Care partner-assisted intervention to improve oral health for older adults with cognitive impairment: A feasibility study

Autor: Yaolin Pei, Melanie Bunn, Patricia Poole, Bei Wu, Kathleen Nye, Hanzhang Xu, Brenda L. Plassman, Ruth A. Anderson, Christine Downey
Rok vydání: 2020
Předmět:
medicine.medical_specialty
Aging
Plaque index
care partners
Clinical Trials and Supportive Activities
Oral Health
Pilot Projects
Oral health
Neurodegenerative
Alzheimer's Disease
Oral hygiene
Coaching
Article
Treatment and control groups
03 medical and health sciences
0302 clinical medicine
7.1 Individual care needs
Clinical Research
Intervention (counseling)
Behavioral and Social Science
medicine
Acquired Cognitive Impairment
Humans
Cognitive Dysfunction
030212 general & internal medicine
Dental/Oral and Craniofacial Disease
Cognitive impairment
General Dentistry
intervention
cognitive impairment
Aged
business.industry
Prevention
oral hygiene
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
030206 dentistry
Brain Disorders
Clinical trial
Caregivers
Dentistry
Physical therapy
Public Health and Health Services
Feasibility Studies
Dementia
Mental health
community dweller
Management of diseases and conditions
Geriatrics and Gerontology
business
Zdroj: Gerodontology
Gerodontology, vol 38, iss 3
ISSN: 1741-2358
Popis: Background and objectivesOlder adults with cognitive impairment often experience poor oral health outcomes due to inadequate oral hygiene practices. This pilot study aimed to evaluate the feasibility of a care partner-assisted intervention to improve the oral hygiene of community-dwelling older adults with cognitive impairment.Material and methodsThe 6-month intervention included 25 older adults with mild dementia or mild cognitive impairment, who were randomly assigned to Treatment Group 1 or Treatment Group 2. Treatment Group 1 (n=7) received an educational booklet. Treatment Group 2 (n=18) received a booklet, a tailored care plan for the participants with cognitive impairment and the care partner received four coaching sessions to learn to facilitate good oral hygiene. Both groups received electric toothbrushes. The study consisted of a 3-month active intervention and 3-month maintenance phase. The outcomes of gingival index, plaque index and overall oral health status based on the Oral Health Assessment Tool were measured at baseline, 3months (end of active intervention) and 6months of the study.ResultsThis study had very low dropout rate. Participants' oral hygiene improved in this study. In comparison to Treatment Group 1, participants in Treatment Group 2 had a greater reduction in plaque level and gingival inflammation, and greater improvement in overall oral health status.ConclusionThis study demonstrates the feasibility of this intervention designed to improve the oral health of persons with cognitive impairment and it lays the foundation for using this protocol in a future large randomised clinical trial.
Databáze: OpenAIRE
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