A pre and post-test assessment of oral health intervention: caregivers’ knowledge and attitudes at long-term care facilities in the eThekwini district, KwaZulu-Natal.

Abstract

Oral health remains a neglected aspect of health care among vulnerable populations residing at long-term care facilities. Routine oral health education and training for caregivers have the potential to improve oral health provision. Aims and Objectives To determine the effect of an oral health intervention on caregivers’ knowledge and attitudes. Methods This exploratory study utilised a pre/post-test assessment approach. A total of participated. A pre-test questionnaire was distributed among 145 caregivers from seven long-term care facilities in eThekwini district. An online oral health educational intervention was implemented four weeks later. Six months later, a post-test questionnaire was administered. A Mann-Whitney test and paired sample test were used for statistical analysis. p<0.05 was considered statistically significant. Results Participants (n=19; 13.1%) reported that brushing twice a day and flossing were the two most important dental habits in the pre-intervention phase, compared to 71% (n=103) in the post-intervention phase. Caregivers (n=124; 85.5%) in the pre-intervention phase reported to feel that they should be trained in providing oral health care, compared to 93.8% (n=136) in the post-intervention phase. Conclusion The oral health intervention had a positive effect on caregivers’ knowledge and attitudes. This finding necessitates routine oral health education and training for caregivers.

A framework to guide oral healthcare at long-term care facilities in the eThekwini district

“…38 This finding concurs with a similar study which reported improved knowledge among caregivers, following an oral health intervention. 39 Less than half of the caregivers (n=68; 46.9%) in the preintervention phase, agreed that loose teeth can sometimes be a sign of gum and bone disease, compared to 89% of caregivers (n=129) in the post-intervention phase who agreed with the statement. 38 Additionally, very few caregivers (n=17; 11.7%) in the pre-intervention phase reported that regular flossing was an important part of the oral hygiene regime, and that initial bleeding of the gums was normal, compared with 81 caregivers (55.9%) in the post-intervention phase who agreed.…”