Correlates of attitudes and perceived behavioural control towards oral care provision among trained and untrained nursing home caregivers in Singapore

Goh, Charlene Enhui; Guay, Melissa P; Lim, Mei Yian; Lim, Shy Min; Loke, Shu Yi; Toh, Hui En; Nair, Rahul

doi:10.1111/jocn.13162

Cited by 11 publications

(43 citation statements)

References 48 publications

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“…With the limited access to dental care, it is the responsibility of the caregivers to maintain good oral hygiene for the SHCN individuals. The awareness of the caregivers participating in this study was mostly satisfactory in relation to the link between good dental health and general health, which agrees with findings in other published studies [ 39 , 40 ]. However, only half agreed that poor dental health could affect heart condition if not treated, while a little above one-third of the participants had no knowledge about the relationship.…”

Section: Discussionsupporting

confidence: 91%

Caregivers’ Perception about the Relationship between Oral Health and Overall Health in Individuals with Disability in Qatif, Saudi Arabia: A Cross-Sectional Study

Alalshaikh

AlSheikh

Alfaraj

et al. 2022

International Journal of Dentistry

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Background. In Saudi Arabia, there are many people with disabilities that do not receive adequate healthcare, especially in the field of dentistry. Objective. This study focused on assessing caregivers’ perception of the relationship between oral healthcare and the overall health status of individuals with special healthcare needs (SHCN) in Qatif, Saudi Arabia. Methodology Design. This cross-sectional study was conducted using a questionnaire that was divided into two sections. The first part included demographic information such as the age and gender of both the caregiver and the person with a disability and the type of disability. The second part investigated the systemic health of the individual with a disability and the caregivers’ perception of the relationship between the management and treatment of systemic health and oral healthcare in relation to the overall health status. The results of descriptive analyses were summarized using frequency distribution tables. Bivariate analyses (chi-square test) were also performed. Significant differences were considered at a p value of 0.05. Setting. Initiated in school setting. Results. A total of 186 caregivers participated in the study. As much as 83.3% agree that oral health affects overall health, and 48.9% agreed that untreated dental problems could affect cardiac health. Age was the only factor found to be significantly associated with caregiver perception as younger caregivers were more likely to rightly understand the relationship between oral health and general health ( p < 0.05 ). Conclusion. This study has shown the extent to which caregivers of individuals with special care needs to understand the role of oral health in the general health of an individual. Three-quarters of the caregivers agree that dental health affects overall health, and age is a factor that might influence this understanding.

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Section: Discussionsupporting

confidence: 91%

Caregivers’ Perception about the Relationship between Oral Health and Overall Health in Individuals with Disability in Qatif, Saudi Arabia: A Cross-Sectional Study

Alalshaikh

AlSheikh

Alfaraj

et al. 2022

International Journal of Dentistry

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“…The remaining 23 oral hygiene interventions included in the review were of populations other than those with intellectual disabilities only, elderly people 44‐56 , people with dementia 57‐62 or people with disabilities (physical, mixed or unspecified) 63‐66 . The remaining articles were reviews and qualitative studies on the topic of providing oral hygiene care to others 67‐81 . Detailed summary is given in File .…”

Section: Resultsmentioning

confidence: 99%

What is it about carer‐led oral hygiene interventions for people with intellectual disabilities that work and why? A realist review

Waldron

Phadraig

Nunn

2020

Comm Dent Oral Epid

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Objectives To undertake a realist review of carer‐led oral hygiene interventions for people with intellectual disabilities. This was run parallel with a Cochrane Review. Methods Realist review methods were followed. This was characterized by an iterative process of developing and refining theories of how interventions might work, expressed as context‐mechanism‐outcome configurations. The steps included identifying candidate theories with local and international expert consultation before applying an iterative search strategy. Selection criteria were applied for screening of the abstracts and 10% of the included full texts were screened by the three review members, independently, to ensure adherence to the criteria. Data were extracted in NVivo and synthesized qualitatively to confirm, refute or refine theories about what works, why, in what circumstances and for whom. Results Of the 697 potential sources, 112 studies progressed to full‐text screening, and 58 of those were included in the review. These 58 studies found evidence to support six theories about carer‐led oral hygiene interventions for people with intellectual disabilities, from a starting point of ten candidate theories. This realist review found evidence to support the contention that, in order for carer‐led oral hygiene interventions for people with ID to succeed, there is a need for adequate resources and a system‐level approach; involving carers in design and implementation; tailoring of training to suit carers’ needs and work environments; clearly stating how interventions are expected to work; specifying goals with achievable steps for carers to follow; providing carers with support and feedback on their efforts; acknowledging the physical and emotional toll caring for people with intellectual disabilities has on the well‐being of carers; and repeating training. Conclusions The theories from this realist review will direct future interventions by suggesting the mechanisms and contexts that are important to achieve the intended outcome of improved oral health for people with intellectual disabilities. These are, of course, propositions intended for testing, rather than proven. The parallel use of Cochrane and realist methods provides a unique richness to our hypothesis of what works, for whom, when and how.

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“…Where survey questions were positively framed (e.g., I have sufficient knowledge relating to hygiene) results were reversed in order synthesise and present results consistently as barriers. In one survey study (Goh et al, 2016) a Likert scale was used and responses for "strongly agree" and "agree" were combined to allow synthesis of data with other studies. Barriers and facilitators to everyday personal hygiene care…”

Section: Characteristics Of Included Papersmentioning

confidence: 99%

“…For oral care resource deficits related to equipment to clean teeth and dentures (Goh et al, 2016). In one study 95.7% of participants agreed or strongly agreed that they would do their "best to care for the older's teeth/dentures" regardless of resource limitations (Goh et al, 2016). Reports of inadequate resources ranged from 6.3% (Goh et al, 2016) to 20.7% (Stančić et al, 2016).…”

Section: Iv) Lack Of Resourcesmentioning

confidence: 99%

“…In one study 95.7% of participants agreed or strongly agreed that they would do their "best to care for the older's teeth/dentures" regardless of resource limitations (Goh et al, 2016). Reports of inadequate resources ranged from 6.3% (Goh et al, 2016) to 20.7% (Stančić et al, 2016). Lack of resources was an issue in several studies but there is no evidence of resolution of the problem.…”

Section: Iv) Lack Of Resourcesmentioning

confidence: 99%

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Barriers and facilitators to delivering everyday personal hygiene care in residential settings: A systematic review

Heague

Dyson

Cowdell

2022

Journal of Clinical Nursing

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IntroductionGlobally, the population is ageing, and more people live in residential care. Best practice in personal hygiene care may reduce distressing and debilitating skin and oral problems and improve resident outcomes. Although there is guidance on personal hygiene care, implementation may be a challenge.AimTo identify barriers and facilitators to delivering personal hygiene care for older persons in residential care settings.MethodsSystematic review reported according to PRISMA 2020 guidance. Databases MEDLINE, CIHAHL and PsychINFO were systematically searched using terms and synonyms ‘barriers’, ‘facilitators’, ‘hygiene’, ‘older adults’ and ‘residential care’. Only empirical studies, reporting everyday skin and oral care, in English, peer reviewed and published from 2000 to 2021 were included. Due to methodological heterogeneity, a narrative synthesis was conducted.ResultsSixteen papers yielded nine categories of barrier or facilitator. Five related to skin and oral care: (i) knowledge, (ii) skills relating to hygiene care, (iii) skills relating to supporting ‘uncooperative’ behaviours, (iv) lack of resources and (v) time, workload and staffing levels. The remainder related only to oral care: (vi) resident, family or carer motivation, (vii) dislike of hygiene care, (viii) carer attitudes and beliefs and (ix) social influences and communication. Six papers reported interventions to optimise care.ConclusionThis review highlights the persistent dearth of research into everyday personal hygiene practices, in particular skin hygiene in residential care. Existing literature identifies a range of barriers; however, there is a mismatch between these and reported interventions to improve practice.Relevance to clinical practiceAdvances in implementation science to support optimal care have yet to be applied to interventions to support hygiene practices in care homes and it is imperative this is addressed. Future interventions should involve: (i) systematically and theoretically assessing barriers, (ii) application of tailored behaviour change techniques (iii) using these co‐design pragmatic, locally acceptable strategies.

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Correlates of attitudes and perceived behavioural control towards oral care provision among trained and untrained nursing home caregivers in Singapore

Cited by 11 publications

References 48 publications

Caregivers’ Perception about the Relationship between Oral Health and Overall Health in Individuals with Disability in Qatif, Saudi Arabia: A Cross-Sectional Study

Caregivers’ Perception about the Relationship between Oral Health and Overall Health in Individuals with Disability in Qatif, Saudi Arabia: A Cross-Sectional Study

What is it about carer‐led oral hygiene interventions for people with intellectual disabilities that work and why? A realist review

Barriers and facilitators to delivering everyday personal hygiene care in residential settings: A systematic review

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