Implementation of an interprofessional education telehealth program for care of the homebound

Tepper, Julia A.; Garcon, Marie Carmel; Roykh, Biana; Graham, Roseanna

doi:10.1002/jdd.12874

Cited by 1 publication

(6 citation statements)

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“…From consideration of findings and relevant literature, there may be structural changes that would assist in better oral health outcomes for homebound older adults including integrated primary health care preferably with an oral health professional involved, 44 interprofessional care, 19 telehealth support 19 and a focus on prevention where possible. 45 Although the context-specific nature of this qualitative study implies that findings are not generalizable to other contexts, we anticipate the findings could be translated to other similar settings.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This may include information such as brushing technique or referral pathways to dental services. Inter‐professional collaboration can contribute to a coordinated, seamless, oral health approach that meets the needs of homebound older people 12,19,30,31 …”

Section: Introductionmentioning

confidence: 99%

“…16 Professional support workers and case managers (identified here collectively as professional carers) play an essential role in delivering and maintaining health including oral care for homebound older people. 17,18 However, they may encounter barriers to providing optimal care including limited education and training on dental issues, 19 time constraints, challenges delivering oral care including brushing another person's teeth, client's lack of co-operation, or lack of perceived need. [20][21][22] Evidence suggests that few professional carers receive oral health care instruction despite expressing a need for training.…”

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confidence: 99%

“…Inter-professional collaboration can contribute to a coordinated, seamless, oral health approach that meets the needs of homebound older people. 12,19,30,31 It is important to understand the context of oral health in the lives of homebound older adults including that of stakeholders. This paper presents findings from a qualitative study that examined professional carers' perceptions of factors that promoted or compromised the oral health care of homebound older people in Perth, Western Australia which identified areas where support was needed.…”

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confidence: 99%

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Homebound oral care for older adults: A qualitative study of professional carers' perspectives in Perth, Western Australia

Idris,

Aghanwa,

O'Halloran

et al. 2023

Gerodontology

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ObjectiveTo examine professional support workers and case managers' (professional carers) perspectives of what promoted or compromised oral health care in homebound adults aged over 65 years in Perth, Western Australia and identify professional carers' need for support in this context.BackgroundAccessing dental services can be difficult to navigate and unaffordable for homebound older adults. Paid carers often play a substantial role in facilitating access to services yet there is limited qualitative evidence of the perspectives of these stakeholders.MethodsGiven limited evidence in this area, this simple qualitative study was informed by constructivist grounded theory. Participants comprised 15 professional carers of homebound older adults. Transcripts were analysed to identify participant perceptions of key barriers and enablers to providing oral health care.ResultsBarriers to clients accessing dental care included participants' uncertainty around navigating the dental system, low priority of oral health care, affordability and confusion around who was responsible to provide oral care. Enablers included participants supporting clients' autonomy around oral care, better integration of oral care into primary health care and education and opportunity for training for professional carers.ConclusionEnsuring oral health is part of primary health plans, clarifying roles and responsibilities around delivering oral health care to homebound older adults and training carers were key findings. Inter‐sectoral collaboration between the dental and aged care sectors can benefit dental practitioners and professional carers in shared learning and has likely flow‐on effects for homebound older adults.

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Section: Discussionmentioning

confidence: 99%