Journal article
Effect of a Person‐Centered Mouth Care Intervention on Care Processes and Outcomes in Three Nursing Homes
Journal of the American Geriatrics Society (JAGS), Vol.61(7), pp.1158-1163
07/2013
DOI: 10.1111/jgs.12317
PMID: 23772769
Abstract
Objectives
To develop and test a person‐centered, evidence‐based mouth care program in nursing homes.
Design
Pre–post assessment, with an 8‐week intervention period and a pilot 6‐month extension at one site.
Setting
Three North Carolina nursing homes.
Participants
Ninety‐seven residents and six certified nursing assistants (CNAs).
Intervention
CNAs already working in the facilities were trained as dedicated mouth care aides. A psychologist and dental hygienist provided didactic and hands‐on training in evidence‐based mouth care products and techniques and in person‐centered behavioral care.
Measurements
Primary outcome measures for natural teeth were the Plaque Index for Long‐Term Care (PI‐LTC) and Gingival Index for Long‐Term Care(GI‐LTC) and for dentures the Denture Plaque Index (DPI); a dentist unmasked to study design obtained measures. Secondary outcomes included quantity and quality of care provided.
Results
Outcome scores significantly improved (P < .001 for PI‐LTC and GI‐LTC; P = .04 for DPI). Coding of videotaped care episodes indicated that care was more thorough (P < .001–P = .03) but took more time (P < .001) after training. Consistency of care appeared to be more important for natural teeth than dentures.
Conclusion
As little as 8 weeks of mouth care can significantly improve oral hygiene outcomes. Given the consequences of poor oral hygiene, greater attention to mouth care education and provision are merited. The dedicated worker model is controversial, and future work should assess whether other models of care are equally beneficial.
Details
- Title: Subtitle
- Effect of a Person‐Centered Mouth Care Intervention on Care Processes and Outcomes in Three Nursing Homes
- Creators
- Philip D Sloane - University of North Carolina at Chapel HillSheryl Zimmerman - University of North Carolina at Chapel HillXi Chen - University of North Carolina at Chapel HillAnn L Barrick - Central Regional HospitalPatricia Poole - University of North Carolina at Chapel HillDavid Reed - University of North Carolina at Chapel HillMadeline Mitchell - University of North Carolina at Chapel HillLauren W Cohen - University of North Carolina at Chapel Hill
- Resource Type
- Journal article
- Publication Details
- Journal of the American Geriatrics Society (JAGS), Vol.61(7), pp.1158-1163
- DOI
- 10.1111/jgs.12317
- PMID
- 23772769
- ISSN
- 0002-8614
- eISSN
- 1532-5415
- Number of pages
- 6
- Grant note
- Alzheimer's Association FutureCare of North Carolina
- Language
- English
- Date published
- 07/2013
- Academic Unit
- Preventive and Community Dentistry; Internal Medicine
- Record Identifier
- 9984107264702771
Metrics
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