scholarly journals Promotion or education: a content analysis of industry-authored oral health educational materials targeted at acute care nurses

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040541
Author(s):  
Quinn Grundy ◽  
Anna Millington ◽  
Cliodna Cussen ◽  
Fabian Held ◽  
Craig M Dale
Keyword(s):  
Content Analysis ◽  
Oral Health ◽  
Continuing Education ◽  
Acute Care ◽  
Scientific Evidence ◽  
Oral Care ◽  
Educational Materials ◽  
Or Education ◽  
Acute Care Nurses ◽  
Randomised Controlled

ObjectivesTo assess the nature, quality and independence of scientific evidence provided in support of claims in industry-authored educational materials in oral health.DesignA content analysis of educational materials authored by the four major multinational oral health product manufacturers.SettingAcute care settings.Participants68 documents focused on oral health or oral care, targeted at acute care clinicians and identified as ‘educational’ on companies’ international websites.Main outcome measuresData were extracted in duplicate for three areas of focus: (a) products referenced in the documents, (b) product-related claims and (c) citations substantiating claims. We assessed claim–citation pairs to determine if information in the citation supported the claim. We analysed the inter-relationships among cited authors and companies using social network analysis.ResultsDocuments ranged from training videos to posters to brochures to continuing education courses. The majority of educational materials explicitly mentioned a product (59/68, 87%), a branded product (35/68, 51%), and made a product-related claim (55/68, 81%). Among claims accompanied by a citation, citations did not support the majority (91/147, 62%) of claims, largely because citations were unrelated. References used to support claims most often represented lower levels of evidence: only 9% were systematic reviews (7/76) and 13% were randomised controlled trials (10/76). We found a network of 20 authors to account for 37% (n=77/206) of all references in claim–citation pairs; 60% (12/20) of the top 20 cited authors received financial support from one of the four sampled manufacturers.ConclusionsResources to support clinicians’ ongoing education are scarce. However, caution should be exercised when relying on industry-authored materials to support continuing education for oral health. Evidence of sponsorship bias and reliance on key opinion leaders suggests that industry-authored educational materials have promotional intent and should be regulated as such.

Impact of cancer therapy on oral care utilization.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18010-e18010
Author(s):  
Derek Smith ◽  
Emily Castellanos ◽  
Barbara A. Murphy
Keyword(s):  
Oral Health ◽  
Cancer Therapy ◽  
Propensity Score ◽  
Cancer Diagnosis ◽  
Oral Care ◽  
Primary Objective ◽  
Care Utilization ◽  
Dental Visit ◽  
Or Education ◽  
Dental Attendance

e18010 Background: Cancer therapy can result in lifelong detrimental changes to oral function. These changes often result in negative effects on patients' quality of life. The primary objective of this study is to evaluate attendance at dental visits among patients receiving a cancer diagnosis, and how attendance may change as patients move through pre-diagnosis, diagnosis and into survivorship. Methods: The Health and Retirement Study is a publically available dataset containing longitudinal survey data detailing financial and health information on 4195 patients, over 51 years old who received a new cancer diagnosis during the study. The odds of reporting a dental visit were examined as patients proceed through various phases of cancer therapy using a mixed-effects logistic regression model. A propensity score weighted analysis of the association between dental attendance in the survey wave in which the cancer was diagnosed and survival was also undertaken. Results: The odds of attending a dental visit were substantially lower in the diagnosis wave OR = 0.784 (0.700, 0.876) and the post-diagnosis waves OR = 0.734 (0.655, 0.823) compared to pre-diagnosis waves. This effect persisted in patients who survived for at least two years indicating that the decline in oral health visits was not due to extremely low expected survival. The decrease in oral health visits was not affected by age, race, gender, income, insurance coverage or education. After propensity score weighting, patients who attended a dental visit in their diagnosis wave demonstrated a reduced hazard of all-cause mortality HR = 0.825 (0.681, 0.979) compared with those with no attendance. Conclusions: Dental attendance decreases by a statistically and clinically significant amount both during and after cancer therapy despite indications for dental referral existing for many types of cancer therapy. Attendance at dental appointments during cancer therapy is associated with improved survival, which is likely due to a combination of direct and indirect effects. The fact that the decreases in care were not modified by socioeconomic factors suggests that it is not driven by strictly financial concerns and more research is necessary to identify barriers to adequate care.

scholarly journals Supporting Family Volunteers to Increase Retention and Recruitment

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Anne Wilson
Keyword(s):  
Content Analysis ◽  
Continuing Education ◽  
Response Rate ◽  
Numerical Data ◽  
Primary Data ◽  
Or Education ◽  
Spare Time ◽  
Charitable Organisation ◽  
And Training ◽  
Satisfaction With Volunteering

This study explored South Australian volunteers' motivations for volunteering, their satisfaction with volunteering, and their need for supportive structures. Primary data were collected from volunteers working for a self-funded charitable organisation. A self-enumerated questionnaire was distributed by mail; 214 were completed and returned (66.9% response rate). Of the responding volunteers, 82% () were female. All were aged over 60 years (range: 63–76 years; mean: 68 years). Numerical data were entered into SPSS and analysed descriptively. Content analysis was applied to narrative data. Volunteers reported that they volunteered most often to help others, because they had spare time and because of what they received in return. Difficulties experienced included accessing continuing education and training. Organisations engaging volunteers have a responsibility to ensure that volunteers are adequately supported both in their day to day work and in training or education. Volunteers are able to become valued partners in service delivery.

Proposal for a Conceptual Framework for the Development of Geriatric Dentistry

2021 ◽  
pp. 002203452110422
Author(s):  
S. León ◽  
R.A. Giacaman
Keyword(s):  
Oral Health ◽  
Conceptual Framework ◽  
Scientific Evidence ◽  
Oral Care ◽  
Well Being ◽  
Special Focus ◽  
Epidemiologic Transition ◽  
Patient Centered ◽  
Public And Private ◽  
Geriatric Dentistry

Demographic changes with an increasingly higher proportion of older adults worldwide and an epidemiologic transition resulting in more teeth retained and higher demand and expectations set up new scenarios for the oral health of the older population. Thus, geriatric dentistry must be reconfigured, transitioning from the traditional focus on prosthesis to a more holistic discipline, actively incorporating geriatric and gerontologic aspects. We describe some situations that provide the rationale for a new conceptual framework for the advancement of geriatric dentistry as a clinical specialty. On the basis of scientific evidence and our academic experience, we propose 4 concepts that should steer the discipline during the following years and become its structural pillars: minimal intervention dentistry, oral functionality, patient-centered care, and interdisciplinary teamwork. Since data and evidence are limited, a special focus on poor and developing countries is incorporated. Adjusting clinical guidelines and public health policies around these concepts will increase access to oral care for older people, including those with physical or social barriers, and will ensure better oral health–related quality of life and well-being. These concepts have deep consequences in the education and training of new dentists and specialists, at the public and private levels.

Child Sexual Abuse—Challenging Conditions for Adult Oral Health: A Qualitative Study

2021 ◽  
pp. 238008442110537
Author(s):  
E. Wolf ◽  
S. Månsson ◽  
L. Wallin ◽  
G. Priebe
Keyword(s):  
Sexual Abuse ◽  
Content Analysis ◽  
Oral Health ◽  
Child Sexual Abuse ◽  
Qualitative Study ◽  
Negative Impact ◽  
Qualitative Content Analysis ◽  
Oral Care ◽  
Dental Professionals ◽  
Dental Appointments

The aim was to analyze perceptions of oral health in adults who have been exposed to child sexual abuse. Eleven participants (10 women), 19 to 56 y of age, who had experienced sexual abuse as children were purposively selected and interviewed in-depth. The participants were encouraged to describe how they perceived the effect of the sexual abuse on their oral health as adults. The interviews were recorded digitally and transcribed verbatim. The collected material was analyzed according to qualitative content analysis. The theme “challenging conditions for maintaining oral health” was identified, comprising 2 categories: first, “the emotional significance,” with the subcategories 1) emotional barriers and 2) powerful relief, and second, “the obstacles to oral health,” with the subcategories 1) daily self-care with complications and 2) dental appointments with difficulties. The findings indicate that the experience of sexual abuse during childhood can have a negative impact on oral care in adulthood. The informants stated that oral health was of utmost importance but also associated with strong emotions. There were obstacles to maintenance of oral health that were difficult to surmount. Knowledge Transfer Statement:The study provides access to the attitudes of survivors of child sexual abuse regarding oral health and the needs and obstacles that they experience. This is important knowledge for dental professionals to optimize dental care.

scholarly journals Effect of an Oral Health Programme on Oral Health, Oral Intake, and Nutrition in Patients with Stroke and Dysphagia in Taiwan: A Randomised Controlled Trial

2019 ◽  
Vol 16 (12) ◽  
pp. 2228 ◽  
Author(s):  
Chen ◽  
Chen ◽  
Chen ◽  
Lee ◽  
Chang ◽  
...  
Keyword(s):  
Oral Health ◽  
Nasogastric Tube ◽  
Controlled Trial ◽  
Oral Care ◽  
Oral Intake ◽  
Care Group ◽  
Control Group ◽  
Tube Removal ◽  
Randomised Controlled ◽  
Health Programme

No previous studies have evaluated an oral health programme, before swallowing therapy, in patients with stroke and dysphagia in Taiwan. This randomised controlled trial evaluated the effect of an oral health programme (i.e., sputum assessment, Bass method-based tooth brushing, and tooth coating with fluoride toothpaste) before swallowing therapy. Sixty-six patients with stroke (23 female, 43 male) in our rehabilitation ward, who underwent nasogastric tube insertion, were assigned randomly to an oral care group (n = 33) and a control group (n = 33). Demographic data, oral health assessment, Functional Oral Intake Scale (FOIS) scores, Mini-Nutritional Assessment-Short Form (MNA-SF) scores, and nasogastric tube removal rates were compared between groups. We evaluated outcomes using generalised estimating equation analysis. Three weeks post-implementation, the oral care group had significant oral health improvements relative to the control group (95% CI =−2.69 to −1.25, Wald χ2 = 29.02, p < 0.001). There was no difference in the FOIS (95% CI = −0.16 to 0.89, Wald χ2 = 1.86, p > 0.05), MNA-SF (95% CI = −0.35 to 0.53, Wald χ2 =−0.17, p > 0.05), and nasogastric tube removal (p > 0.05) between groups. The oral care group had a higher, but non-significant FOIS score (3.94 vs 3.52) (p > 0.05). Routine oral health programmes implemented during stroke rehabilitation in patients with dysphagia may promote oral health and maintain oral intake.

Pregnancy & Oral Health and Dental Management in Pregnant Patient

2020 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Vishal Thakur ◽  
Dr. Reetika Thakur ◽  
Dr. Manpreet Kaur ◽  
Dr. Jasleen Kaur ◽  
Dr. Atul Kumar ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Oral Health ◽  
Human Body ◽  
Oral Hygiene ◽  
Pregnancy Outcomes ◽  
Oral Care ◽  
Pregnant Patient ◽  
Dental Management ◽  
Exciting Time

Pregnancy is a unique, exciting time in a woman's life, and there are so many changes going on in human body during pregnancy and mouth is no exception , so good oral hygiene is extremely important during pregnancy . Usually oral health is often the most neglected form of health during all stages of life & the most important cause for this neglection is lack of awareness among people & this problems also increases when a lady is pregnant because of mis-perceptions and mis-leading information in the society or due to lack of knowledge. But the fact is during pregnancy many complex physiologic changes occur in the women’s body, which can adversely affect oral health and in turn those oral health problems may lead to pregnancy outcomes like preterm birth or low birth weight. Proper oral care is of utmost importance during pregnancy to avoid these complications. Avoiding foods that may cause oral problems, proper brushing and flossing and having dental consultations on a regular basis are steps to ensure good oral health during pregnancy.

Oral Health in Rheumatoid Arthritis: Listening to Patients

2021 ◽  
pp. 238008442110126
Author(s):  
J.L.P. Protudjer ◽  
C. Billedeau ◽  
K. Hurst ◽  
R. Schroth ◽  
C. Stavropoulou ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Oral Health ◽  
Periodontal Disease ◽  
Health Knowledge ◽  
Care Delivery ◽  
Oral Care ◽  
Oral Health Care ◽  
Personal Hygiene ◽  
Health Maintenance

Introduction: Rates of periodontal disease and tooth loss are increased in individuals with rheumatoid arthritis (RA). Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and arthritis outcomes. Objectives: To determine the perceptions held by people with RA relating to their oral health, to identify patient-centered priorities for oral health research, and to inform optimal strategies for delivering oral health knowledge. Methods: Semistructured interviews were conducted with patients with RA. Recorded interview transcripts were iteratively reviewed to reveal surface and latent meaning and to code for themes. Constructs were considered saturated when no new themes were identified in subsequent interviews. We report themes with representative quotes. Results: Interviews were conducted with 11 individuals with RA (10 women [91%]; mean age, 68 y), all of whom were taking RA medication. Interviews averaged 19 min (range, 8 to 31 min) and were mostly conducted face-to-face. Three overall themes were identified: 1) knowledge about arthritis and oral health links; 2) oral health care in RA is complicated, both in personal hygiene practices and in professional oral care; and 3) poor oral health is a source of shame. Participants preferred to receive oral health education from their rheumatologists or dentists. Conclusions: People with RA have unique oral health perceptions and experience significant challenges with oral health care due to their arthritis. Adapting oral hygiene recommendations and professional oral care delivery to the needs of those with arthritis are patient priorities and are required to improve satisfaction regarding their oral health. Knowledge Translation Statement: Patients living with long-standing rheumatoid arthritis described poor oral health–related quality of life and multiple challenges with maintaining optimal oral health. Study findings indicate a need for educational materials addressing oral health maintenance for patients with rheumatic diseases and their providers.

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