Impaired Health Clinical Trial
Official title:
Dental Hygienist Support Promotes Good Oral Health in Nursing Homes
Verified date | February 2016 |
Source | Public Dental Health, Varmland |
Contact | n/a |
Is FDA regulated | No |
Health authority | Sweden: Regional Ethical Review Board |
Study type | Interventional |
Objective: The aim of this study was to evaluate the effects of dental hygienist support on
oral health and attitudes to oral healthcare in nursing homes for older people.
Background: Studies in long-term care facilities have indicated that oral health is often
unsatisfactory. It is important that nursing staff are able to assist dependent care
recipients. Dental hygienist support has been suggested as valuable help.
Material and methods: Two nursing homes were randomly selected for intervention and control.
Interventions included weekly support from dental hygienists on oral hygiene procedures,
prescriptions for individual oral hygiene procedures, and oral care organisational issues.
The residents' oral health, measured by dental plaque levels, gingival bleeding and the
Revised Oral Assessment Guide (ROAG), was evaluated before and after three months. Attitudes
among the staff to oral healthcare were collected through a questionnaire.
Status | Completed |
Enrollment | 31 |
Est. completion date | April 2015 |
Est. primary completion date | April 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Residents at a nursing home - Natural teeth Exclusion Criteria: - Edentulous |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Public Dental Health, Varmland | Karolinska Institutet |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Intervention staff evaluation of oral health care at baseline assessed with a questionnaire | Intervention nursing home staff was asked to fill in a questionnaire A. The questionnaire covered background information and questions including items on organisation and what to do when residents didn't cooperate graded on Likert-type four- or five-point scales. | Only once at baseline | No |
Other | Intervention staff evaluation of oral health care after 3 months assessed with a questionnaire | After three months, the nursing staff was asked to answer a modified version of questionnaire A, questionnaire B. Ten additional questions covered how the nursing staff had experienced their participation in the study. They evaluated if documentation and communication on oral care between staff members had improved and if their knowledge about and confidence in oral health care had been affected, all graded on a Likert-type four-point scale from "very little" to "yes, absolutely". | 3 months | No |
Primary | Changes in dental plaque levels after three months | Four surfaces (proximal, buccal and lingual surfaces) on each tooth is measured and regarding dental plaque in four levels. | 3 months | No |
Primary | Changes in gingival bleeding levels after three months | Four surfaces (proximal, buccal and lingual surfaces) on each tooth is measured and regarding gingival bleeding in four levels. | 3 months | No |
Secondary | Changes in Revised Oral Assessment Guide, ROAG, after 3 months | ROAG includes assessment of voice, lips, oral mucosa, tongue, gums, teeth, dentures, saliva and swallowing ability. Each item was rated according to a ROAG score of 1 (normal), 2 (minor problems) and 3 (severe problems). Definitions are given for each item in ROAG. For example, the item "teeth" includes the following definitions: 1 (normal) clean teeth, no visible plaque or food debris, 2 (minor problems) plaque or food debris in localised areas, 3 (severe problems) generalised plaque, food debris or defective teeth. The item "gums" includes the following definitions: 1 (normal) pink and firm, 2 (minor problems) edematous with or without redness, 3 (severe problems) spontaneous bleeding. The item "lips" includes: 1 (normal) smooth, pink, moist, 2 (minor problems) dry or cracked, angular cheilitis, 3 (severe problems) ulcerated or bleeding. | 3 months | No |
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