Effect of an oral healthcare programme on care staff knowledge and attitude regarding oral health: a non-randomised intervention trial

Janssens, Barbara; Vanobbergen, Jacques; Lambert, Martijn; Schols, Jos M. G. A.; Visschere, Luc De

doi:10.1007/s00784-017-2110-6

Cited by 33 publications

(60 citation statements)

References 46 publications

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“…However, this knowledge may not translate into nurses' own self-care or health behavior [36]. Our result was supported by Janssens' study which showed an increase in knowledge and attitude of the care staff following a healthcare program [37]. As well as, this finding supported through other studies.…”

Section: Discussionsupporting

confidence: 82%

Promoting behavior-related low back health in nursing staff by in-person and interactive social media interventions in the workplace: a randomized trial

Kazemi¹,

Tavafian²,

Hiller³

et al. 2020

Preprint

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Background: Nurses are put at high risk of work-related low back pain (LBP) due to the nature of their work. There is wide scientific evidence that the incidence and prevalence of LBP in nurses is high. Therefore, promoting behaviors for low back health in nurses is essential. The aim of this study was to develop and evaluate a theory-based educational intervention on promoting behaviors of low back health via in-person and social media education among nursing personnel with LBP. Methods: The educational content was developed with six modules: knowledge, attitude, self-efficacy, reinforcing factors, enabling factors and behavior. Evaluation of the content was undertaken in nurses, mean age 36.50 ± 5.79 years, with LBP recruited to a community randomized controlled trial with two modes of delivery: in-person (n=60) and social media (n=60). Data were collected with a self-designed questionnaire at baseline, 3 and 6 months. Baseline comparisons between groups were made with Mann-Whitney U Test for non-normal data and T-Test for normal data. Comparison of change scores between groups and two delivery types across the three time periods used the mixed between-within subject analysis of variance. Results: A total of 120 nurses received the allocated intervention and completed the baseline and follow-up questionnaires. The results indicated there were no significant statistical differences between two delivery types in the variables at the baseline (p > .05). All educational component scores increased at 3-months in both groups. At the 6-month follow-up scores increased for enabling factors and behavior in the in-person group, while in the social media group all scores increased except for attitude. Based on Bonferroni Post hoc analysis there was the difference between the delivery types; social media was more effective in knowledge (p = .01), self-efficacy (p = .03), reinforcing factor (p = .05) and behavior (p = .001) than the in-person intervention. Conclusion: An educational program for low back health was developed based on the PRECEDE-PROCEED model and proved effective at improving knowledge, attitude, self-efficacy, reinforcing factors, enabling factors and behavior. However, delivery via social media was more successful than in-person in the maintenance of behavior over the long-term.

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Section: Discussionsupporting

confidence: 82%

Promoting behavior-related low back health in nursing staff by in-person and interactive social media interventions in the workplace: a randomized trial

Kazemi¹,

Tavafian²,

Hiller³

et al. 2020

Preprint

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“…From our point of view, use of PDC as a first step can provide the basis for implementation of other longterm strategies. 16,[20][21][22][23]35 We have shown that the necessary time frames to provide dental care neither differ between demented and nondemented residents nor between mobile and immobile residents. This finding might provide optimism that oral hygiene procedures can be implemented for all nursing home residents, and the knowledge might reduce restraints when healthcare professionals consider implementing such methods.…”

Section: Discussionmentioning

confidence: 92%

“…According to daily experience, the successful provision of PDC by a dental nurse under the supervision of a cooperating dentist in nursing homes depends on the organization, and often the goodwill, of nursing home personnel and management. From our point of view, use of PDC as a first step can provide the basis for implementation of other long‐term strategies . We have shown that the necessary time frames to provide dental care neither differ between demented and nondemented residents nor between mobile and immobile residents.…”

Section: Discussionmentioning

confidence: 98%

“…Despite reports of diverse oral hygiene methods, no optimal method could be identified, and nursing home staff appears not to prioritize oral health issues. Several factors contribute to impaired oral health, including a high workload of general care for the nursing staff (ie, too little designated timeframes solely reserved for oral hygiene) or insufficient education regarding the oral hygiene needs of residents . Furthermore, nursing home residents often suffer from dementia and immobility, various systemic illnesses, multimorbidities, and frequent polypharmacy—all issues with a high risk of rapidly exacerbating poor oral health that might prevent dental care professionals from implementing oral hygiene strategies in nursing homes.…”

Section: Introductionmentioning

confidence: 99%

“…Professional dental cleaning (PDC) as a first step may count as a pretreatment method for all sustainable preventive programs to achieve and maintain good oral hygiene. It may be combined with or followed by other long‐term strategies such as implementation of healthcare worker training, oral healthcare programs including mobile dental teams, the implementation of ultrasonic baths, Gerodent, or MOUTh programs . We have recently shown that the use of PDC is well accepted and improves oral health in both demented and nondemented nursing home residents .…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of time and resources required for professional dental cleaning in nursing home residents

Barbe

Kottmann

Müller

et al. 2019

Special Care in Dentistry

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Aim We aimed to describe time requirements and costs associated with professional dental cleaning (PDC) performed by a dental nurse in one German nursing home, and to reveal potential differences in required time for demented versus nondemented and mobile versus immobile residents. Methods and results We performed a retrospective, cross‐sectional analysis of treatment time and costs, including a transparent, easily adaptable path of action that allows implementation of PDC in nursing homes. Total mean (±SD) treatment time for one session per resident was documented, including differences in demented and immobile residents, and projected treatment costs (€/$) per resident. We found no differences in required time for one PDC (37 ± 11 minutes) in residents with or without dementia (P = 0.803) or, immobile versus mobile residents (P = 0.396). Mean projected treatment costs of PDC were €14.98/$17.07 per resident per cleaning session, resulting in total costs of €13.5 million ($15.4 million). Conclusion Cognitive status and mobility does not affect the mean time required to perform PDC by a dental nurse in nursing home residents. Main cost factor is working time of dental staff; consumable supplies have less impact. Our data may stimulate to include PDC as initial step toward implementation of long‐term oral hygiene strategies.

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Effectiveness of a Mouth Care Program Provided by Nursing Home Staff vs Standard Care on Reducing Pneumonia Incidence

et al. 2020

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IMPORTANCE Pneumonia affects more than 250 000 nursing home (NH) residents annually. A strategy to reduce pneumonia is to provide daily mouth care, especially to residents with dementia. OBJECTIVE To evaluate the effectiveness of Mouth Care Without a Battle, a program that increases staff knowledge and attitudes regarding oral hygiene, changes mouth care, and improves oral hygiene, in reducing the incidence of pneumonia among NH residents. DESIGN, SETTING, AND PARTICIPANTS This pragmatic cluster randomized trial observing 2152 NH residents for up to 2 years was conducted from September 2014 to May 2017. Data collectors were masked to study group. The study included 14 NHs from regions of North Carolina that evidenced proportionately high rehospitalization rates for pneumonia and long-term care residents. Nursing homes were pair matched and randomly assigned to intervention or control groups. INTERVENTION Mouth Care Without a Battle is a standardized program that teaches that mouth care is health care, provides instruction on individualized techniques and products for mouth care, and trains caregivers to provide care to residents who are resistant and in special situations. The control condition was standard mouth care. MAIN OUTCOMES AND MEASURES Pneumonia incidence (primary) and hospitalization and mortality (secondary), obtained from medical records. RESULTS Overall, the study enrolled 2152 residents (mean [SD] age, 79.4 [12.4] years; 1281 [66.2%] women; 1180 [62.2%] white residents). Participants included 1219 residents (56.6%) in 7 intervention NHs and 933 residents (43.4%) in 7 control NHs. During the 2-year study period, the incidence rate of pneumonia per 1000 resident-days was 0.67 and 0.72 in the intervention and control NHs, respectively. Neither the primary (unadjusted) nor secondary (covariate-adjusted) analyses found a significant reduction in pneumonia due to Mouth Care Without a Battle during 2 years (unadjusted incidence rate ratio, 0.90; upper bound of 1-sided 95% CI, 1.24; P = .27; adjusted incidence rate ratio, 0.92; upper bound of 1-sided 95% CI, 1.27; P = .30). In the second year, the rate of pneumonia was nonsignificantly higher in intervention NHs. Adjusted post hoc analyses limited to the first year found a significant reduction in pneumonia incidence in intervention NHs (IRR, 0.69; upper bound of 1-sided 95% CI, 0.94; P = .03). CONCLUSIONS AND RELEVANCE This matched-pairs cluster randomized trial of a mouth care program compared with standard care was not effective in reducing pneumonia incidence at 2 years, although reduction was found during the first year. The lack of significant results in the second year (continued) Key Points Question Can nursing home staff reduce pneumonia by providing mouth care to residents? Findings In this pragmatic cluster randomized trial including 2152 residents from 14 paired nursing homes during 2 years, there was no statistically significant difference in the primary outcome of pneumonia incidence during 2 years. Adjusted post hoc analyses indicated a stat...

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Effect of an oral healthcare programme on care staff knowledge and attitude regarding oral health: a non-randomised intervention trial

Abstract: The integration of a dental professional team in nursing home organisations should be encouraged because it could be valuable to tackle barriers for the provision of daily oral hygiene and to support the continuous integration of oral health care into general care.

Cited by 33 publications

References 46 publications

Promoting behavior-related low back health in nursing staff by in-person and interactive social media interventions in the workplace: a randomized trial

Promoting behavior-related low back health in nursing staff by in-person and interactive social media interventions in the workplace: a randomized trial

Evaluation of time and resources required for professional dental cleaning in nursing home residents

Effectiveness of a Mouth Care Program Provided by Nursing Home Staff vs Standard Care on Reducing Pneumonia Incidence

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