Implementing an Oral Health Intervention for People Experiencing Homelessness in Scotland: A Participant Observation Study

Beaton, Laura; Anderson, Isobel; Humphris, Gerry; Rodriguez, Andréa

doi:10.3390/dj6040068

Cited by 7 publications

(19 citation statements)

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“…. was closely associated with the individual oral health practitioner, and their personality, experience, communication skills and how they perceived their job role and responsibilities' [28]. Therefore, it was interesting to note that the role of the ability to deliver the Smile4life programme was not only predictive of Implementation Behaviours but was composed of work-related beliefs associated with appropriate knowledge, skills and training together with increased confidence to deliver the programme.…”

Section: Discussionmentioning

confidence: 99%

“…It revealed that for the delivery of the Smile4life programme a wide range of practitioners from NHS Boards, Local Authority, and Third and other (e.g. Education) sectors was essential [14,28]. A recent four-year research study pointed to the importance of multi-disciplinary working with homeless people across primary and mental health services to promote preventive dental care [29].…”

Section: Discussionmentioning

confidence: 99%

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Implementing the Smile4life intervention for people experiencing homelessness: a path analytical evaluation

et al. 2021

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Background People experiencing homelessness have high levels of dental decay, oral cancer and poor oral health-related quality of life. The Scottish Government sought to address these issues by developing a national oral health improvement programme for people experiencing homelessness, named Smile4life. The aim was to investigate implementation behaviours and the role of work-related beliefs upon the delivery of the Smile4life programme across NHS Board areas in Scotland. Methods Non-probability convenience sampling, supplemented by snowball sampling, was used to recruit practitioners working across the homelessness sector. The overall evaluation of the implementation of the Smile4life programme was theoretically informed by the Behaviour Change Wheel. The questionnaire was informed by the Theoretical Domains Framework and was divided into three sections, demography and Smile4life Awareness; Smile4life Activities; and Smile4life work-related beliefs. A psychometric assessment was used to develop Smile4life Awareness, Smile4life Activities, Ability to Deliver and Positive Beliefs and Outcomes subscales. The data were subjected to K-R20, exploratory factor analysis, Cronbach’s alpha, t-tests, ANOVA, Pearson’s correlation analysis and a multivariate path analysis. Results One hundred participants completed the questionnaire. The majority were female (79%) and worked in NHS Boards across Scotland (55%). Implementation behaviour, constructed from the Delivering Smile4life scale and the summated Smile4life activities variable, was predicted using a linear model a latent variable. The independent variables were two raw variables Positive Beliefs and Outcomes, and Ability to deliver Smile4life. Results showed relatively good model fit (chi-square (1.96; p > 0.15), SRMR (< 0.08) and R2 (0.62) values). Positive and highly significant loadings were found describing the Implementation Behaviour latent variable (0.87 and 0.56). The two independent variables were associated (p < 0.05) with Implementation Behaviour. Conclusions Work-related factors, such as positive beliefs and outcomes and ability to deliver are required for implementation behaviours associated with the delivery of the Smile4life programme. Future work should include training centred on the specific needs of those involved in the homelessness sector and the development of accessible training resources, thereby promoting implementation behaviours to assist the progression and sustainability of the Smile4life programme.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Implementing the Smile4life intervention for people experiencing homelessness: a path analytical evaluation

et al. 2021

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“…Costo del tratamiento 16-52 37 Relación odontólogo paciente y paciente odontólogo 37,41,44 Se evidenció que los pacientes presentaban quejas por el trato que recibían del personal odontológico.…”

Section: Factor De Riesgo Asociado N° De Publicacionesunclassified

Salud bucal de personas en situación de calle: Una revisión sistemática

Araque

Chacón

Lujano

et al. 2021

IDEULA

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Las personas sin hogar no cuentan con una salud bucal adecuada, por ello, estos individuos son más susceptibles a padecer patologías bucales como lo son; enfermedades periodontales y caries dental, así como la necesidad de tratamientos ya sean prótesis y reconstrucciones, que por sus posibilidades socioeconómicas no son tratadas a tiempo, afectando su bienestar y calidad de vida es importante destacar que no se ha encontrado una revisión sistemática en español sobre las necesidades en la salud bucal de personas en situación de calle. Por tanto, el objetivo de la investigación es describir la salud bucal de personas en situación de calle con base en una revisión sistemática de la literatura en español. Materiales y métodos: se realizó una búsqueda electrónica de información científica de los últimos 20 años en diferentes fuentes de información como; Medline a través de Pubmed, Biblioteca Virtual de la Salud (BVS), Elsevier a través de ScienceDirect, SciELO y Google Académico. Resultados: de los artículos seleccionados en esta revisión 2 son ensayos clínicos, una revisión sistemática y 34 estudios epidemiológicos con un total de 4.918 participantes con diferentes manifestaciones clínicas y factores de riesgo asociados a su estado de salud bucal. Conclusiones: se ha dado a conocer el estado de la salud bucal en las personas en situación de calle y cómo esta se ve afectada en mayor cantidad en personas asociadas a factores de riesgo prevaleciendo el consumo de sustancias ilícitas. Así como también el trato que estas recibe durante la consulta odontológica.

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“…Returning to the framework of inclusion oral health [5], the papers by Beaton et al [11] and Rodriguez et al [12] on homelessness and Lambert [13] and Yuan [14] on undocumented migrants reflect the very essence of inclusion oral health. The requirement for mixed-methods research to include the voice of experts by experience in the research process is no clearer illustrated than in the papers of Beaton et al [11] and Rodriguez et al [12]. For Beaton et al [11] it is the importance of working alliances between service users, health-care professionals, and the Third Sector that are necessary for the successful implementation of community-based programs to promote oral health.…”

Section: A Synopsis Of the Special-edition Papersmentioning

confidence: 99%

“…The requirement for mixed-methods research to include the voice of experts by experience in the research process is no clearer illustrated than in the papers of Beaton et al [11] and Rodriguez et al [12]. For Beaton et al [11] it is the importance of working alliances between service users, health-care professionals, and the Third Sector that are necessary for the successful implementation of community-based programs to promote oral health. For Rodriguez et al [12] it is the co-design and co-production of oral health and health promotion workshops, using Freire's [15] critical consciousness, that strengthens social interactions and knowledge transfer.…”

Section: A Synopsis Of the Special-edition Papersmentioning

confidence: 99%

Promoting Inclusion Oral Health: Social Interventions to Reduce Oral Health Inequities

Freeman

2020

Dentistry Journal

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To advance our understanding of inclusion oral health and to address the impact of social exclusion upon oral health, this group of papers sets out to provide an argument for the need for social and community-based interventions, theoretically underpinned by pluralistic definitions of evidence-based practice and the radical discourse of health promotion for those experiencing exclusion. Using the definition and framework of inclusion oral health, these papers illustrate the requirement for mixed-methods research, the incorporation of experts by experience in the research process, and the need for co-design and co-produced interventions. The papers in this Special Issue present various sources of evidence used to transform top-down into bottom-up community-based interventions for people experiencing homelessness, people in custody, and families residing in areas of high social deprivation. The first two papers provide the evidence for extreme oral health in those experiencing exclusion, and the final four papers report on the implementation and evaluation of social or community-based interventions. This collection of research papers will be of interest to all those wishing to reduce health inequities. This will be achieved by focusing on prevention, adopting a common risk factor agenda, and incorporating co-design and co-production elements into interventions, to tackle the oral health inequities felt by those most excluded in our societies.

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Implementing an Oral Health Intervention for People Experiencing Homelessness in Scotland: A Participant Observation Study

Cited by 7 publications

References 17 publications

Implementing the Smile4life intervention for people experiencing homelessness: a path analytical evaluation

Implementing the Smile4life intervention for people experiencing homelessness: a path analytical evaluation

Salud bucal de personas en situación de calle: Una revisión sistemática

Promoting Inclusion Oral Health: Social Interventions to Reduce Oral Health Inequities

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