Dental care practices and oral health training for professional caregivers in long-term care facilities: An interdisciplinary approach to address oral health disparities

Kohli, Richie; Nelson, Sandra; Ulrich, Samantha; Finch, Tony; Hall, Karen; Schwarz, Eli

doi:10.1016/j.gerinurse.2016.11.008

Cited by 15 publications

(11 citation statements)

References 36 publications

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“…Additional training for older adults in long-term care facilities should be introduced into the everyday practice. 17 This data is comparable with the data from the Ministry of Health. According to available data, more than 97% of Małopolska residents brush their teeth once a day or more often.…”

Section: Discussionsupporting

confidence: 83%

The effect of proper oral hygiene habits on oral cavity health

Kalandyk-Konstanty¹,

Konstanty-Kalandyk²,

Zarzecka³

et al. 2017

Dent. Med. Probl.

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Section: Discussionsupporting

confidence: 83%

The effect of proper oral hygiene habits on oral cavity health

Kalandyk-Konstanty¹,

Konstanty-Kalandyk²,

Zarzecka³

et al. 2017

Dent. Med. Probl.

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“…This increases the risk of oral health issues becoming even more complex, as oral hygiene is a cornerstone of health promotion on the basis of controlling the pathogenicity of biofilm on oral mucosa, teeth and dentures. There are still many barriers that compromise the oral health of frail elderly people, such as means of transportation, underestimation of dental health problems and attitudes of caregivers towards oral care 41. Recent studies have shown that even if caregivers feel comfortable with regard to their oral health background and daily practices, they have expressed a need for additional training in several areas 41,42,43,44.…”

Section: Discussionmentioning

confidence: 99%

The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients

Tuuliainen

Nihtilä

Komulainen

et al. 2019

Scandinavian Caring Sciences

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The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients Background: Increasing numbers of frail elderly people living at home but dependent on supportive care will face complex oral health challenges. Objectives: To investigate the associations of frailty status with oral cleaning habits and oral hygiene taking into account the effects of preventive oral health intervention among home care clients aged 75 or over. Methods: Data were gathered by interviews and clinical oral examinations at baseline and after a 6-month follow-up. Frailty status was evaluated at baseline using the abbreviated comprehensive geriatric assessment (aCGA) scale, which consists of 15 questions from three different domains: cognitive status, functional status and depression. A total of 231 home care clients completed the aCGA at baseline and the interview and clinical oral examination both at baseline and after the follow-up. Results: Using the aCGA classification with at least one score in the ≥2 domain, 62% of clients were classified as frail at baseline. They had poorer oral cleaning habits and hygiene, and they had lost more teeth than nonfrail participants. Multivariate analysis showed that being frail at baseline was statistically significantly associated with a lower frequency of toothbrushing and denture cleaning (OR = 0.4, 95% CI = 0.1-0.9 and OR = 0.3, 95% CI = 0.1-0.8) at baseline, but not after the follow-up. Membership in the intervention group was associated with better oral cleaning at the follow-up. However, among the frail participants, toothbrushing frequency was still significantly lower and oral hygiene poorer than among the nonfrail group. Conclusions: Oral cleaning habits of frail elderly people were slightly improved as a result of external support, which had a positive effect on oral hygiene. Individual preventive actions in the context of oral health and hygiene should be integrated into the daily care plan of home care clients with the first signs of frailty.

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“…Six articles surveyed the opinions of carers of people with intellectual disabilities in relation to assessing, monitoring and promoting health 37‐42 and one was a systematic review of this topic 43 . 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 .…”

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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Dental care practices and oral health training for professional caregivers in long-term care facilities: An interdisciplinary approach to address oral health disparities

Cited by 15 publications

References 36 publications

The effect of proper oral hygiene habits on oral cavity health

The effect of proper oral hygiene habits on oral cavity health

The association of frailty with oral cleaning habits and oral hygiene among elderly home care clients

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

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