scholarly journals Oral Health Interventions in Patients with a Mental Health Disorder: A Scoping Review with Critical Appraisal of the Literature

2021 ◽  
Vol 18 (15) ◽  
pp. 8113
Author(s):  
Sonja Kuipers ◽  
Nynke Boonstra ◽  
Linda Kronenberg ◽  
Annette Keuning-Plantinga ◽  
Stynke Castelein
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Oral Health ◽  
Scoping Review ◽  
Health Knowledge ◽  
Mental Health Disorder ◽  
Health Interventions ◽  
Related Quality ◽  
Health Related

Poor oral health affects quality of life and daily functioning in the general population and especially in patients with mental health disorders. Due to the high burden of oral health-related quality of life in patients with a mental health disorder, it is important for nurses to know how they can intervene in an early phase. The aim of this systematic scoping review was to identify and appraise oral health interventions in patients with a mental health disorder. A systematic scoping review with a critical appraisal of the literature was conducted using the Joanna Briggs Institute (JBI) methodology for scoping reviews and their checklists. MEDLINE, CINAHL, PsycINFO and reference lists were searched from their inception until December 2020. Results: Eleven quantitative studies were included in the review: four randomized controlled trials, six quasi-experimental studies and one cohort study. Studies focused on interventions for patients (n = 8) or focused on patients together with their professionals (n = 3). Four types of oral health interventions in mental health were found: (I) educational interventions; (II) physical interventions; (III) interventions combining behavioural and educational elements and (IV) interventions combining educational and physical elements. All studies (n = 11) had an evaluation period ≤12 months. Nine studies showed an effect on the short term (≤12 months) with regard to oral health knowledge, oral health behaviour, or physical oral health outcomes (e.g., plaque index). Two studies showed no effects on any outcome. Overall, the methodological insufficient to good. Conclusion: Four types of interventions with positive effects (≤12 months) on oral health knowledge, oral health behaviour, and physical oral health outcomes in different diagnostic patient groups were found. Due to the heterogeneity in both interventions, diagnostic groups and outcomes, one golden standard oral health intervention cannot be advised yet, although the methodological quality of studies seems sufficient. Developing an integrated oral health toolkit might be of great importance in mental health considering its potential effect on oral health-related quality of life.

scholarly journals Oral Health–Related Quality of Life Among Publicly Insured Mental Health Service Outpatients With Serious Mental Illness

2019 ◽  
Vol 70 (12) ◽  
pp. 1101-1109 ◽  
Author(s):  
Peter C. Lam ◽  
Dolly A. John ◽  
Hanga Galfalvy ◽  
Carol Kunzel ◽  
Roberto Lewis-Fernández
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Illness ◽  
Oral Health ◽  
Mental Health Service ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Publicly Insured

Impact of Treatment with Conventional Complete Dentures on (Oral) Health-Related Quality of Life: A Scoping Review

2019 ◽  
Vol 32 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Sarah Reis ◽  
Janice de Paula ◽  
Morgana de Morais ◽  
Raquel Ferreira ◽  
Viviane Gomes
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Scoping Review ◽  
Complete Dentures ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Quality Appraisal of Child Oral Health–Related Quality of Life Measures: A Scoping Review

2019 ◽  
Vol 5 (2) ◽  
pp. 109-117
Author(s):  
C. Yang ◽  
Y.O. Crystal ◽  
R.R. Ruff ◽  
A. Veitz-Keenan ◽  
R.C. McGowan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Scoping Review ◽  
English Abstract ◽  
Health Related Quality ◽  
Quality Appraisal ◽  
Minimum Standards ◽  
Related Quality ◽  
Health Related

Background: Children’s oral health–related quality of life (COHQoL) measures are well known and widely used. However, rigorous systematic reviews of these measures and analyses of their quality are in absence. Objectives: To systematically review and quantitatively assess the quality of COHQoL measures through a scoping review. Data Sources: Systematic literature search of PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), EMBASE (Excerpta Medica database), HaPI (Health and Psychosocial Instruments), and DOSS (Dentistry and Oral Sciences Source). Study Eligibility: The measure’s focus was COHQoL; the child age ranged from 5 to 14 years; the publication was either a research article or a systematic review and related to caries; and it was written in English or had an English abstract. Two authors independently selected the studies. Disagreements were reconciled by group discussions with a third author. Appraisal: The International Society for Quality of Life Research minimum standards for patient-reported outcome measures were used for quality appraisal. Synthesis: Descriptive analysis. Results: We identified 18 measures. Their quality scores ranged from 9.5 to 15.0 on a scale of 16. The quality appeared to bear no relationship to the citation and use of these measures. However, elements of these measures might be more useful than others, depending on the age-specific use and primary quality concerns. Limitations: Some of the information on the minimum standards of the 18 measures cannot be found in the existing literature. Measures published without English abstract were not searched. Conclusions: The quality of these measures is suboptimal. Researchers and practitioners in this field should exercise caution when choosing and using these measures. Efforts at improving the quality of the COHQoL measures, such as refining existing ones or developing new measures, are warranted. Knowledge Transfer Statement: Researchers, clinician scientists, and clinicians can use the results of this study when deciding which oral health–related quality of life measure they wish to use in children.

scholarly journals Oral health knowledge and oral health related quality of life of older adults

2020 ◽  
Author(s):  
So Ran Kwon ◽  
Shirley Lee ◽  
Udochukwu Oyoyo ◽  
Seth Wiafe ◽  
Samantha De Guia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Health Knowledge ◽  
Health Related Quality ◽  
Oral Health Knowledge ◽  
Related Quality ◽  
Health Related

scholarly journals “The trouble with QALYs…”

2007 ◽  
Vol 16 (4) ◽  
pp. 289-293 ◽  
Author(s):  
Martin Knapp ◽  
Roshni Mangalore
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Mental Health Disorder ◽  
Comprehensive Model ◽  
Health States ◽  
Hyperactivity Disorder ◽  
Related Quality ◽  
Health Related ◽  
Health Field

AbstractThis paper summarises the use of QALYs in evaluating changes in mental health states, highlighting the benefits and challenges of their use in this field. The general principles underlying the QALY measure and the most common methods of measuring QALYs are discussed briefly. Evidence of the usefulness and problems of using this generic measure of health-related quality of life are provided from a sample of recent studies relating to depression, schizophrenia, attention deficit hyperactivity disorder and dementia. In each case, attempts were made to use QALYs to measure changes in health states. While in principle, the QALY is enormously attractive, its suitability for measuring changes in many mental health conditions remains open to doubt as existing tools for generating QALY scores such as the EQ-5D have tended not to perform sufficiently well in reflecting changes in many mental health states. New developmental work is needed to construct better QALY-measuring tools for use in the mental health field. Both the conceptualisation and measurement of QALYs need to be built on a valid, comprehensive model of quality of life specific to a mental health disorder, to ensure that the resultant tool is sensitive enough to pick up changes that would be expected and seen as relevant in the course of the illness.

scholarly journals The impact of socioeconomic status, general health and oral health on Health-Related Quality of Life, Oral Health-Related Quality of Life and mental health among Polish older adults

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Barbara Malicka ◽  
Katarzyna Skośkiewicz-Malinowska ◽  
Urszula Kaczmarek
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Socioeconomic Status ◽  
Oral Health ◽  
General Health ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Abstract Background The study aims to evaluate the impact of socioeconomic status, general health and oral health parameters on Health-Related Quality of Life (HRQoL), Oral Health-Related Quality of Life (OHRQoL) and mental health in elderly urban residents of South-Western Poland. Methods The 500 residents of Wroclaw, aged 65 and older provided demographic and personal information as well as their medical history. A patient's oral condition were determined based on the clinical oral examination.Quality of Life was assessed using Euro-Quality of Life (EQ-5D), Oral Health Impact Profile-14 (OHIP-14) and Patient Health Questionnaire (PHQ-9).The association between exposure (socioeconomic status, general health and oral health) and outcome (HRQoL, OHRQoL and mental health variables) were analyzed with the use of four models: P – Poisson model, NB-Negative Binomial model, ZIP – Zero Inflated Poisson model, ZINB – Zero Inflated Negative Binomial model. Results The best model turned out to be the ZINB model, in which a negative binomial distribution in the count equation is assumed. In this model, only 13 independent variables had a significant effect on HRQoL, OHRQoL, and mental health. HRQoL assessed with the EQ-5D is significantly influenced by: living conditions 0.133 (95% CI: 0.001, 0.267, p = 0.049), income -0.348 (95%CI: -0.466, -0.230, p < 0.001), diabetes mellitus 0.437 (95%CI: 0.250, 0.624, p < 0.001), myocardial infarction 0.454 (95% CI: 0.151, 0.757, p = 0.003), stroke 0.543 (95%CI: 0.094, 0.992, p = 0.018) and renal disease 0.466 (95% CI: 0.206, 0.726, p < 0.001). Factors negatively affecting OHRQOL are: the need for oral treatment 0.278 (95%CI: 0.104, 0.452, p = 0.002), the number of missing teeth 0.053 (95%CI: 0.039, 0.067, p < 0.001) and gender 0.271 (95%CI: 0.015, 0.527, p = 0.038) and age -0.025 (95%CI: -0.042, -0.008, p = 0.003). An important factor influencing the level of depression assessed by the PHQ-9 questionnaire may be the material condition -0.225 (95%CI: -0.349, -0.101, p < 0.001). It should be emphasized that living with other people may be a factor that significantly increases the probability of avoiding the occurrence of depression symptoms. Conclusion The study concerning elderly residents of the macroregion in Poland found the impact of socioeconomic, general health and oral health parameters on Health-Related Quality of Life, Oral Health-Related Quality of Life and mental health. Research on the quality of life of the elderly at the local level allowed to assess the factors linked to quality of life of older adults.

scholarly journals ATTITUDES, EXPECTATIONS, KNOWLEDGE AND INTENTIONS REGARDING ORAL HEALTH: PERCEPTIONS OF OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S869-S869
Author(s):  
Virginia M Hardgraves ◽  
Jean Henry ◽  
Susan K Patton
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Dental Care ◽  
Health Knowledge ◽  
Program Planning ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Abstract Many adults in today’s aging cohort are maintaining their teeth into their advanced years. The advantages of fluoridated water, dental insurance, greater awareness of preventive oral healthcare, and more restorative dental services, have made this possible. The demand for oral health care services will be greater and more complex than that of previous generations. Evidence of a link between oral health and overall health underscores the need to better integrate dental care into the healthcare system. The aim of this study was to better understand these issues from the perspective of older adults (N = 26) 65 years of age and older and living independently. Semi structured interviews guided by the behavioral constructs of the Reasoned Action Approach Theory were conducted. Results from the qualitative analysis revealed five themes: 1) Difficulties accessing dental care, 2) Stoic independence, 3) Taking care of your mouth as part of overall health, 4) Relationships affecting oral health related quality of life, and 5) Supporting roles. The findings demonstrate a need to increase oral health literacy in the older adult population with attention to reducing modifiable risk factors. Understanding these behaviors and the current level of oral and overall health knowledge from the perspective of older adults, is vital to helping these individuals’ transition into increasing levels of dependency with a high level of oral health related quality of life. Public health program planning can use this information to help older adults prepare for the transitions that come with healthy aging.

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