Oral health promotion program for fostering self-management of the elderly living in communities

Sakashita, Reiko; Hamada, Misao; Sato, Takuichi; Abiko, Yoshihiro; Takami, Miho

doi:10.1080/10798587.2017.1348459

Cited by 5 publications

(8 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study's effects on oral cleaning were maintained postintervention, which was similar to the results of a previous study targeting community-dwelling elderly persons (Sakashita, Hamada, Sato, Abiko, & Takami, 2017). This is likely because oral health status is easy to visualize and demonstrate.…”

Section: Continuance Of Effects In the Postprogram Settingsupporting

confidence: 84%

See 1 more Smart Citation

Effects of Dining-focused Life Enhancement Program in Welfare Facilities for Seniors in Japan

Sakashita

Ono

Sato

et al. 2020

Asian Pac Isl Nurs Js

Self Cite

View full text Add to dashboard Cite

This study evaluated the effectiveness of a life-enhancement program designed to focus on dining conditions in welfare facilities for seniors living in Japan. Effectiveness was specifically evaluated based on whether improvements were achieved in (1) nutritional status, (2) oral health, (3) frequency of fever, and (4) vitality of appetite across three sites. As part of a comprehensive-care initiative that began with dining support, the program consisted of two main components: (1) a 3-month intensive program comprised of (a) collective experiential learning for residents and staff (including nutritionists, nurses, and physiotherapists) and (b) a tailor-made individual program for residents followed by (2) a 3-month continuation program. Participants included 168 individuals (31 males and 137 females) from a total of three facilities (average age was 85.9 [60–104] years). Results showed that the intensive program significantly improved nutritional status (e.g., BMI, caloric intake, and water intake; P < 0.000–0.005) and tongue movement (P < 0.000) while significantly reducing dental-plaque and tongue-coating indices (P < 0.000). Significant improvements were also achieved for degree of appetite and vitality indices (P < 0.000–0.001). However, incidences of fever were not reduced. These findings indicate that the program effectively improved nutritional status, oral health, vitality, and appetite. However, these effects did not sufficiently remain once the program was finished, thus suggesting the need for a continuous intervention.

show abstract

Section: Continuance Of Effects In the Postprogram Settingsupporting

confidence: 84%

“…This is likely because oral health status is easy to visualize and demonstrate. Further, individuals receiving oral health interventions can directly feel the effects of continual efforts designed to improve hygiene (Sakashita et al, 2017).…”

Section: Continuance Of Effects In the Postprogram Settingmentioning

confidence: 99%

Effects of Dining-focused Life Enhancement Program in Welfare Facilities for Seniors in Japan

Sakashita

Ono

Sato

et al. 2020

Asian Pac Isl Nurs Js

Self Cite

View full text Add to dashboard Cite

show abstract

“…8 One way for older adults with (or without) limited incomes to prevent dental/periodontal problems is to improve their own oral health self-management. 9 Oral health self-management rests on adequate and appropriate toothbrushing, flossing with some form of dental floss or between the teeth cleaning, and regular care of dentures. There are a number of factors that contribute to poor oral health hygiene, including denial, lack of oral hygiene skills and low levels of oral health literacy [10][11][12] as well as cognitive and emotional factors.…”

Section: Backg Round and Aimsmentioning

confidence: 99%

“…At the present time, even if low‐income older adults have sufficient insurance to pay for regular dental care including cleanings, patient load often precludes appropriate oral health and hygiene education during regular care visits 8 . One way for older adults with (or without) limited incomes to prevent dental/periodontal problems is to improve their own oral health self‐management 9 . Oral health self‐management rests on adequate and appropriate toothbrushing, flossing with some form of dental floss or between the teeth cleaning, and regular care of dentures.…”

Section: Background and Aimsmentioning

confidence: 99%

Building a new scale to measure worries about oral hygiene self‐management in vulnerable older adults

Schensul

Salvi

et al. 2020

Gerodontology

View full text Add to dashboard Cite

Objective: This paper describes a new scale to measure worries about self-management of oral hygiene in low-income older adults. Background: Oral hygiene that prevents oral diseases and worsening of chronic conditions improves with instruction, but other cognitive/emotional factors impede oral hygiene practice especially among older adults. Many scales measure dental anxiety, but none measures oral hygiene self-management worries. Materials and Methods: Formative research with diverse older adults 55-95 in lowincome housing identified scale items. A 23-item scale was tested in a pilot intervention study (n = 84) and formalised with a new sample (N = 331). Results: In both studies, PCA/factor analysis produced two subscales: (a) worries about cleaning teeth and (b) consequences of cleaning. Chronbach's alpha coefficient evaluated internal consistency, and Pearson's r and Kendall tau/Spearman's rho evaluated scale predictability, convergent and divergent validity. The scale and subscales showed good internal consistency in both studies (over 0.90) and stability T0 0.90; T1: 0.90). In the larger sample, statistically significant correlations between the scale, subscales; plaque score, and similar scales (perceived risk of oral health problems, and fears of oral diseases) demonstrated convergent validity. For divergent validity, the worries scale, not the GOHAI, a similar scale measuring oral health life quality, was associated with Plaque Score. Each scale was associated with different mediators suggesting different constructs. Conclusion: The overall scale has good internal consistency, test-retest reliability, predictability and convergent and divergent validity. It captures a psycho-emotional construct useful in oral health research and hygiene education with older adults.

show abstract

“…Behavioral interventions that focus on brushing and flossing instruction result in some improvements in oral hygiene (Sakashita et al, 2017). Earlier systematic reviews of behavioral intervention effectiveness, primarily tooth brushing in reducing plaque and gingivitis, demonstrated some reductions in plaque and improved gingival health (Deacon et al, 2010; van der Weijden & Hioe, 2005).…”

Section: Introductionmentioning

confidence: 99%

Evaluating Cognitive/Emotional and Behavioral Mediators of Oral Health Outcomes in Vulnerable Older Adults

Schensul

Salvi

et al. 2020

J Appl Gerontol

View full text Add to dashboard Cite

Inconsistent outcomes of oral hygiene interventions require testable theories combining cognitive and behavioral domains to guide intervention and improve results. This article evaluates the integrated model as a cognitive-behavioral approach to improve oral health clinical outcomes in ethnically diverse low-income older adults. Baseline data from a clinical trial utilizing the integrative model (IM) model evaluated predictors of gingival index (GI) and plaque score (PS). Individual logistic regression was performed for all predictors in relation to GI and PS. Multiple logistic regression was performed with significant predictors of GI and PS only. Greater locus of control and more brushing predicted lower GI; greater locus of control predicted lower PS. Both cognitive and behavioral domains impact GI, requiring more prolonged effort for improvement while locus of control, a cognitive variable, predicts PS, immediately improved by daily brushing/flossing. A streamlined IM including locus of control and tooth brushing should improve oral hygiene of low-income older adults.

show abstract

Oral health promotion program for fostering self-management of the elderly living in communities

Cited by 5 publications

References 11 publications

Effects of Dining-focused Life Enhancement Program in Welfare Facilities for Seniors in Japan

Effects of Dining-focused Life Enhancement Program in Welfare Facilities for Seniors in Japan

Building a new scale to measure worries about oral hygiene self‐management in vulnerable older adults

Evaluating Cognitive/Emotional and Behavioral Mediators of Oral Health Outcomes in Vulnerable Older Adults

Contact Info

Product

Resources

About