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Shared Oral Care - Improving Oral Care in Institutionalized Elderly in Aalborg Municipality

Not Applicable
Conditions
Oral Health
Quality of Life
Interventions
Other: Shared Oral Care intervention
Registration Number
NCT03407339
Lead Sponsor
Aalborg University
Brief Summary

Background:

Nationally and internationally, more people over the age of 65 and especially an increase of people over the age of 80 enter nursing homes with natural dentition and complex prostheses and bridges than previous generations. Furthermore, there is an increased incidence of dental diseases in the elderly. This is leading to increased and different oral care needs. There is a large discrepancy between the elderly who need help with oral hygiene and the elderly who actually receive help. In order to improve the oral hygiene competencies of healthcare professionals at nursing homes, it is necessary to increase their education and improve organizational strategies.

Hypothesis:

The Intervention Shared Oral Care improves the elderlys bleeding and plaque index after 6 months.

Study type:

An intervention study.

A cluster randomization of 14 nursing homes in Aalborg municipality is carried out.

Outcome Measures:

Change in mucosal-plaque score (MPS) index

Change in Oral Related Quality of life

Outcome Measure Time Frame:

Change in mucosal-plaque score index measured at 0, 3 and 6 months.

Change in Oral Related Quality of life measured at 0 and 6 months.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
258
Inclusion Criteria
  • Elderly living in nursing homes in Aalborg Municipality Having one or more natural dentition
Exclusion Criteria
  • no natural dentition

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Shared Oral Care InterventionShared Oral Care intervention-
Primary Outcome Measures
NameTimeMethod
Change from baseline at 3 and 6 months in MPS indexbaseline, 3 and 6 months

Mucosal Plaque Score Mucosal Score, MS (score 1-4), and Plaque Score, PS (score 1-4). The sum of MS and PS is labeled MI'S (score 2-8). An MPS status is judged as good or acceptable when MI'S = 2-4, as unacceptable when MPS = 5-6, and as poor when MI'S = 7-8.

Change from baseline at 6 months in modified Oral Health Impact Profile (OHIP14)baseline and 6 months

modified Oral Health Impact Profile (OHIP14)

The modified Oral Health Impact Profile:

1. Have you had painful aching in your mouth?

2. Do you have trouble biting or chewing any kinds of food, such as firm meat or apples?

3. Do you limit the kinds or amounts of food you eat because of problems with your dentures?

4. How often are your teeth or gums sensitive to hot, cold, or sweets?

Responses are made in a five point scale:

Very often = 4 Often = 3 Sometimes = 2 Seldom = 1 Never = 0 Do to cognitively impaired elderly the response "I don't know" is added to each question coded 9.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Aalborg University

🇩🇰

Aalborg, Nordjylland, Denmark

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