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Bakri NN, Ferguson CA, Majeed S, Thomson WM, Oda K, Bartlett S, Broadbent JM, Smith MB. Workplace oral health promotion activities among community-aged care workers: A qualitative exploration. Community Dent Oral Epidemiol 2024; 52:389-397. [PMID: 37950336 DOI: 10.1111/cdoe.12924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 10/11/2023] [Accepted: 10/17/2023] [Indexed: 11/12/2023]
Abstract
BACKGROUND The workplace is an ideal-and priority-setting for health promotion activities. Developing and implementing workplace health promotion interventions, including oral health promotion activities, can help create health-supporting workplace environments. OBJECTIVE To pilot workplace oral health promotion activities among staff working in the aged care sector, report their impact and explore participants' views on the factors that contribute to participation and effectiveness. METHODS This study comprised three phases: (i) the development and face validation of the resources, (ii) a 3-h educational session and (iii) five interview sessions with participants 4-6 weeks following the education session. The recorded interviews were transcribed verbatim and analysed thematically. RESULTS Eleven community-aged care workforce were invited to five feedback sessions. Ten participants were female and ranged in age from 18 to 64. All participants gave favourable comments about the content and delivery of the training session and accompanying resources. The participants felt that the benefits of WOHP include improved staff knowledge, awareness and oral care routine, the ability to share (and put into practice) the gained knowledge and information with their dependants, a lower risk of having poor oral health that adversely affects their well-being and work tasks, and potentially beneficial impacts on the organization's staff roster. Their attendance in the WOHP was facilitated by being paid to attend and scheduling the sessions during work time. Future WOHP suggestions include the possibility of a one-stop dental check-up at the workplace or staff dental care discounts from local dental practitioners and combining oral health with other health promotion activities. CONCLUSIONS Planning and implementing WOHP was deemed acceptable and feasible in this study context and successfully achieved short-term impacts among community-aged care workers. Appropriate times and locations, organizational arrangements and a variety of delivery options contributed to successful programme planning and implementation.
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Affiliation(s)
- N N Bakri
- Centre of Population Oral Health and Clinical Prevention Studies, Faculty of Dentistry, Sungai Buloh Campus, Universiti Teknologi MARA, Selangor, Malaysia
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - C A Ferguson
- Department of Public Health, University of Otago, Wellington, New Zealand
| | - S Majeed
- Department of Public Health, University of Otago, Wellington, New Zealand
| | - W M Thomson
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - K Oda
- Department of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - S Bartlett
- Department of Public Health, University of Otago, Wellington, New Zealand
| | - J M Broadbent
- Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - M B Smith
- Department of Public Health, University of Otago, Wellington, New Zealand
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Lima RB, de Freitas Miranda-Filho AE, Moura APGE, Nelson-Filho P, da Silva LAB, da Silva RAB. Territorial Disparities in Dental Care for Disabled Persons and Oral Health-Related Indicators: A Population-Level Approach in Brazil's Public Healthcare System from 2014 to 2023. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:632. [PMID: 38791846 PMCID: PMC11121442 DOI: 10.3390/ijerph21050632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2024] [Revised: 05/09/2024] [Accepted: 05/14/2024] [Indexed: 05/26/2024]
Abstract
This study evaluated territorial disparities in dental care for disabled persons in Brazil's public healthcare system from 2014 to 2023. The person-year incidence of outpatient dental procedures carried out by special care dentistry specialists and hospitalizations for dental procedures for disabled persons were compared across different regions and against the national estimate. In addition, productivity was correlated with oral health-related indicators. The significance level was set at 5%. The northern region exhibited the highest outpatient productivity, while the southern region showed lower productivity compared to the national estimate (both p-value < 0.05). This pattern was reversed in inpatient productivity (both p-value < 0.05), with the northeastern and central-western regions also below average (both p-value < 0.05). There were no significant correlations between the indicators and inpatient productivity, but outpatient productivity was positively correlated with the proportions of inhabitants who self-rated their general and oral health as "poor" or "very poor", who have never visited a dentist, and who visited a dentist for tooth extraction (all p-values < 0.05). Territorial disparities in dental care for disabled persons were observed within Brazil's public healthcare system, and they were correlated with unfavorable oral health-related indicators at the population level.
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Affiliation(s)
- Ricardo Barbosa Lima
- Graduate Program in Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-904, SP, Brazil
| | | | - Ana Paula Gomes e Moura
- Graduate Program in Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-904, SP, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-904, SP, Brazil
| | - Léa Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-904, SP, Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-904, SP, Brazil
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Brigg N, Patterson S, Pradhan A. Enabling people with severe mental illness to overcome barriers to access dental treatment: a qualitative study applying COM-B framework analysis. J Ment Health 2022; 31:765-773. [PMID: 32780601 DOI: 10.1080/09638237.2020.1803230] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
BACKGROUND The oral health of people with severe mental illness is severely compromised. Rates of premature total tooth loss and tooth decay are substantially higher than in the general population. Causation is complex, restricted access to treatment a major contributing factor. AIMS To examine factors enabling people with complex problems related to severe mental illness to attend scheduled dental appointments. METHOD Qualitative semi-structured interviews were conducted with 15 service users who attended no-cost treatment at a university clinic, following oral health screening at an inner-city community mental health service. Analysis used a framework approach informed by a theoretical model of behaviour (COM-B). RESULTS Complex individual motivations, related variously to function, pain and/or self or social appraisal, were also influenced by expectations of treatment. Capabilities included managing "messy" life circumstances; participants overcame various psychological and physical challenges to attend treatment, enabled by opportunities of social and instrumental support. CONCLUSIONS Genuine partnerships between agencies to provide access opportunities, in addition to individual support responsive to personal motivators and adapted to capabilities can enable access to services and improve the lives of people with severe mental illness.
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Affiliation(s)
- Nicole Brigg
- Metro North Mental Health, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia
| | - Sue Patterson
- Metro North Mental Health, Royal Brisbane and Women's Hospital, Metro North Hospital and Health Service, Brisbane, Australia.,School of Dentistry, The University of Queensland, Brisbane, Australia
| | - Archana Pradhan
- School of Dentistry, The University of Queensland, Brisbane, Australia.,Metro North Oral Health Service, Brisbane, Australia
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Couto P, Pereira PA, Nunes M, Mendes RA. Characterization of oral health in a Portuguese population with mild intellectual disability. SPECIAL CARE IN DENTISTRY 2019; 39:298-305. [PMID: 30990923 DOI: 10.1111/scd.12376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2018] [Revised: 02/20/2019] [Accepted: 03/22/2019] [Indexed: 12/01/2022]
Abstract
AIMS This study aims to characterize the hygiene habits, the self-perception of the need for treatment and the oral condition of a population with a disability. METHODS AND RESULTS This research is part of an observational, cross-sectional epidemiological study on oral health and quality of life of people with mild intellectual disabilities living in (or attending) institutions of the Central Region of Portugal that were affiliated with HUMANITAS (Portuguese Federation for Mental Disability) in 2016. A sociodemographic and oral health questionnaire, applied on the form of an interview to 240 individuals aged between 18 and 64 years, was used. Statistical analyses were performed using SPSS version 22.0. It was verified that 32.9% of the individuals had less than 20 teeth. Only 15% of all individuals used removable prosthesis. About 21% didn't do oral hygiene daily. Only 28.4% of the sample visited the dentist in the last 6 months. Note that 75.2% of the sample stated their need for dental treatment and less than half (37.4%) described their oral condition as good or superior. CONCLUSION Dental care among adults with intellectual disability is one of the most unattended health needs. Evidence suggests that inadequate oral health habits are more prevalent in the studied population than in the Portuguese population.
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Affiliation(s)
- Patrícia Couto
- Faculty of Health Sciences, Beira Interior University, Covilhã, Portugal
| | - Paulo Almeida Pereira
- Department of Economics, Management and Social Sciences, Portuguese Catholic University, Viseu, Portugal
| | - Manuel Nunes
- Faculty of Health Sciences, Beira Interior University, Covilhã, Portugal
| | - Rui Amaral Mendes
- Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio
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Stormon N, Pradhan A, McAuliffe A, Ford PJ. Does a facilitated pathway improve access to dental services for homeless and disadvantaged adults? EVALUATION AND PROGRAM PLANNING 2018; 71:46-50. [PMID: 30114615 DOI: 10.1016/j.evalprogplan.2018.08.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 07/04/2018] [Accepted: 08/07/2018] [Indexed: 06/08/2023]
Abstract
Access to dental care is poorer for people experiencing homelessness and disadvantage due to barriers such as lengthy waiting lists, lack of transport, lack of information and fear of authorities and treatment. This study aimed to evaluate a system integration model for oral health care for clients of homeless services in Brisbane, Australia. This model aimed to provide a facilitated access pathway between homeless community organisations and a public dental service to improve access to dental care. Participants were adult (≥18 years) clients Brisbane homeless community organisations. Those who participated in the intervention evaluation completed a questionnaire, had their oral health screened and followed up for feedback at their dental appointment. Seventy-six clients of community organisations in Brisbane participated in the intervention and its evaluation. Fear was a barrier to accessing dental services for 23% (n = 18). Attendance to the subsequent appointments at the public dental clinic was high, with 85% (n = 64) attending their first appointment. A higher proportion of participants who had surgical and prosthodontic treatment needs at the screening did not attend their appointment compared to those with other needs. Overall the model piloted in this study had positive outcomes; with high attendance rates to the dental facility and positive experiences by participants.
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Affiliation(s)
- N Stormon
- The University of Queensland, School of Dentistry, UQ Oral Health Centre, Herston Rd, Brisbane, QLD 4006, Australia.
| | - A Pradhan
- The University of Queensland, School of Dentistry, UQ Oral Health Centre, Herston Rd, Brisbane, QLD 4006, Australia
| | - A McAuliffe
- Oral Health Service, Metro North Hospital and Health Service, Herston, QLD 4029, Australia
| | - P J Ford
- The University of Queensland, School of Dentistry, UQ Oral Health Centre, Herston Rd, Brisbane, QLD 4006, Australia
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Couto P, Pereira PA, Nunes M, Mendes RA. Validation of a Portuguese version of the Oral Health Impact Profile adapted to people with mild intellectual disabilities (OHIP-14-MID-PT). PLoS One 2018; 13:e0198840. [PMID: 29902243 PMCID: PMC6002038 DOI: 10.1371/journal.pone.0198840] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 05/25/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND The purpose of this study is to develop a Portuguese version of the Oral Health Impact Profile (OHIP-14) and validate it for people with mild intellectual disability (OHIP-14-MID-PT). METHODS The Portuguese version of the questionnaire was drawn up from the original English version, following internationally defined guidelines. Interviews were conducted with 240 individuals living in (or attending) institutions of the central region of Portugal that are affiliated with Humanitas (Portuguese Federation for Intellectual Disability) to measure oral health related quality of life (OHRQoL). The interview also included a sociodemographic and oral health questionnaire followed by an intraoral examination. Two types of reliability were analyzed: test-retest (ICC) and internal consistency (Cronbach´s α, inter-item and item-total correlations). Convergent and divergent validities were also assessed, and a confirmatory factor analysis was performed using the maximum likelihood method. RESULTS The OHIP-14-MID-PT presented high reliability (ICC = 0.999; Cronbach's α = 0.922). The inter-item correlation coefficient ranged from 0.277 to 0.749, and the item-total correlation coefficient varied between 0.529 and 0.718. Lower OHIP-14-MID-PT total scores were significantly associated with: a self-perception of better oral health status (r = -0.545, p<0,001) and reduced need for dental treatment (U = 2366.5, p<0,001), more natural teeth (χ2 = 29.74, p<0,001) and better results in the clinical oral health index (COHI) (χ 2 = 18.50, p<0,001); the results support the convergent and divergent validities of the questionnaire. CONCLUSIONS OHIP-14-MID-PT has proved to be a consistent, valid and reliable instrument with good psychometric properties to determine the impact of oral health on quality of life in adults with mild intellectual disabilities in Portugal.
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Affiliation(s)
- Patrícia Couto
- Faculty of Health Sciences, Beira Interior University, Covilhã, Portugal
- * E-mail: (PC); (RAM)
| | - Paulo Almeida Pereira
- Department of Economics, Management and Social Sciences, Portuguese Catholic University, Viseu, Portugal
| | - Manuel Nunes
- Faculty of Health Sciences, Beira Interior University, Covilhã, Portugal
| | - Rui Amaral Mendes
- Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, School of Dental Medicine, Case Western Reserve University, Cleveland, OH, United States of America
- * E-mail: (PC); (RAM)
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Association Between Employee Dental Claims, Health Risks, Workplace Productivity, and Preventive Services Compliance. J Occup Environ Med 2017; 59:721-726. [DOI: 10.1097/jom.0000000000001069] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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