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Veiga NJ, Couto P, Correia P, Mello-Moura ACV, Lopes PC, Correia MJ. Oral Health Strategies: Surveying the Present to Plan the Future of Community-Based Learning. Healthcare (Basel) 2023; 11:2646. [PMID: 37830683 PMCID: PMC10572574 DOI: 10.3390/healthcare11192646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/26/2023] [Accepted: 09/26/2023] [Indexed: 10/14/2023] Open
Abstract
Introduction: Oral health literacy relates to the capacity of individuals to acquire, understand and to act upon oral health information to make appropriate health decisions. This scientific review's main goal is to analyze the strategies that improve oral health literacy within the community, specifically oriented to a community-based learning model focused on the most vulnerable risk groups in society. Materials and Methods: The current review is based on the literature on oral health literacy within community-based learning strategies. The present review selected scientific studies by searching MEDLINE and related databases, such as Web of Science and PUBMED, and by consulting existing bibliographies. Results: Based on the application of the inclusion criteria to the abstracts, 45 publications were retrieved which explicitly dealt with the definitions of oral health literacy, community-based learning, and service learning. Several studies have demonstrated that health consumers with low health literacy fail to understand the available health information. Therefore, innovative oral health literacy strategies should be undertaken. Service learning is an example of an educational approach where the student learns specific soft skills in the classroom and collaborates directly with an agency or institution and engages in reflection activities to deepen their understanding of what is being taught. Conclusions: One of the main strategies used to incorporate the oral health professional in social responsibility and direct contact in the community is through experiencing community-based learning projects. The future graduate must be an educator capable of educating patients in order to themselves acquire high-level skills in oral health literacy.
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Affiliation(s)
- Nélio Jorge Veiga
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Patrícia Couto
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Patrícia Correia
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Anna Carolina Volpi Mello-Moura
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Pedro Campos Lopes
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
| | - Maria José Correia
- Universidade Católica Portuguesa, Faculty of Dental Medicine, 3504-505 Viseu, Portugal; (P.C.); (P.C.); (A.C.V.M.-M.); (P.C.L.); (M.J.C.)
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), 3504-505 Viseu, Portugal
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Pavesi VCS, Martins MD, Coracin FL, Sousa AS, Pereira BJ, Prates RA, da Silva JF, Gonçalves MLL, Bezerra CDS, Bussadori SK, Varellis MLZ, Deana AM. Effects of photobiomodulation in salivary glands of chronic kidney disease patients on hemodialysis. Lasers Med Sci 2021; 36:1209-1217. [PMID: 33745088 DOI: 10.1007/s10103-020-03158-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 10/07/2020] [Indexed: 12/15/2022]
Abstract
This randomized placebo-controlled trial evaluates the impact of photobiomodulation (PBMT) on the salivary flow and biochemistry of patients with chronic kidney disease (CKD) on hemodialysis. Forty-four patients on hemodialysis self-responded two questionnaires for oral health and salivary gland function perception. The subjects were evaluated for function of salivary glands and randomly allocated to two groups: PBMT group (three irradiations at 808 nm, 100 mW, 142 J/cm2, and 4 J per site); and placebo group. Patients were submitted to non-stimulated and stimulated sialometry and after the treatment at baseline and 14 days. Salivary volume and biochemical of the saliva were analyzed. At baseline, most subjects had self-perception of poor oral health (52.6%) and salivary dysfunction (63.1%). Clinical exam revealed that 47.3% of subjects presented dry mucosa. PBMT promoted increase of the non-stimulated (p = 0.027) and stimulated saliva (p = 0.014) and decrease of urea levels in both non-stimulated (p = 0.0001) and stimulated saliva (p = 0.0001). No alteration was detected in total proteins and calcium analysis. Patients with kidney disease can present alteration in flow, concentrations, and composition of saliva, affecting oral health, but our findings suggest that PBMT is effective to improve hyposalivation and urea levels in saliva of patients with CKD.
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Affiliation(s)
| | - Manoela Domingues Martins
- Universidade Federal do Rio Grande do Sul (UFRGS), R. Ramiro Barcelos, 2492 Santa Cecilia, Porto Alegre, RS, Brazil
| | - Fábio Luiz Coracin
- Universidade Nove de Julho (UNINOVE), R. vergueiro, 235 Liberdade, São Paulo, SP, Brazil
| | - Aline Silva Sousa
- Universidade Nove de Julho (UNINOVE), R. vergueiro, 235 Liberdade, São Paulo, SP, Brazil
| | - Benedito Jorge Pereira
- Universidade Nove de Julho (UNINOVE), R. vergueiro, 235 Liberdade, São Paulo, SP, Brazil
| | - Renato Araújo Prates
- Universidade Nove de Julho (UNINOVE), R. vergueiro, 235 Liberdade, São Paulo, SP, Brazil
| | | | | | | | - Sandra Kalil Bussadori
- Universidade Nove de Julho (UNINOVE), R. vergueiro, 235 Liberdade, São Paulo, SP, Brazil
| | | | - Alessandro Melo Deana
- Universidade Nove de Julho (UNINOVE), R. vergueiro, 235 Liberdade, São Paulo, SP, Brazil.
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Pontes AFL, Feijo JDS, Rosalen NP, Scalco NR, Colussi PRG, Muniz FWMG. Low concern rate with oral health and associated factors among older persons: a cross-sectional study. GERIATRICS, GERONTOLOGY AND AGING 2020. [DOI: 10.5327/z2447-212320201900049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE: This study aimed to assess the prevalence of concern with oral health and associated factors among older adults. METHODS: Individuals aged ≥60 years were included from the cities Cruz Alta and Veranópolis, Brazil. Oral health examination and a structured questionnaire were applied in 569 individuals. The main outcome was concern with oral health (yes or no), which was determined by a validated questionnaire. Uni- and multivariate analyses were conducted by Poisson regression with robust variance to assess the association between outcome and independent variables. RESULTS: The prevalence of concern with oral health was 30.58% (n = 174). Non-white individuals presented significantly higher prevalence ratio (PR) of being concerned about their oral health (PR = 1.28; 95% confidence interval [CI] 1.01–1.62). Individuals with medium or high level of education, not retired and without any health problems presented higher PR of being concerned with their oral health when compared to their controls (p < 0.05). Moreover, those that reported toothbrushing frequency ≥ 2 times/day (PR = 1.58; 95%CI 1.01 – 2.48) and non-edentulous (PR = 1.50; 95%CI 1.12 –2.01) also presented higher PR of being concern with their oral health. Older adults that were not concerned with tooth alignment (PR = 0.57; 95%CI 0.44 – 0.74) or tooth color (PR = 0.41; 95%CI 0.31 – 0.54) demonstrated lower concern with their oral health. CONCLUSION: Prevalence of concern with oral health among the older adults was low and associated with non-white individuals, medium and high level of education, individuals not retired, absence of health problems, higher toothbrushing frequency, mild temporomandibular disorder (TMD) and non-edentulism. Additionally, concern with esthetical aspects may be related with this outcome.
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Gutiérrez Quiceno B, Calzada Gutiérrez MT, Fandiño-Losada A. Cultural adaptation and validation of the Geriatric Oral Health Assessment Index - GOHAI - Colombian version. Colomb Med (Cali) 2019; 50:102-114. [PMID: 31607767 PMCID: PMC6774582 DOI: 10.25100/cm.v50i2.3999] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Objective This study aims to carry out the cultural adaptation and the validation of the GOHAI scale for the Colombian population. Methods Translation process, cultural adaptation, and content and face validity were carried out with a sample of 63 participants as a pretest. The validation counted with a sample of 7,200 subjects, divided into two groups: a work sample (WS) with 3,628 subjects and a confirmatory sample (CS) with 3,572 subjects. Construct, criterion validity and internal consistency were performed for both samples. Test-retest reliability was assessed with a sub-sample of 75 participants. Results The GOHAI showed an appropriate face and content validity, the pre-test revealed an understandable questionnaire, the scale showed a unidimensional factorial structure and a Cronbach's Alpha of 0.8. Convergent validity with a self-perception on general health scale pointed to a significant correlation (p= 0.0001), while discriminant validity showed significant differences regarding groups according to age group, skin color, educational level, socio-economic level, healthcare affiliation and self-perception about need of dental prostheses. Gender groups did not show significant differences among groups within either sample. The CS showed similar results, differences existed among factorial structures of 2 and 3 factors, and for discriminant validity, the CS showed statistically significant differences for the Area variable not in the WS. Kendall's test-retest analysis's correlation is 0.85 (p= 0.0000). Conclusions The GOHAI scale is valid and reliable enough to be used as a measure of Oral-Health-Related Quality of Life in the Colombian elderly population, also could be applied for other Latin-American populations.
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Affiliation(s)
- Bruno Gutiérrez Quiceno
- Universidad del Valle, School of Dentistry, Faculty of Health, Researcher of the Geriatric and Gerontology group. Cali, Colombia
| | - María Teresa Calzada Gutiérrez
- Universidad del Valle, School of Dentistry, Faculty of Health, Researcher of the Geriatric and Gerontology group. Cali, Colombia
| | - Andrés Fandiño-Losada
- Universidad del Valle, School of Public Health, Faculty of Health, Researcher CISALVA Institute. Cali, Colombia
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Lebrão ML, Duarte YADO, Santos JLF, Silva NND. 10 Years of SABE Study: background, methodology and organization of the study. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2019; 21Suppl 02:e180002. [PMID: 30726347 DOI: 10.1590/1980-549720180002.supl.2] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 07/08/2015] [Indexed: 11/22/2022] Open
Abstract
The Health, Wellbeing and Aging Study (SABE) began in 2000 under the coordination of the Pan American Health Organization as a multicenter study developed in seven urban centers of Latin America and the Caribbean, to determine the health and living conditions of elderly in this region. In Brazil, the study was developed in the city of São Paulo, where 2,143 individuals (cohort A) aged 60 years or older were selected through probabilistic sampling. In 2006, 1,115 of these individuals were interviewed a second time, and a new probabilistic cohort of individuals aged 60 to 64 years was added (cohort B; n=298). Thus the SABE Study - Brazil was transformed into a multi-cohort longitudinal study, with the objective of identifying changes that occur in the aging process among different generations. In 2010, a longitudinal follow-up was developed with cohorts A and B, with the addition of a new cohort of individuals aged 60 to 64 years (cohort C; n=355). Thethree surveys (2000, 2006 and 2010) involved the application of a questionnaire, anthropometric evaluation and functional tests, with the subsequent inclusion of blood collection for the evaluation of biochemical, immunological and genetic variables, as well as an accelerometer for the measuring of caloric expenditure.
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Affiliation(s)
- Maria Lúcia Lebrão
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
| | | | - Jair Lício Ferreira Santos
- Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo - Ribeirão Preto (SP), Brasil
| | - Nilza Nunes da Silva
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil
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