Randomised clinical trial: Efficacy of strategies to provide oral hygiene activities to nursing home residents with dementia who resist mouth care

Gerodontology
Rita A JablonskiMaria L Geisinger

Abstract

The purpose of this study was to test the efficacy of MOUTh (Managing Oral Hygiene Using Threat Reduction), a nonpharmacologic, relationship-based intervention vs. control on 2 primary outcomes for nursing home (NH) residents with dementia who resisted mouth care: (i) reduction in the occurrence and intensity of care-resistant behaviours (CRBs) and (ii) improvement in oral health. Two secondary outcomes were also examined: (i) the duration of mouth care and (ii) the completion of oral hygiene activities. Persons with dementia who exhibit CRBs are at risk for inadequate mouth care and subsequent systemic illnesses. The study used a randomised repeated measures design. Recruitment occurred in 9 nursing homes that varied in size, ownership, reimbursement patterns and location. One hundred and one nursing home residents with dementia were randomised at the individual level to experimental (n = 55) or control groups (n = 46). One hundred participants provided data for the analyses. Compared to the control group, persons in the experimental group had twice the odds of allowing mouth care and completing oral hygiene activities; they also allowed longer duration of mouth care (d = 0.56), but showed only small reductions in the intensit...Continue Reading

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Citations

Jan 4, 2019·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·Anna Greta BarbeMichael Johannes Noack
Sep 4, 2019·Journal of the American Geriatrics Society·Patrick P CollDaniel O'Brien
Oct 20, 2020·Gerodontology·Najla ChebibFrauke Müller
Aug 19, 2020·Journal of Dentistry·Jesus Gomez-RossiFalk Schwendicke
Jan 2, 2021·Journal of the American Medical Directors Association·Christine E KistlerSheryl Zimmerman
Jun 25, 2021·International Journal of Older People Nursing·Alys Wyn GriffithsKaren Spilsbury
Jun 20, 2020·International Journal of Nursing Studies·Tamara BackhouseEneida Mioshi

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