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Wong ML, Lee YH, Sim YF, Wong TJ, Soh SH, Goh BT, Poon CY, Allen PF, Chia KS, Sim CPC. Oral health knowledge, attitudes and behaviours of adults: Findings from a National Oral Health Survey in Singapore. Community Dent Oral Epidemiol 2024; 52:292-301. [PMID: 38351568 DOI: 10.1111/cdoe.12947] [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: 05/15/2023] [Revised: 01/22/2024] [Accepted: 02/01/2024] [Indexed: 05/16/2024]
Abstract
OBJECTIVES Prevention complements the curative management of oral diseases. Effective preventive interventions involve the adoption of oral health promoting behaviours. Little is known about the awareness of oral disease and its prevention among Singaporean adults as well as their prevailing oral health attitudes and behaviours. The aim of the study was to describe the oral health knowledge, attitudes and behaviours of adults in Singapore. METHODS A random sample of adults (≥21 years old) in Singapore was selected to complete an interviewer-administered questionnaire. The questionnaire gathered information about their knowledge of the aetiology, signs and symptoms as well as prevention of dental caries and periodontal disease; attitudes about the value of teeth, locus of control in maintaining oral health and oral health behaviours including toothbrushing, flossing and dental attendance. RESULTS A total of 1196 adults of weighted mean age 48 years old with almost equal proportions of males and females responded to the questionnaire. Participants were more unaware about the causes of periodontal disease (25.7%) than dental caries (4%). While more than 90% of participants felt that healthy teeth were important and could affect their overall health, many (67.0%) felt it was natural to lose their teeth with old age. Among the participants, 83.5% brushed their teeth twice a day; 41.9% flossed their teeth and 53.9% visited the dentist at least once a year. CONCLUSIONS The study findings showed good knowledge around dental caries but some gaps around periodontal disease. It also found that participants perceived having limited control over preventing tooth loss. Irregular dental attendance and poor denture wearing habits were also noted. The findings shed light on key areas to focus on through oral health promotion to improve overall oral health.
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Affiliation(s)
- Mun Loke Wong
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
| | - Yun Hui Lee
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
- Private Practice, Singapore, Singapore
| | - Yu Fan Sim
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
| | - Tzu-Jung Wong
- ACP Office, National Dental Centre Singapore, Singapore, Singapore
- Department of Healthcare Information and Management, School of Health Technology, Ming Chuan University, Taoyuan, Taiwan
| | - Shean Han Soh
- Faculty of Dentistry, National University of Singapore, Singapore, Singapore
| | - Bee Tin Goh
- Department of Oral and Maxillofacial Surgery, National Dental Centre Singapore, Singapore, Singapore
| | - Choy Yoke Poon
- Department of Oral and Maxillofacial Surgery, National Dental Centre Singapore, Singapore, Singapore
| | | | - Kee Seng Chia
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Christina P C Sim
- Department of Restorative Dentistry, National Dental Centre Singapore, Singapore, Singapore
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Muñoz-Sepúlveda F, Acevedo C, Mariño R, Sanzana-Luengo C, Navarro P, Beltrán V. Translation and validation into Spanish of the oral health self-efficacy scale in Chilean older adults. BMC Oral Health 2024; 24:118. [PMID: 38245718 PMCID: PMC10799359 DOI: 10.1186/s12903-024-03889-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 01/12/2024] [Indexed: 01/22/2024] Open
Abstract
BACKGROUND Population ageing poses a challenge to improving the well-being of older adults, particularly in terms of oral health. Promoting self-efficacy in oral health behaviours is crucial for maintaining this population's health and quality of life. The Oral Health Self-Efficacy Scale (OHSES) has been widely used to assess dental self-efficacy and is considered comprehensive and reliable. However, there is a need to validate OHSES for Spanish-speaking older adults. This study aimed to assess the reliability and validity of the translated questionnaire for use in the older Chilean population. METHODS A sample of 188 older adults, aged 60 years and above residing independently in the community, were recruited by accessing databases from the National Senior Citizen Service and various community organisations within the region of La Araucanía. The participants underwent comprehensive oral examinations and oral health interviews, focusing on variables such as OHSES, Oral health-related quality of life (OHIP-14Sp), assessment of remaining teeth, knowledge and attitudes toward oral health, and sociodemographic characteristics. The validity of the translated questionnaire was assessed through translation and cross-cultural adaptation, cognitive debriefing, and face and content validation. The psychometric properties of the questionnaire were evaluated through measures of internal consistency (Cronbach's alpha), content validity (Content validity index), construct validity (factor analysis and Pearson correlation analysis), and test-retest reliability (intraclass correlation). RESULTS The Spanish version of OHSES demonstrated adequate face and content validity. The confirmatory factor analysis confirmed a two-factor scale with 7 items for a better fit. The scale demonstrated high internal consistency (Cronbach's alpha = 0.821) and acceptable test-retest reliability (ICC = 0.411). Correlations were found between the OHSES score, the number of remaining teeth, knowledge and attitudes towards oral health, and the OHIP-14Sp (p < 0.01). CONCLUSIONS This study confirms the validity of the Spanish version of the Oral Health Self-Efficacy Scale for older adults in Chile. The scale is expected to be helpful in assessing self-efficacy in dental interventions and collecting data for international comparisons. This research opens new dimensions in patient-reported assessment of oral health.
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Affiliation(s)
- Fernanda Muñoz-Sepúlveda
- Master Program in Dental Science, Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, 4811230, Chile
- Interuniversity Center for Healthy Aging (CIES), Santiago, Chile
| | - Claudia Acevedo
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, 4811230, Chile
| | - Rodrigo Mariño
- Melbourne Dental School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, 3010, Australia
- Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
| | - Cristina Sanzana-Luengo
- Postgraduate Program in Oral Rehabilitation, Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
| | - Pablo Navarro
- Research Center for Dental Sciences (CICO), Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Temuco, 4811230, Chile
| | - Víctor Beltrán
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, 4811230, Chile.
- Interuniversity Center for Healthy Aging (CIES), Santiago, Chile.
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Cao C, Liao S, Cao W, Guo Y, Hong Z, Ren B, Hu Z, Bai Z. Differences in the association of oral health knowledge, attitudes, and practices with frailty among community-dwelling older people in China. BMC Oral Health 2023; 23:782. [PMID: 37875820 PMCID: PMC10594714 DOI: 10.1186/s12903-023-03477-y] [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: 06/05/2023] [Accepted: 10/01/2023] [Indexed: 10/26/2023] Open
Abstract
BACKGROUND Oral health and frailty are significantly related and should be well examined, especially in late life. Few studies have explored the relationship of oral health knowledge, attitudes, and practices with frailty and examined sociodemographic variations in this association. This study aimed to examine the association between oral health knowledge, attitudes, practices and frailty, with a special focus on comparing differences in their association among the Chinese community-dwelling older population. METHODS This study included 4218 community-dwelling older adults (aged ≥ 60 years) who participated in a cross-sectional survey. Sociodemographic characteristics, oral health knowledge, attitudes, practices, and frail status (non-frailty, pre-frailty, and frailty) were collected with a face-to-face questionnaire-based interview. Multivariate logistic regression models were used to evaluate the association of oral health knowledge, attitudes, and practices with frailty. RESULTS Of the 4218 participants, 36.2% (n = 1527) and 18.8% (n = 792) were classified as pre-frailty and frailty. Age, gender and educational attainments differences existed in the association of oral health knowledge with frailty. Urban-rural differences in the association of oral health knowledge and practices with frailty were also found. Specifically, oral health knowledge was significantly related to frailty only among participants aged 70-79 years (adjusted odds ratio [95% confidence interval]) (1.08 [1.02-1.15]), females (1.05 [1.00-1.10]), rural residents (1.06 [1.01-1.12]), and those who were primary school and lower education (1.06 [1.01-1.11]), whereas oral health practices were related to frailty only among urban participants (0.96 [0.92-1.00]). CONCLUSION This study confirmed the different associations of oral health knowledge and practices with frailty among community-dwelling older people in China. Further research is needed to better understand the abovementioned differences and public health strategies are required to improve oral health literacy and thereby contain the development of frailty in later life.
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Affiliation(s)
- Chenglin Cao
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, 230032, China
| | - Shengdong Liao
- Academic Affairs Office, Anhui Medical University, Hefei, Anhui, 230032, China
| | - Wenwen Cao
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, 230032, China
| | - Ying Guo
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, 230032, China
| | - Zixuan Hong
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, 230032, China
| | - Bohua Ren
- Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, 523808, China
- Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, WV1 1QU, UK
| | - Zhi Hu
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, 230032, China.
| | - Zhongliang Bai
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, Anhui, 230032, China.
- Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, WV1 1QU, UK.
- Key Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Hefei, Anhui, 230032, China.
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Lee KH, Choi YY, Jung ES. Effectiveness of an oral health education programme using a mobile application for older adults: A randomised clinical trial. Gerodontology 2023; 40:47-55. [PMID: 34951060 DOI: 10.1111/ger.12616] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/16/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To investigate the effectiveness of an oral health education programme using a mobile app for adults aged 65 years or older. METHODS Participants aged 65 or older were randomly allocated into non-app use (n = 25), app use (n = 22) and control (n = 26) groups. The non-app use group received lecture-based oral health education using PowerPoint presentations and participated in workbook activities twice a week for five weeks, whereas the app use group underwent oral health education using a smartphone app and workbook activities for five weeks. Before and after the intervention, a questionnaire survey and oral health examination were performed to examine changes in oral health-related indices. RESULTS The non-app use group showed significant changes, with a 2.1 increase in oral health knowledge score, 0.2 decrease in the O'Leary index and 0.6 decrease in tongue coating. The app use group showed significant changes, with a 3.1 increase in oral health knowledge score, a 2.5 increase in oral health perception, a 0.3 decrease in the O'Leary index and a 1.4 decrease in tongue coating. Repeated-measures ANOVA showed that interaction between time and group was significant only in tongue coating variable. CONCLUSION The smartphone app developed in this study carries the possibility to convey informative content for oral health education among older adults.
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Affiliation(s)
- Kyeong Hee Lee
- Department of Dental Hygiene, College of Bioecological Health, Shinhan University, Uijeongbu, Korea
| | - Yoon Young Choi
- Department of Dental Hygiene, College of Bioecological Health, Shinhan University, Uijeongbu, Korea
| | - Eun Seo Jung
- Department of Dental Hygiene, College of Bioecological Health, Shinhan University, Uijeongbu, Korea
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Anweigi L, Aldegheishem A, Azam A, Alromaih Y, Alkeait F, Alhaimy L, Ahmeda A, Bishti S, Tamimi F, Ba-Hattab R. Oral-Health-Related Self-Efficacy among the Elderly Population in Riyadh, Saudi Arabia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15900. [PMID: 36497972 PMCID: PMC9738065 DOI: 10.3390/ijerph192315900] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/01/2022] [Accepted: 11/09/2022] [Indexed: 06/17/2023]
Abstract
Oral health self-efficacy is a fundamental determinant of behavioral changes among elderly patients. Objective: To assess the oral self-efficacy among the Saudi population aged 65 years old and above in Riyadh, Saudi Arabia. Methodology: This was a cross-sectional survey conducted on elderly individuals in Riyadh. An Arabic version of the Geriatric Self-Efficacy Scale for Oral Health (GSEOH) was administered to all participants. The dependent variables included oral function, oral hygiene habits, and dental visits. For the statistical analysis, two independent sample t-tests and a one-way ANOVA test were used. Significance was judged at a p-value less than 0.05. Results: Of 400 participants recruited, 53% were males. About 58% had retained teeth, and 72% had visited a dentist in the past 12 months. Overall, 31.6%, 34.64%, 22.65%, and 11.14% of the participants rated their oral health as good, fairly good, rather poor, and poor, respectively. Age (p < 0.001), educational level (p < 0.001), and working status (p < 0.001) were significantly associated with GSEOH scores. Other sociodemographic characteristics were not found to affect the GSEOH scores. Conclusions: The overall self-efficacy of oral health among Saudi elderly individuals is fairly good. Age, educational level, and occupational status are the main determinants of oral health self-efficacy scores.
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Affiliation(s)
- Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
| | - Alhanoof Aldegheishem
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia
| | - Ambreen Azam
- Dental Materials, College of Dentistry, Margalla Institute of Health Sciences, Rawalpindi 46000, Pakistan
| | - Yara Alromaih
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia
| | - Fatima Alkeait
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia
| | | | - Ahmad Ahmeda
- Department of Basic Medical Sciences, College of Medicine, Ajman University, Ajman P.O. Box 346, United Arab Emirates
- Center of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman P.O. Box 346, United Arab Emirates
| | - Shaza Bishti
- Department of Prosthodontics and Biomaterials, Aachen University Hospital, 52074 Aachen, Germany
| | - Faleh Tamimi
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
| | - Raidan Ba-Hattab
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
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Allen F, Fan SY, Loke WM, Na TM, Keng Yan GL, Mittal R. The relationship between self-efficacy and oral health status of older adults. J Dent 2022; 122:104085. [DOI: 10.1016/j.jdent.2022.104085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 02/28/2022] [Accepted: 03/03/2022] [Indexed: 11/28/2022] Open
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Mariño R, Glenister K, Bourke L, Morgan M, Atala-Acevedo C, Simmons D. Patterns of use of oral health care services in Australian rural adults: the Crossroads-II Dental sub-study. Aust Dent J 2021; 66:397-405. [PMID: 34152019 DOI: 10.1111/adj.12865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/09/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND As part of a larger study, the Crossroads-II Dental sub-study determined the patterns of, and barriers to, oral health care service utilization in a rural area of Victoria. METHODS In this cross-sectional sub-study predisposing, enabling, needs-related, and oral health variables were considered in association with patterns of oral health care utilization. A logistic regression was performed to explain the use of oral health care services. RESULTS Overall, 574 adults participated, with 50.9% reporting having visited an oral health care service in the previous 12 months. Age, number of chronic health conditions and holding a health card; were associated with increased visit to a dentist (OR = 1.01; 95% CI: 1.00-1.03; OR = 1.08; 95% CI: 1.01-1.16; OR = 2.06; 95% CI: 1.26-3.36, respectively). Perceived barriers to care and number of missing teeth decreased the odds of using services (OR = 0.46; 95% CI: 0.36-0.58; OR = 0.95; 95% CI: 0.92-0.98, respectively). CONCLUSIONS Results suggest that use of oral health care services is associated with a range of financial, educational, health and structural barriers. Increasing the use of oral health care services in rural populations requires additional efforts beyond the reduction of financial barriers.
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Affiliation(s)
- R Mariño
- Melbourne Dental School, The University of Melbourne, Melbourne, Australia
| | - K Glenister
- Department of Rural Health, The University of Melbourne, Melbourne, Australia
| | - L Bourke
- Department of Rural Health, The University of Melbourne, Melbourne, Australia
| | - M Morgan
- Melbourne Dental School, The University of Melbourne, Melbourne, Australia
| | - C Atala-Acevedo
- Melbourne Dental School, The University of Melbourne, Melbourne, Australia.,Centre for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco, Chile
| | - D Simmons
- Department of Rural Health, The University of Melbourne, Melbourne, Australia.,Macarthur Clinical School, Western Sydney University, Sydney, Australia
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McGrath R, Marino R, Satur J. Oral health promotion practices of Australian community mental health professionals: a cross sectional web-based survey. BMC Oral Health 2021; 21:85. [PMID: 33632192 PMCID: PMC7908706 DOI: 10.1186/s12903-021-01438-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 02/14/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study explored the oral health promotion practices of Australian community mental health professionals working with people living with severe mental illness (SMI). METHODS An anonymous cross-sectional web-based survey was distributed to all Community Rehabilitation and Support Workers (CRSWs) working at Neami National (n = 471), an Australian community mental health service. The validated questionnaire assessed participants' self-rated oral health knowledge and confidence (7 questions); their perceived barriers (9 questions) and attitudes (5 questions) to oral health promotion; and their oral health promotion practices (7 questions). Differences in responses between groups were analysed using Chi-square, Fisher's exact and Mann-Whitney U tests. Logistic Regression Analysis served to explore the probability of providing oral health support to mental health consumers. RESULTS A total of 141 CRSWs were included in this study, achieving a response rate of 30 percent. Roughly two-fifths (39.0%) of participants had oral health training in the previous 12-months. The majority of CRSWs (89.3%) believed ('Agreed' or 'Strongly agreed') that mental health support workers have a role to play in promoting oral health. However, less than half (44.0%) of CRSWs practiced oral health promotion activities when working with mental health consumers. When asked about barriers to promoting oral health, 'lack of consumer interest' was the most prevalent issue. CRSWs who had oral health training were over three-times (OR 3.5, 95% CI 1.25-9.83, p = 0.017) more likely to provide oral health support. Results showed the provision of oral health support was most strongly associated with self-rated knowledge and confidence (OR 4.089, 95% CI 1.629-10.263, p = 0.003) and attitudes to oral health promotion (OR 3.906, 95% CI 1.77-8.65, p = 0.001). CONCLUSION The results of this study suggest that mental health support workers who have more positive attitudes to oral health promotion and who have higher self-rated oral health knowledge and confidence are more likely to provide oral health support in their professional role. Training for community mental health professionals is essential to build confidence and skills to promote oral health for mental health consumers.
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Affiliation(s)
- Roisin McGrath
- The Melbourne Dental School, The University of Melbourne, Melbourne, VIC, 3053, Australia.
| | - Rodrigo Marino
- The Melbourne Dental School, The University of Melbourne, Melbourne, VIC, 3053, Australia
| | - Julie Satur
- The Melbourne Dental School, The University of Melbourne, Melbourne, VIC, 3053, Australia
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Tellez M, Myers Virtue S, Neckritz S, Lim S, Bhoopathi V, Hernandez M, Shearer B, Ismail A. Randomised clinical trial of a motivational interviewing intervention to improve oral health education amongst older adults in Philadelphia: 12-month evaluation of non-clinical outcomes. Gerodontology 2020; 37:279-287. [PMID: 32643211 DOI: 10.1111/ger.12488] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Revised: 04/14/2020] [Accepted: 06/13/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES We conducted a trial to assess the treatment fidelity of an individual-based oral health education intervention utilising motivational interviewing (MI) techniques and its efficacy when compared to a group-based traditional oral health education intervention (TOHE) and a standard of care group (SC) in a sample from Philadelphia during a 12-month follow-up. BACKGROUND There is lack of information on how different types of oral health educational interventions affect older adults on non-clinical outcomes including changes in oral health-related quality of life (OHRQoL), oral health self-efficacy (SE) and oral health knowledge (OHK). MATERIALS AND METHODS One hundred and eighty patients were randomly allocated to TOHE, MI and SC groups. Treatment fidelity was measured in 16 non-study patients. The MI intervention was administered by a public health dental hygienist (PHDH). All interviews were audio-recorded and coded by an expert using the Motivational Interviewing Treatment Integrity (MITI) Code. Multivariable longitudinal regression analyses accounting for baseline demographics and correlated errors due to repeated measures via generalised estimating equation were conducted following an intention to treat approach. RESULTS Over the 1-year follow-up, SE and OHRQoL scores significantly improved amongst the MI group whereas both outcomes worsened amongst the SC group. During the same period, SE and OHRQoL did not change in the TOHE group. CONCLUSION Findings from the study support the fidelity of this intervention and the improvement of all non-clinical outcomes after 12 months amongst the MI group.
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Affiliation(s)
- Marisol Tellez
- Maurice H Kornberg School of Dentistry, Philadelphia, Pennsylvania, USA
| | - Shanon Myers Virtue
- Helen F. Graham Cancer Center & Research Institute Christiana Care Health System, Newark, Delaware, USA
| | - Sheryl Neckritz
- Maurice H Kornberg School of Dentistry, Philadelphia, Pennsylvania, USA
| | - Sungwoo Lim
- Maurice H Kornberg School of Dentistry, Philadelphia, Pennsylvania, USA
| | - Vinodh Bhoopathi
- Maurice H Kornberg School of Dentistry, Philadelphia, Pennsylvania, USA
| | | | | | - Amid Ismail
- Maurice H Kornberg School of Dentistry, Philadelphia, Pennsylvania, USA
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Nelson S, Albert JM, Liu Y, Selvaraj D, Curtan S, Ryan K, Pinto A, Ejaz F, Milgrom P, Riedy C. The psychometric properties of a new oral health illness perception measure for adults aged 62 years and older. PLoS One 2019; 14:e0214082. [PMID: 30970021 PMCID: PMC6457485 DOI: 10.1371/journal.pone.0214082] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Accepted: 03/06/2019] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Based on the Common-Sense Model of Self-Regulation (CSM), a new integrated Illness Perception Questionnaire Revised for Dental Use in Older/Elder Adults (IPQ-RDE) was developed for single and multiple dental conditions. This study describes psychometric properties of the IPQ-RDE for adults 62 years and older. METHODS Participants (n = 198) living in 16 subsidized housing facilities completed the IPQ-RDE and a questionnaire assessing their socio-demographics, frequency of dental visits, perceived condition of teeth/gums, depression, social support, and oral health quality of life (OHQOL). Participants received dental screening for presence/absence of teeth, coronal and root caries, and periodontitis. The 43-item IPQ-RDE was tested for internal (construct, discriminant) and external validity (concurrent, construct, discriminant, predictive) and reliability (internal consistency). RESULTS Confirmatory factor analysis demonstrated that a ten-factor model in accordance with the CSM framework (identity, consequences, control, timeline, illness coherence, treatment burden, prioritization, causal relationship, activity restriction, emotional representations) had good construct validity based on significant factor loadings and acceptable model fit (RMSEA = 0.065, CFI = 0.902). Edentulous participants had significantly higher mean factor scores (inaccurate perception) for overall IPQ-RDE and four constructs indicating concurrent validity. Discriminant validity was suggested by non-relationship with external measures (education, dental visit frequency). Predictive validity was indicated by the negative correlation of most constructs with OHQOL suggesting that inaccurate perception was related to lower quality of life. Internal consistency of eight IPQ-RDE constructs was excellent (Cronbach's alpha > 0.73). CONCLUSIONS The IPQ-RDE is a valid and reliable new measure for assessing older adult's perception of dental conditions. It can be an important tool for oral health behavioral research to restructure older adult's perception of dental conditions, and subsequently prevent tooth loss and improve oral health quality of life.
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Affiliation(s)
- Suchitra Nelson
- Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, United States of America
| | - Jeffrey M. Albert
- Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America
| | - Yiying Liu
- Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America
| | - David Selvaraj
- Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, United States of America
| | - Shelley Curtan
- Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, United States of America
| | - Kelli Ryan
- Case Western Reserve University School of Medicine, Cleveland, Ohio, United States of America
| | - Andres Pinto
- Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, United States of America
| | - Farida Ejaz
- Benjamin Rose Institute on Aging, Cleveland, Ohio, United States of America
| | - Peter Milgrom
- University of Washington School of Dentistry, Seattle, Washington, United States of America
| | - Christine Riedy
- Harvard School of Dental Medicine, Boston, Massachusetts, United States of America
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Nakata H, Matsuo K, Suzuki H, Yoshihara A. Perioperative changes in knowledge and attitude toward oral health by oral health education. Oral Dis 2019; 25:1214-1220. [PMID: 30701629 DOI: 10.1111/odi.13048] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Revised: 01/15/2019] [Accepted: 01/22/2019] [Indexed: 12/14/2022]
Abstract
OBJECTIVES Perioperative oral health care can prevent postoperative complications, but it is also important to maintain oral health afterward to avoid later adverse events. This study examined (a) the relationship between knowledge and attitude toward oral health (KAOH) and oral/periodontal status (OPS) in patients receiving surgery, and (b) the changes in KAOH by perioperative oral health care and education. METHODS Patients receiving surgery who visited our hospital's dental clinic beforehand were prospectively recruited. All participants received oral health care and education. In questionnaires assessing KAOH before and after surgery, respondent answers were generally classified as positive or negative. OPS was assessed before surgery. Associations between KAOH and OPS and perioperative changes in KAOH were statistically tested. RESULTS A total of 507 patients answered the questionnaire before surgery, among whom 324 patients also completed it afterward. Preoperative OPS was significantly worse in the negative than in the positive KAOH group. Positive answers for KAOH increased significantly from 68.6% to 92.2% during the perioperative period. CONCLUSIONS We found that patients with poor KAOH also had poor OPS, but KAOH could be improved by perioperative oral health care and education, suggesting that perioperative oral health management could improve oral health knowledge and attitudes.
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Affiliation(s)
- Haruka Nakata
- Department of Dentistry and Oral-Maxillofacial Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.,Doctorate Course for Oral Health and Welfare, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.,Department of Dentistry and Oral-Maxillofacial Surgery, Fujita Health University Hospital, Toyoake, Japan
| | - Koichiro Matsuo
- Department of Dentistry and Oral-Maxillofacial Surgery, School of Medicine, Fujita Health University, Toyoake, Japan
| | - Hitomi Suzuki
- Department of Dentistry and Oral-Maxillofacial Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.,Doctorate Course for Oral Health and Welfare, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Akihiro Yoshihara
- Division of Oral Science for Health Promotion, Niigata University, Niigata, Japan
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Eman Shokry A, Rehab Adel M, Rashad AESA. Educational program to improve quality of life among elderly regarding oral health. FUTURE DENTAL JOURNAL 2018; 4:211-215. [DOI: 10.1016/j.fdj.2018.07.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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Dho MS. Conocimientos de salud bucodental en relación con el nivel socioeconómico en adultos de la ciudad de Corrientes, Argentina. REVISTA FACULTAD NACIONAL DE SALUD PÚBLICA 2015. [DOI: 10.17533/udea.rfnsp.v33n3a05] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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