scholarly journals Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California

Author(s):  
Winston Tseng ◽  
Elizabeth Pleasants ◽  
Susan L. Ivey ◽  
Karen Sokal-Gutierrez ◽  
Jayanth Kumar ◽  
...  

Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association’s (AMA) recommended communication techniques and only 3 of the 7 AMA’s basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes.

2021 ◽  
Vol 4 (3) ◽  
pp. p26
Author(s):  
Valerie A. Ubbes ◽  
Abby Witter

This study investigated the relationships between parents and their children on oral health behaviors, reading behaviors, reading attitudes, and liking perceptions of one chapter from an eBook curriculum intervention. A Qualtrics platform was used to survey 316 parent-child dyads across the United States before and after the shared reading of one chapter from the eBook for Oral Health Literacy© entitled “Setting Goals for Going to the Dentist”. Participants answered 75 questions about their teeth brushing and flossing behaviors, number of cavities, how often they visited libraries and bookstores, enjoyment of reading, and perceptions (liking) of the words and pictures of the chapter that they read and heard. Statistically significant relationships were found between parents and their children on oral health behaviors (?2 = 49.12, p < 0.001); reading behaviors (?2 = 10.4, p < 0.01), reading attitudes (?2 = 8.773, p < 0.01), and perception (liking) of the eBook chapter that they read and heard (?2 = 113.813, p < 0.01). Results from 301 parent-child dyads point to the importance of social modeling that parents play in the development of their children’s oral health behaviors, reading behaviors, and reading attitudes. Testing of additional chapters from the eBook intervention is warranted.


PLoS ONE ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. e0230575
Author(s):  
Hai Ming Wong ◽  
Susan Margaret Bridges ◽  
Kuen Wai Ma ◽  
Cynthia Kar Yung Yiu ◽  
Colman Patrick McGrath ◽  
...  

PLoS ONE ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. e0146545 ◽  
Author(s):  
Laura W. Koo ◽  
Alice M. Horowitz ◽  
Sarah D. Radice ◽  
Min Q. Wang ◽  
Dushanka V. Kleinman

2020 ◽  
Vol 18 (4) ◽  
pp. 198-204
Author(s):  
Silvia E. Spivakovsky ◽  
Ralph V. Katz

The Hispanic population has one of the highest levels of untreated oral disease of any linguistic or ethnic population in the United States. Research examining the factors leading to such outcomes is limited. Since health literacy has been identified as a mediator of health disparities, it is important to identify the most appropriate tool to assess it. The Knowledge Related to Oral Health Literacy model for Spanish speakers (KROHL-S) is an inclusive framework to evaluate oral health knowledge and other modifiable factors at the individual level among the Hispanic population as related to oral health literacy. KROHL-S intends to provide concrete, practical information to help customize interpersonal interactions and educational experiences to individuals’ needs and capabilities. The questionnaire that will allow the creation of the KROHL-S scale consists of orally administered open-ended questions to measure knowledge that is condition specific (caries, periodontal disease, oral cancer, tooth loss, and malocclusion) and domain that is knowledge specific (identification of condition, causes, prevention, treatment, general knowledge). Implementation of the KROHL-S framework will provide in depth information that could be shared among health care providers and the creation of patient-centred initiatives.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C F Tenani ◽  
M H R De Checchi ◽  
F M R Bado ◽  
F L Mialhe

Abstract The aim of this study was to evaluate the self-perception of oral health in the elderly and to verify its association with oral health literacy and sociodemographic factors, through a cross-sectional study. Data collection took place in a probabilistic sample consisting of 535 elderly people over 60 years of age, who did not have cognitive problems, and were residents of the areas covered by six Family Health Units of the public health service, as well as users of a Center for Dental Specialties and dental clinics at the Faculty of Dentistry of Piracicaba (FOP), all located in the city of Piracicaba, Sao Paulo. A questionnaire with sociodemographic and health issues was applied, as well as the Health Literacy in Dentistry (HeLD-14) instrument for the assessment of oral health literacy. Poisson regression was used to estimate the associations between self-perceived oral health and literacy in oral health, as well as sociodemographic and general health characteristics. The data were analyzed using the SAS statistical software. The final regression model demonstrated that the elderly who were more likely to report poor oral health self-perception were associated with a low level of oral health literacy, were of the “non-white” ethnic group, had chronic illnesses and had sought the dentist for curative reasons in the last year. It was concluded that the self-perception of oral health in the elderly is influenced by variables that go beyond the dental sector, a fact that demands multiprofessional and intersectoral actions for their care. This fact highlights the importance of integrating aspects of health literacy in health and sociodemographic factors into the process of assessing oral health in the elderly, expanding the perspective of public health assessment for actions focused only on normative needs. Key messages We show the importance of assessing the oral health of the elderly in association with health literacy, expanding the perspective of public health assessment to actions beyond the normative needs. Despite the importance of the topic, there is still a scarcity of studies on health literacy and its impact on oral health behaviors and outcomes, impacting public health.


2021 ◽  
pp. 108482232110084
Author(s):  
Agata Wilk ◽  
Lisa LaSpina ◽  
Linda D. Boyd ◽  
Jared Vineyard

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.


BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yue Sun ◽  
Chunying Li ◽  
Yan Zhao ◽  
Jing Sun

Abstract Objective This study aimed to establish the current situation, intellectual base, hotspots, development trends, and frontiers of oral health literacy (OHL) from the literature. Methods We analyzed 1505 bibliographic records dated between January 1990 and December 2020 retrieved from the Web of Science Core Collection and the Scopus database. We used CiteSpace for word frequency analysis, co-occurrence analysis, co-citation analysis, clustering analysis, and burst analysis. Results The total number of publications increased year-on-year, with the majority of publications coming from the USA. Most studies focused on the relationship between (oral) health literacy and oral health, and the development of OHL instruments. The top 10 keywords by frequency were “health literacy”, “oral health”, “attitude to health”, “dental caries”, “adult”, “children”, “dental care”, “knowledge”, “questionnaire”, and “adolescent”. The keyword with the highest burst intensity was “dental health education”. Conclusions OHL research is a thriving field. The field is focused on the development of an OHL instrument and health promotion practice. Strategic cooperation among countries, institutions, authors, hospitals, and communities will be important to encourage further OHL research and address oral health problems.


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