.8% of lecturers provide more than 80% online learning materials and that 44.6% of students prefer to read materials uploaded by their lecturers. The findings also show that students' preference for online courses is very encouraging. In fact, lecturers also agree that the integration of e-learning into their courses has benefited students. In general, it clearly shows that the application of e-learning is accepted by lecturers and students of HEIs as an effective means of communication.

A national study was conducted to evaluate the self-perceived preparedness of final-year dental undergraduate students in dental public universities in Malaysia. The authors concluded that confidence and experience in some clinical skills, cognitive and behavioral attributes could be improved to facilitate their transition into independent dental practice after graduation. This is best possible in face-to-face teaching. So given this unprecedented situation, it will be best to assess the perception of dental students towards online teaching.

02

Conditions studied

  • Acute Respiratory Distress Syndrome
  • Corona Virus Infection
  • Acute Lung Injury
  • Fever
  • Myalgia
  • Cough
  • Dyspnea
  • Septic Shock
  • Bleeding

Keywords

  • Humans
  • COVID-19
  • Online learning
  • Perception
03

In context

Respiratory Distress Syndrome

1,387 studies on the registry are indexed under Respiratory Distress Syndrome; 283 are open to participants now.

This study's enrollment of 215 is above the median of 100 across 475 observational studies indexed under Respiratory Distress Syndrome.

Browse Respiratory Distress Syndrome studies →

Lead sponsor

Melaka Manipal Medical College is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

All consenting participants of year 3, 4 and undergraduate dental students studying at Faculty of Dentistry, Melaka-Manipal Medical College, Melaka, were included in the study

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All consenting participants of year 3, 4 and undergraduate dental students studying at Faculty of Dentistry, Melaka-Manipal Medical College, Melaka
  • Age - 18-30 years
  • All gender

Exclusion criteria

Exclusion Criteria:

  • Incomplete questionnaires
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
215 participants (actual)
Patient registry
No

Interventions

  • BehavioralKnowledge, Attitude, Practice, Awareness, Preference

    KAP, Awareness level and Preference were assessed using questionnaires

06

What researchers measure

Primary outcomes

  1. Knowledge, Attitude, Practice of dental students towards COVID-19

    KAP towards COVID-19 was assessed using validated questionnnaire

    Time frame: 4 months

Secondary outcomes

  1. Awareness level about Infection control to prevent COVID-19 transmission in clinics

    Awareness level about Infection control to prevent COVID-19 transmission in clinics was assesed using a standardized questionnaire

    Time frame: 4 months

  2. Preference towards online learning.

    Preference towards online learning. was assessed using a standard questionnaire

    Time frame: 4 months

07

Study locations

1 site
  • Faculty of Dentistry, Melaka-Manipal Medical College
    Melaka Tengah, Melaka 57150, Malaysia
08

References and documents

Publications

  • Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020 Mar 15;16(10):1745-1752. doi: 10.7150/ijbs.45221. eCollection 2020. PubMed 32226294 ↗
  • Khader Y, Al Nsour M, Al-Batayneh OB, Saadeh R, Bashier H, Alfaqih M, Al-Azzam S, AlShurman BA. Dentists' Awareness, Perception, and Attitude Regarding COVID-19 and Infection Control: Cross-Sectional Study Among Jordanian Dentists. JMIR Public Health Surveill. 2020 Apr 9;6(2):e18798. doi: 10.2196/18798. PubMed 32250959 ↗
  • Asiry MA. Dental students' perceptions of an online learning. Saudi Dent J. 2017 Oct;29(4):167-170. doi: 10.1016/j.sdentj.2017.03.005. Epub 2017 Aug 2. PubMed 29033527 ↗

Individual participant data

Plan to share: No — No personal details of the participant will be shared.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2020 to primary completion in Jun 2020, 1 month.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 25, 2020
First posted
Jun 26, 2020
StartActual
Apr 25, 2020
Primary completionActual
Jun 10, 2020
CompletionActual
Jun 20, 2020
Last update
Sep 2, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 2, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04449081
Lead sponsor
Melaka Manipal Medical College
Responsible party
Rajesh Hosadurga (Professor, Melaka Manipal Medical College) — Principal investigator
First posted
Jun 26, 2020
Start date
Apr 25, 2020
Primary completion
Jun 10, 2020
Completion
Jun 20, 2020
Last update
Sep 2, 2020

Study contacts

Rajesh Hosadurga, Ph.D
principal investigator · Melaka-Manipal Medical College, Melaka, Malaysia

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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