Perceptions of cardiac care providers towards oral health promotion in Australia

Sanchez, Paula; Everett, Bronwyn; Salamonson, Yenna; Ajwani, Shilpi; Bhole, Sameer; Bishop, Joshua; Lintern, Karen; Nolan, Samantha; Rajaratnam, R.; Redfern, Julie; Sheehan, Maria; Skarligos, Fiona; Spencer, Lissa; Srinivas, Ravi; George, Ajesh

doi:10.1016/j.colegn.2017.11.006

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…Moreover, a couple of studies from this review suggest that when clients access AOD treatment services, there is a natural improvement in toothbrushing frequency even without specific oral health promotion [ 45 , 51 ], perhaps due to the support and rehabilitation provided by AOD treatment services to improve overall functioning and wellbeing. In other populations where non‐dental clinicians have promoted oral health among specific adult populations, studies have found that there needs to be a consensus among clinicians that oral health promotion is an aspect of their role [ 66 , 67 , 68 , 69 , 70 ]. There also needs to be dissemination of rudimentary oral health education, access to appropriate oral health promotion resources, and a priority referral pathway for clients at risk of poor oral health needs to be implemented [ 66 , 67 , 68 , 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

Oral health‐care needs among clients receiving alcohol and other drugs treatment—A scoping review

Poudel

Kong

Hocking

et al. 2022

Drug and Alcohol Review

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Issues: Poor oral health is a significant problem among people who access alcohol and other drugs (AOD) health services, yet little is known about their oral health-care needs and whether any interventions and guidelines are implemented within AOD treatment services. Approach: A scoping review was conducted to identify scientific literature in three focus areas: oral health knowledge, attitudes and practices of clients and clinicians at AOD-related services; oral health guidelines for AOD clinicians; and interventions that describe clinicians promoting oral health among clients. Key Findings: Thirty-two reports were identified. Twenty-three studies focused on the oral health knowledge, attitudes and practices of AOD clients, but none of the studies explored perspectives of clinicians. Seven clinical practice guidelines were identified but recommendations varied. Only two interventions in which an AOD clinician promoted oral health were identified. Implications: Most reports provided insight into the perspectives of clients accessing AOD treatment services. Little evidence demonstrated that clinical practice guidelines were being implemented into practice, or that oral health promotion was part of the tasks of AOD clinicians. Conclusion:This review identified oral health knowledge gaps and perceived poor attitudes that appeared to be reflected in certain oral health practices among clients. This finding indicates a need to educate clients about oral health while receiving AOD treatment. There was an absence of research about the needs for AOD clinicians to advocate for good oral health, and little evidence exists about effective interventions that could enhance integrating oral health care into AOD treatment services.

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Section: Discussionmentioning

confidence: 99%

Oral health‐care needs among clients receiving alcohol and other drugs treatment—A scoping review

Poudel

Kong

Hocking

et al. 2022

Drug and Alcohol Review

Self Cite

View full text Add to dashboard Cite

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“…However, GPs were very receptive to promoting oral health care and since they are the primary care providers for people living with diabetes, they should be encouraged and supported to undertake this role considering current barriers. There is an increased attention to encourage non-dental professionals in oral health promotion in various health care settings in Australia [17,43,54] and worldwide [55,56] and research is showing that such programs are acceptable and feasible with the potential for widespread use [43]. Considering such evidence, diabetes care providers should take this opportunity to promote oral health care to their patients.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and practices of general practitioners on providing oral health care to people with diabetes - a qualitative study

et al. 2020

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Background: Poorly controlled diabetes leads to multiple complications including oral health problems. General practitioners (GPs) are at the forefront of management of chronic diseases in primary health care. Diabetes guidelines encourage a proactive role for GPs in oral health complications management in people with diabetes, yet little is known about this area of care. This study aimed to explore current practices, perceptions and barriers of GPs towards oral health care for people with diabetes. Methods: We employed a qualitative research method utilising telephone interviews. Purposive and snowball sampling were used to recruit 12 GPs from Greater Sydney region. A thematic analysis involving an inductive approach was used to identify and analyse contextual patterns and themes. Results: A majority of participants were males (n = 10), working in group practices (n = 11) with a mean ± SD age of 55 ± 11.4 years and 25 ± 13.6 years work experience. Three major themes emerged: oral health care practices in general practice settings; barriers and enablers to oral health care; and role of diabetes care providers in promoting oral health. Most GPs acknowledged the importance of oral health care for people with diabetes, identifying their compromised immune capacity and greater risks of infections as risk factors. GPs reported 20-30% of their patients having oral health problems, however their current oral health care practices relating to education, risk assessment and referrals were reported as very limited. GPs identified several barriers including time constraints, absence of referral pathways, and limited knowledge and training in promoting oral health care. They also reported patient barriers including oral health care costs and lower oral health awareness. GPs perceived that resources such as education/training, a standardised assessment tool and patient education materials could support them in promoting oral health care. GPs also perceived that other diabetes care providers such as diabetes educators could play an important role in promoting oral health. Conclusions: Despite current recommendations, GPs' current oral health care practices among people with diabetes are limited. Further strategies including capacity building GPs by developing appropriate oral health training programs and simple risk assessment tools along with accessible referral pathways are needed to address the current barriers.

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“…20 The focus group guide was developed from the findings of 2 reviews (scoping/systematic reviews), 7,10 which explored the current knowledge, practices, and perceptions of diabetes care providers and people with diabetes regarding oral health care. In addition, questions used in similar qualitative studies to explore the oral health knowledge and practices of other health care providers (midwives and cardiac nurses) 21,22 were reviewed to inform the focus group guide. The focus groups were conducted by experienced and trained researchers in qualitative techniques (P.P.…”

Section: Methodsmentioning

confidence: 99%

Perceptions and Practices of Diabetes Educators in Providing Oral Health Care: A Qualitative Study

et al. 2018

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Purpose The purpose of this study was to explore the current perceptions and practices of diabetes educators (DEs) in providing oral health care to people with diabetes. Methods A qualitative study design involving focus groups was used to gather data. Purposive sampling was used to recruit DEs working across 3 metropolitan hospitals in South Western Sydney, Australia. Results Fourteen DEs participated in 3 focus groups. Participants had a mean ± SD age of 44.4 ± 9.2 years and 5.2 ± 5.3 years of work experience in diabetes care. Four main themes were identified: perceptions about oral health care and diabetes current oral health care practices, perceptions on incorporating oral health, and suggested model of care. DEs agreed that promoting oral health in diabetes clinics is important, and they reported seeing patients frequently with oral health problems. However, the majority do not include oral health care in consultations, primarily because they have limited knowledge in this area and have not received any formal oral health education or training. Additional barriers were the lack of referral pathways and resources for patient education. DEs were receptive to incorporating oral health provided that the current barriers were addressed. DEs also suggested a multidisciplinary team care approach to promote oral health. Conclusions Current practices of DEs in oral health care are limited, but they are willing to address oral health. A suggested model of oral health care should include capacity building of diabetes care providers, appropriate dental referral pathways, and a team approach within multidisciplinary diabetes care.

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Perceptions of cardiac care providers towards oral health promotion in Australia

Cited by 8 publications

References 22 publications

Oral health‐care needs among clients receiving alcohol and other drugs treatment—A scoping review

Oral health‐care needs among clients receiving alcohol and other drugs treatment—A scoping review

Perceptions and practices of general practitioners on providing oral health care to people with diabetes - a qualitative study

Perceptions and Practices of Diabetes Educators in Providing Oral Health Care: A Qualitative Study

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