Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study

Kuo, Mei-Wen; Yeh, Shu-Hui; Chang, Heng-Ming; Teng, Po-Ren

doi:10.1186/s12903-020-01280-7

Cited by 17 publications

(34 citation statements)

References 37 publications

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“…Table 4 identifies the quality appraisal according to the JBI criteria [34,35]. Besides double blindness, three RCTs met all the other JBI criteria [46][47][48]. Additionally, one RCT could also not complete its follow-up assessment [45].…”

Section: Methodological Qualitymentioning

confidence: 99%

“…With regard to the study design, four RCTs [45][46][47][48], six quasi-experimental studies [28,[49][50][51][52][53] and one cohort study [54] were included. Four studies were conducted in Europe, three studies in North America and four studies in Asia.…”

Section: Article Informationmentioning

confidence: 99%

“…Data on research design and results (intervention/control group, intervention, comparator, results and effect) are summarised in Table 3. [45] x x Almomani et al [46] x x Almomani et al [47] x x Kuo et al [48] x…”

Section: Article Informationmentioning

confidence: 99%

“…Four RCTs combined behavioural and educational elements in an intervention for patients with a psychotic disorder (n = 3) [45][46][47] in patients with a mood disorder (n = 2) [46,47], and in patients with SMI (n = 1) [48]. In one of these RCTs, educational interventions focused on staff [45].…”

Section: Interventions Combining Behavioural and Educational Elementsmentioning

confidence: 99%

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Oral Health Interventions in Patients with a Mental Health Disorder: A Scoping Review with Critical Appraisal of the Literature

Kuipers

Boonstra

Kronenberg

et al. 2021

IJERPH

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Poor oral health affects quality of life and daily functioning in the general population and especially in patients with mental health disorders. Due to the high burden of oral health-related quality of life in patients with a mental health disorder, it is important for nurses to know how they can intervene in an early phase. The aim of this systematic scoping review was to identify and appraise oral health interventions in patients with a mental health disorder. A systematic scoping review with a critical appraisal of the literature was conducted using the Joanna Briggs Institute (JBI) methodology for scoping reviews and their checklists. MEDLINE, CINAHL, PsycINFO and reference lists were searched from their inception until December 2020. Results: Eleven quantitative studies were included in the review: four randomized controlled trials, six quasi-experimental studies and one cohort study. Studies focused on interventions for patients (n = 8) or focused on patients together with their professionals (n = 3). Four types of oral health interventions in mental health were found: (I) educational interventions; (II) physical interventions; (III) interventions combining behavioural and educational elements and (IV) interventions combining educational and physical elements. All studies (n = 11) had an evaluation period ≤12 months. Nine studies showed an effect on the short term (≤12 months) with regard to oral health knowledge, oral health behaviour, or physical oral health outcomes (e.g., plaque index). Two studies showed no effects on any outcome. Overall, the methodological insufficient to good. Conclusion: Four types of interventions with positive effects (≤12 months) on oral health knowledge, oral health behaviour, and physical oral health outcomes in different diagnostic patient groups were found. Due to the heterogeneity in both interventions, diagnostic groups and outcomes, one golden standard oral health intervention cannot be advised yet, although the methodological quality of studies seems sufficient. Developing an integrated oral health toolkit might be of great importance in mental health considering its potential effect on oral health-related quality of life.

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Section: Methodological Qualitymentioning

confidence: 99%

Section: Article Informationmentioning

confidence: 99%

Section: Article Informationmentioning

confidence: 99%

Section: Interventions Combining Behavioural and Educational Elementsmentioning

confidence: 99%

See 2 more Smart Citations

Oral Health Interventions in Patients with a Mental Health Disorder: A Scoping Review with Critical Appraisal of the Literature

Kuipers

Boonstra

Kronenberg

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Other small feasibility studies have suggested that education interventions may oral health outcomes in SMI (e.g. plaque) when combined with behavioural change techniques (43). Little is known about the effectiveness of such interventions when rolled out in routine clinical practice, and further research is required in this area.…”

Section: Discussionmentioning

confidence: 99%

Oral health inequality in people with severe mental illness: a cross-sectional study using National Health and Nutrition Examination Survey 1999-2016

Kang

Aggarwal

et al. 2021

Preprint

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OBJECTIVETo explore whether people with severe mental illness (SMI) experience worse oral health compared to the general population, and the risk factors for poor oral health in people with SMI.METHODThis study used cross-sectional data from the National Health and Nutrition Examination Survey (1999-2016) including on self-rated oral health, ache in mouth, tooth loss, periodontitis stage, and number of decayed, missing, and filled teeth. Candidate risk factors for poor oral health included demographic characteristics, lifestyle factors, physical health comorbidities, and dental hygiene behaviours. The authors used ordinal logistic regression and zero-inflated negative binomial models to explore predictors of oral health outcomes.RESULTS53,348 cases were included in the analysis, including 718 people with SMI. In the fully adjusted model, people with SMI were more likely to suffer from tooth loss (OR 1.40, 95% CI: 1.12-1.75). In people with SMI, the risk factors identified for poor oral health outcomes were older age, white ethnicity, lower income, smoking history, and diabetes. Engaging in physical activity and daily use of dental floss were associated with better oral health outcomes.CONCLUSIONSPeople with SMI experience higher rates of tooth loss than the general population, and certain subgroups are particularly at risk. Having a healthy lifestyle such as performing regular physical exercise and flossing may lower the risk of poor oral health. These findings suggest opportunities for targeted prevention and early intervention strategies to mitigate adverse oral health outcomes.Significant outcomes (x3)People with severe mental illness were at 40% higher risk of tooth loss when compared to the general population.Older adults, smokers and people with diabetes were at particularly high risk of poor oral health.Physical exercise and daily use of dental floss were associated with better oral health outcomes.Limitations (x3)The number of cases with data on periodontal disease was limited.The study was cross-sectional so causation could not be inferred.The analysis used prescriptions of antipsychotic and mood stabilising medication as a proxy measure of severe mental illness, as clinical diagnoses were not available in the dataset.Data availability statementThe NHANES 1999-2016 data is available at CDC website: https://www.cdc.gov/nchs/nhanes/index.htm, and is accessible and free to download for everyone.

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Needs Assessment of Health Promotion, Through Co-Production Approach, Among Mental Health Service Users

Tsoukas,

Kolaitis,

Lagiou

et al. 2024

J. Psychosoc. Rehabil. Ment. Health

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People with severe mental disorders have impaired health, and low self-care skills, while presenting a higher risk of developing infections, other chronic diseases, and higher mortality compared to the general population. The majority of health promotion interventions targeting them are methodologically designed based on the subjective assessments of health professionals. This qualitative study aims to assess the health promotion needs among people with severe mental disorders, as well as to explore their perceptions regarding the concept of co-production. Two focus groups were conducted with 18 adults, diagnosed with severe mental disorders receiving services from community mental health settings in Attica, Greece. The data was analyzed using content analysis. Regarding health promotion needs, five themes emerged: psycho-education, rights, settings and services, community education, and physical health. Concerning the co-production concept, five themes emerged: equality, collaboration, inclusion, peer support, and feedback. The findings of this study could be used to design a health promotion program for people with severe mental disorders based on the principles of co-production.

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Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study

Cited by 17 publications

References 37 publications

Oral Health Interventions in Patients with a Mental Health Disorder: A Scoping Review with Critical Appraisal of the Literature

Oral Health Interventions in Patients with a Mental Health Disorder: A Scoping Review with Critical Appraisal of the Literature

Oral health inequality in people with severe mental illness: a cross-sectional study using National Health and Nutrition Examination Survey 1999-2016

Needs Assessment of Health Promotion, Through Co-Production Approach, Among Mental Health Service Users

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