scholarly journals The effect of multimodal comprehensive care methodology training on oral health care professionals’ empathy for patients with dementia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masaki Kobayashi ◽  
Mio Ito ◽  
Yasuyuki Iwasa ◽  
Yoshiko Motohashi ◽  
Ayako Edahiro ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Oral Care ◽  
Training Programme ◽  
Comprehensive Care ◽  
Dental Hygienists ◽  
People With Dementia

Abstract Background The prevalence of oral diseases in people with dementia has increased, and patients with dementia have worse oral health than people without dementia. However, in the provision of oral care, these patients often exhibit care-resistant behaviours. Empathy is important for health care professionals who provide dental care for people with dementia. A study was conducted to assess whether a multimodal comprehensive care methodology training programme, Humanitude™, was associated with an improvement in empathy for people with dementia among oral health care professionals. Methods This research was a pre-post prospective study. A total of 45 dentists and dental hygienists participated in a 7-h multimodal comprehensive care methodology training programme. Participants’ empathy for their patients was evaluated with the Jefferson Scale of Physician Empathy-Health Professionals Version (JSPE-HP) before the training and 1 month after the training (primary outcome). Each participant listed 3 patients with poor oral health due to the refusal of usual oral care or dental treatment from his or her clinical practice. The oral health of the 3 care-resistant patients listed by each participant was evaluated by the Oral Health Assessment Tool (OHAT) before the training and 1 month after the training (secondary outcome). Results The post-training response rate was 87% (21 dentists and 18 dental hygienists). From pre-training to post-training, the multimodal comprehensive care methodology training significantly increased the mean empathy score (from 113.97 to 122.95, P < 0.05, effect size = 0.9). Regardless of gender, profession and years of clinical experience, all post-training subgroup scores were higher than the pre-training subgroup scores. The tongue, natural teeth, and oral hygiene scores of patients with dementia who resisted usual oral care or dental treatment, as assessed by the OHAT, were significantly improved compared with those before the training. Conclusions The multimodal comprehensive care methodology training was associated with an improvement in oral health professionals’ empathy for patients with dementia. These findings suggest that randomized controlled trials with large sample sizes will be needed. Trial registration UMIN Clinical Trials Registry (UMIN-CTR), UMIN000041687. Registered 4 September 2020 – Retrospectively registered, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047586

scholarly journals The Effect of Multimodal Comprehensive Care Methodology Training on Oral Health Care Professionals’ Empathy for Patients With Dementia

2020 ◽  
Author(s):  
Masaki Kobayashi ◽  
Mio Ito ◽  
Yasuyuki Iwasa ◽  
Yoshiko Motohashi ◽  
Ayako Edahiro ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Oral Care ◽  
Training Programme ◽  
Oral Health Care ◽  
Comprehensive Care ◽  
Dental Hygienists ◽  
People With Dementia

Abstract Background: The prevalence of oral diseases in people with dementia has increased, and patients with dementia have worse oral health than people without dementia. However, in the provision of oral care, these patients often exhibit care-resistant behaviours. Empathy is important for health care professionals who provide dental care for people with dementia. A study was conducted to assess whether a multimodal comprehensive care methodology training programme: HumanitudeTM is associated with an improvement in empathy for people with dementia among oral health care professionals.Methods: This research was a pre-post prospective study. A total of 45 dentists and dental hygienists participated in a 7-hour multimodal comprehensive care methodology training programme. Participants’ empathy for their patients was evaluated with the Jefferson Scale of Physician Empathy-Health Professionals Version (JSPE-HP) before the training and one month after the training (primary outcome). Each participant listed 3 patients from his or her clinical practice for whom he or she felt difficulty to provide oral care due to dementia. The oral health of the 3 care-resistant patients listed by each participant was evaluated by the Oral Health Assessment Tool (OHAT) before the training and one month after the training (secondary outcome).Results: The post-training response rate was 87% (21 dentists and 18 dental hygienists). From pre-training to post-training, the multimodal comprehensive care methodology training significantly increased the mean empathy score (from 113.97 to 122.95, P<0.05, effect size=0.9). Regardless of gender, profession and years of clinical experience, all post-training subgroup scores were higher than the pre-training subgroup scores. The tongue, natural teeth, and oral hygiene scores of patients, as assessed by the OHAT, were significantly improved compared with those before the training.Conclusions: Multimodal comprehensive care methodology training was associated with an improvement in oral health professionals’ empathy for patients with dementia and an improvement in the oral health of their patients. These findings suggest that randomized controlled trials with large sample sizes will be needed.Trial registration: UMIN Clinical Trials Registry (UMIN-CTR), UMIN000041687. Registered 4 September 2020 – Retrospectively registered, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047586

Prenatal oral health literacy status: a survey on patient’s perception and awareness among health care professionals

2017 ◽  
Vol 9 (2) ◽  
pp. 16-22
Author(s):  
Sandya Devi S Patil ◽  
Madhu K ◽  
Rachna Thakur ◽  
Santhosh T Paul ◽  
Mihir Nayak
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Health Care Professionals ◽  
Oral Care ◽  
Oral Health Care ◽  
Attitude And Practice ◽  
Group A ◽  
Adverse Pregnancy

Pregnancy is characterized by complex physiological changes which may adversely affect the oral health and pregnancy outcomes. This study reports a survey on assessing the knowledge, attitude and practice behaviours of gynaecologists and oral health care professionals towards prenatal oral care and barriers limiting the utilization of prenatal oral care health care to pregnant women. The study population comprised of 3 groups: A- Gynaecologists, B- oral health care professionals and C – Pregnant women, 100 in each group. The prevalidated questionnaire included questions about their knowledge, attitude, beliefs and practices regarding oral health care for pregnant women. The data obtained was subjected to statistical analysis using ANOVA test and Pearson’s correlation test. The response rate was 100%. Regarding the association of periodontal disease and adverse pregnancy outcomes, Group A (75%) have high degree of knowledge than B (61%) and C (36%) but the attitude and practice behaviors were significantly high in Group B as compared to Group A and Group C Two-thirds of respondents in both Group A and B (75%) were interested in receiving continuing dental education (CDE) regarding the care of pregnant women.The self-assessed maternal barriers evaluated in this study were lack of knowledge, lack of perceived need.

scholarly journals CROSS SECTIONAL STUDY OF ATTITUDE, PRACTICE AND KNOWLEDGE OF ORAL HYGIENE PRACTICES AND DENTAL TREATMENT IN HEALTH CARE PROFESSIONALS IN SOUTH CANARA DISTRICT.( KARNATAKA)

2014 ◽  
Vol 04 (04) ◽  
pp. 028-032
Author(s):  
K.S Sharath ◽  
Manavi Prabhu ◽  
Biju Thomas ◽  
Shamila Shetty
Keyword(s):  
Health Care ◽  
Oral Hygiene ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Information Needs ◽  
Dental Treatment ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hygiene Practices

Abstract Objective: The purpose of the study is to estimate the knowledge, attitude and practise of the oral hygiene,and dental treatment, and its correlation with everyday oral hygiene practices among the health care professionals of south canara district ( Karnataka) Methods: A cross sectional survey was conducted on 200 health care professionals between Jan 20th to Feb 20th 2013.Two hundred health professionals were asked to answer a questionnaire containing 15 questions.Data once collected was analysed using SPSS software. Results: 56.3% health professionals visited the dentist once in six months. 26% health professionals felt that unavailability of time is the main factor influencing dental visits. Main cause of taking a dental appointment in 33% subjects was found to be dental caries. 54.6% obtained information on oral hygiene practices through mass media followed by 22.3 % who obtained it directly from the dentist.59.2% brushed their teeth twice daily.50% used medium bristle tooth brush.48.5 % had a brushing time of 3-5 min. 41.5% did not use any other oral hygiene aid.28.64% got scaling done in the last 3-6 months. 56% did not have an habit of using a tooth pick. 43.3% used combination of circular, vertical and horizontal method of brushing.45.5% felt that scaling caused loss of enamel. Conclusion: It appears that knowledge, attitude, and behaviour attitude, practice and knowledge of oral hygiene practices and dental treatment in health care professionals in South Canara district is gud.Though more information needs to be provided about other oral hygiene aids.

scholarly journals BARRIERS TO ORAL HEALTH IN THE OLDER POPULATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S878-S878
Author(s):  
Kavita Sharma ◽  
Lynn Tepper ◽  
Carol Kunzel
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Social Services ◽  
Dental Treatment ◽  
Insurance Coverage ◽  
Oral Care ◽  
Oral Health Care ◽  
Columbia University ◽  
Older Population ◽  
Physical Support

Abstract A strong challenge is posed for patients and their caretakers by the growing need for promoting oral healthcare for this population, as research substantiates the connection between oral health and systemic health. This study identified the major barriers to providing optimal oral care to the older population. Fifty patients aged 60 and over visiting the Columbia University College of Dental Medicine Clinic were administered a questionnaire which reflected possible barriers to oral health care. Statistical analysis of data revealed that the top three barriers in order of relevance were the (1) cost of treatment, (2) anxiety, and (3) transportation. The youngest old (60-69) indicated that the lack of time and conflict with work schedules were additional barriers, while the older sample (70+) experienced obstacles due to disability and illness. When gender differences were analyzed, transportation was the most significant as a barrier among males, and fear/anxiety was most significant for females. Ethnically, non-Hispanics indicated that (1) shortage of time, (2) anxiety, and (3) lack of social/physical support were significant barriers. Findings indicated that even those with Medicaid insurance coverage believed that the cost of dental treatment and caregiving responsibilitieswere major barriers to seeking care. Conversely, even those without dental insurance indicated that disability and illness were barriers to seeking care. This pilot study highlighted various barriers to oral health care and highlighted the need for intervention to address barriers, such as social services, expanded Medicaid coverage, and transportation assistance, to ultimately improve access to optimal oral health care.

scholarly journals Posturedontics: Reducing the Stress in Dentistry

2012 ◽  
Vol 3 (4) ◽  
pp. 335-339 ◽  
Author(s):  
Sulekha S Gosavi ◽  
Siddharth Y Gosavi ◽  
Rashmi S Jawade
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Musculoskeletal Disorders ◽  
Health Care Professionals ◽  
Dental Hygienists ◽  
Work Related ◽  
The Past ◽  
Work Related Musculoskeletal Disorders ◽  
Dental Profession ◽  
Supporting Structures

ABSTRACT In the dental profession, dentists and dental hygienists spend their work days in an awkward, static position performing extremely precise procedures in a 2” × 2½” workspace—the patient's mouth. However, maintaining the steady hand and posture comes at a cost to the back, neck and shoulder area of the dentist. The occurrence of work-related musculoskeletal disorders (WMSDs) in oral health care professionals has been documented over the past 10 years. A WMSD can be defined as a condition wherein work-related tasks affect the nerves, tendons, muscles and supporting structures. Conditions can vary from mild recurrent symptoms to severe and incapacitating. This article discussed about the prevalence of occurrence on musculoskeletal disorders in dental personae and its prevention. How to cite this article Gosavi SS, Gosavi SY, Jawade RS. Posturedontics: Reducing the Stress in Dentistry. World J Dent 2012;3(4):335-339.

scholarly journals The effect of multimodal comprehensive care methodology training on oral health care professionals’ empathy for patients with dementia

2020 ◽  
Vol 16 (S8) ◽  
Author(s):  
Masaki Kobayashi ◽  
Mio Ito ◽  
Yasuyuki Iwasa ◽  
Yoshiko Motohashi ◽  
Ayako Edahiro ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Care Professionals ◽  
Oral Health Care ◽  
Comprehensive Care

Oral health diseases among the older people: a general health perspective

2020 ◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Health Professionals ◽  
General Health ◽  
Oral Health Care ◽  
Oral Diseases ◽  
Public Health Professionals ◽  
The Relationship

Background: The relationship between oral health and general health is gaining interest in geriatric research; however, a lack of studies dealing with this issue from a general perspective makes it somewhat inaccessible to non-clinical public health professionals. Purpose: The purpose of this review is to describe the relationship between oral health and general health of the elderly on the basis of literature review, and to give non-clinical medical professionals and public health professionals an overview of this discipline. Methods: This study was based on an in-depth review of the literature pertaining to the relationship between oral health and general health among the older people. The tools commonly used to evaluate dental health and the academic researches of male elderly people were also reviewed. And future research directions were summarized. Results: Dental caries, periodontal disease, edentulism, and xerostomia are common oral diseases among the older people. Dental caries and periodontal diseases are the leading causes of missing teeth and edentulism. Xerostomia, similar to dry mouth, is another common oral health disease in the older people. No clear correlation exists between the subjective feeling of dryness and an objective decrease of saliva. Rather, both conditions can be explained by changes in saliva. The General Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile (OHIP) are the main assessment tools used to examine oral health and quality of life in the older people. The GOHAI tends to be more sensitive to objective values pertaining to oral function. In addition, oral health studies in male elderly people are population-based cohort or cross-sectional studies, involving masticatory function, oral prevention, frailty problems, cardiovascular disease risk, and cognitive status. Conclusion: It is possible to reduce the incidence of certain oral diseases, even among individuals who take oral health care seriously. Oral health care should be based on the viewpoint of comprehensive treatment, including adequate nutrition, good life and psychology, and correct oral health care methods. In the future, researchers could combine the results of meta-analysis with the clinical experience of doctors to provide a more in-depth and broader discussion on oral health research topics concerning the older people.

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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