Projects per year
Abstract
Objectives: To compare a designated shared oral care intervention in a group of public nursing home residents with a standard oral care programme, focusing on levels of oral plaque and oral inflammation. Methods: A cluster randomized field trial was undertaken in 14 Danish public nursing homes. There were 145 participants included in the intervention group and 98 in the control group. We undertook a six-month intervention based on the principle of situated interprofessional learning. The primary outcomes were plaque and inflammation levels measured with the mucosal plaque index (MPS); this was assessed at baseline, after three and six months (end of intervention), and at follow-up (six months postintervention). The odds ratios (OR) and 95% confidence intervals (CI) were estimated with ordinal regression. Results: Socio-demographic characteristics and oral health status at baseline were comparable between the two groups, with the exception of age: the intervention group were significantly younger than controls (median 82 vs 87 years). After three and six months, those receiving the shared oral care intervention had significantly lower plaque and inflammation than the control group. The adjusted ORs for a reduction in MPS were 11.8 (CI: 6.5-21.3) and 11.0 (CI: 5.8-20.9), respectively. At follow-up, plaque levels and oral inflammation had approached the pre-intervention level, with no remaining statistically significant group differences. Conclusions: The shared oral care intervention based on a situated learning perspective was effective in improving oral health among care home residents. However, after termination of the intervention, the effect quickly decreased. This confirms the challenges of achieving long-term improvement in oral health in nursing home residents. An implementation strategy focusing on achieving changes at both organizational and individual levels with persistent attention to oral health care seem required for long-term improvement.
Original language | English |
---|---|
Journal | Community Dentistry and Oral Epidemiology |
Volume | 50 |
Issue number | 2 |
Pages (from-to) | 115-123 |
Number of pages | 9 |
ISSN | 0301-5661 |
DOIs | |
Publication status | Published - 14 Mar 2022 |
Keywords
- intervention
- nursing homes
- older people
- oral health
- randomized controlled trial
Fingerprint
Dive into the research topics of 'Improving oral health in nursing home residents: A cluster randomized trial of a shared oral care intervention'. Together they form a unique fingerprint.Projects
- 1 Finished
-
Shared Oral Care. Improvement of Oral Care in Insitutionalized Elderly in Aalborg Municipality (DECIPH'er affiliated project)
Aagaard, K., Overgaard, C., Bøggild, H., Hartmann, L. G., Bagger, M. & Hede, B.
01/02/2017 → 31/12/2020
Project: Research
Activities
-
Tandhelsen kompetensesenter Hegeland
Charlotte Overgaard (Visiting researcher)
25 Aug 2022 → 26 Aug 2022Activity: Visiting another research institution
-
Shared oral care - en kompleks intervention til forbedring af tandsundhed hos ældre
Charlotte Overgaard (Lecturer) & Maiken Bakker (Lecturer)
10 Jun 2022Activity: Talks and presentations › Conference presentations
-
Forskningskonference for Tannhelsetjenestens kompetencecentre
Charlotte Overgaard (Participant)
8 Jun 2022 → 10 Jun 2022Activity: Attending an event › Conference organisation or participation
Impacts
-
Improved oral hygiene among nursing home residents
Charlotte Overgaard (Participant)
Impact: Quality of life impact, Social impact, Economic impact
Press/Media
-
Tværfaglig indsats forbedrer mundhygiejnen blandt plejehjemsbeboere
Charlotte Overgaard, Henrik Bøggild & Karin Aagaard
19/07/2021
1 item of Media coverage
Press/Media: Press / Media