Development of practice guidelines for daily oral care in care‐dependent older adults to complement the InterRAI suite of instruments using a modified Delphi approach

Krausch‐Hofmann, Stefanie; Palmers, Ellen; Declerck, Dominique; Duyck, Joke

doi:10.1111/opn.12351

Cited by 14 publications

(9 citation statements)

References 31 publications

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“…23 To achieve and maintain good oral hygiene, tooth brushing, and flossing, the use of fluoride toothpaste is recommended. 24,25 Although patient awareness and compliance behaviors play a critical role in both disease prevention and treatment outcomes, little is known about the problems with their oral health behaviors and how they are affected by oral health problems and the associated factors. Here we conducted a study to investigate OHRQoL, oral health behaviors, and associated factors among dental patients.…”

Section: Introductionmentioning

confidence: 99%

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Oral Health Behaviors and Oral Health-Related Quality of Life Among Dental Patients in China: A Cross-Sectional Study

AN¹,

Li²,

Li³

et al. 2022

PPA

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Background and Purpose: Oral health plays an important role in overall health. But little is known about the problems with oral health behaviors and oral health-related quality of life (OHRQoL) among dental patients in China. This study aimed to investigate oral health behaviors and OHRQoL, as well as to examine the effects of oral health behaviors and associated factors on OHRQoL among dental patients. Methods: This cross-sectional study was conducted from June 2022 to July 2022 in the Department of Stomatology of the First Mobile General Hospital of Armed Police, Hebei, China. The five-item short form of the Oral Health Impact Profile (OHIP-5) was used to evaluate OHRQoL. Oral health behaviors were assessed by a 16-items oral health behavior questionnaire, and sociodemographic data were collected by a socio-demographic questionnaire. The t-test, one-way ANOVA, and multiple linear regression analysis were used to investigate the associations between the study variables. Results: 186 participants were included in the study. The average age of the participants was 24.62 years (SD = 10.67). The mean OHIP-5 score was 4.31 (SD =3.35). Oral health-related quality of life differed significantly by smoking history, history of alcohol consumption, work status, economic pressure, self-rated oral health status, daily brushing frequency, dental caries condition, and whether they take the initiative to learn about oral health. Multivariate analysis found that the self-rated oral health status and work status were significantly associated with the OHIP scores. The retired people and those with poor self-rated oral health displayed poor OHRQoL. Conclusion:In general, dental patients' oral health needs to be improved, the majority of patients reported practicing poor oral health behaviors, among which the retired population and hose with poor self-rated oral health showed poor OHRQoL. OHRQoL in dental patients is a complex issue associated with social and behavioral factors.

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Section: Introductionmentioning

confidence: 99%

“… 23 To achieve and maintain good oral hygiene, tooth brushing, and flossing, the use of fluoride toothpaste is recommended. 24 , 25…”

Section: Introductionmentioning

confidence: 99%

Oral Health Behaviors and Oral Health-Related Quality of Life Among Dental Patients in China: A Cross-Sectional Study

AN¹,

Li²,

Li³

et al. 2022

PPA

View full text Add to dashboard Cite

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“…At present, studies on oral health research are mainly focused on teenagers, the elderly, pregnant women, and adults [5][6][7], while the literature on oral health and oral health behaviors of dental patients is sparse, who have a high prevalence of oral diseases, deserve more attention. According to the Fourth National Oral Health Survey (2015-2016) in mainland China [8], a large proportion (52.8%~69.3%) of Chinese adults have periodontal disease [8].…”

Section: Introductionmentioning

confidence: 99%

Oral health literacy, oral health behavior, and oral health status among dental patients and associated factors

Luo

et al. 2022

Preprint

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Purpose: This study aimed to assess oral health literacy (OHL), oral health behavior, oral health status, and associated factors in dental patients. Methods: This cross-sectional study was conducted between March 2022 and July 2022 at the first Mobile Corps Hospital of the Chinese People's Armed Police Force, Hebei, China. A total of 184 patients participated in the study. OHL was assessed by the Chinese version of the Health Literacy Dental Scale (HeLD-14). Trained interviewers performed face-to-face interviews for oral health-related behavior information. Data were analyzed using SPSS version 24. Mann–Whitney U-tests, chi-square tests, and binary logistic regression analysis were performed. Results: Participants were 184 dental patients which consisted of 78.3% men and a mean age of 28.36 ± 10.72 years old. The mean oral health literacy score was 43.07±9.92 (out of 56). There were significant associations between inadequate OHL and economic burden (odds ratio [OR]=2.636, P = 0.003), mouthwash (OR=2.433, P = 0.006), gum bleeding (OR=3.798, P = 0.030), and dental visiting (OR=1.885, P = 0.049). Conclusion: The oral health literacy of dental patients is at a medium level overall. Patients with inadequate OHL had a higher frequency of bleeding gums and less frequent dental visiting. Improving oral health literacy among dental patients should be considered by health care providers.

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“…Because consensus was reached on the guidelines and because they were already based on the results of a previous Delphi study and existing literature (Krausch-Hofmann, Duyck, et al 2020; Krausch-Hofmann, Palmers, et al 2020), no adjustments were made and hence there was no re-evaluation in the second round.…”

Section: Resultsmentioning

confidence: 99%

International Delphi Study to Optimize the Oral Health Section in interRAI

et al. 2023

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Introduction: The oral health (OH) of care-dependent older people is generally poor. Since caregivers are mainly responsible for older people’s daily care, they can be considered important intermediaries to improve their OH by performing regular OH assessments. The interRAI instruments are introduced in 37 countries to assess care needs and facilitate care planning across different health care settings. The oral health section (OHS) within the interRAI instrument used in long-term care facilities was optimized for the Belgian context to identify residents who need assistance with daily oral care and/or need to be referred to a dentist. This Delphi study evaluated whether the OHS is also relevant and useful in other countries and modified the OHS accordingly until an international consensus was reached. Participants were experts in OH for older people. During 2 rounds of online questionnaires, experts rated the content, assessment process, triggering of Clinical Assessment Protocols, and accompanying guidelines and instruction videos of the optimized OHS. Based on the experts’ comments and suggestions collected during the first round, the OHS was adjusted and presented to the experts in the second round for re-evaluation. The first and second questionnaires were completed by 48 and 42 oral health experts from 29 and 27 countries where the interRAI instruments are introduced, respectively. Five experts from 5 countries where interRAI is not introduced also participated in both rounds. After the second round, a consensus of over 86% was reached on all criteria. International consensus on the OHS was reached, considering national and cultural differences that may affect OH. The next step in this research is to evaluate the assessment process to identify potential barriers and facilitators to achieving reliable OH assessments internationally. Furthermore, the effect of the OHS at the level of the resident and of the caregivers will be evaluated.

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Development of practice guidelines for daily oral care in care‐dependent older adults to complement the InterRAI suite of instruments using a modified Delphi approach

Cited by 14 publications

References 31 publications

Oral Health Behaviors and Oral Health-Related Quality of Life Among Dental Patients in China: A Cross-Sectional Study

Oral Health Behaviors and Oral Health-Related Quality of Life Among Dental Patients in China: A Cross-Sectional Study

Oral health literacy, oral health behavior, and oral health status among dental patients and associated factors

International Delphi Study to Optimize the Oral Health Section in interRAI

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