Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients: A Randomized Controlled Trial
We quantified the effectiveness of an oral health intervention among home care recipients. Seven German insurance funds invited home care recipients to participate in a two-arm randomized controlled trial. At t0, the treatment group (TG) received an intervention comprising an oral health assessment,...
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| Veröffentlicht in: | International journal of environmental research and public health 2021-09, Vol.18 (17), p.9339 |
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| creator | Czwikla, Jonas Herzberg, Alexandra Kapp, Sonja Kloep, Stephan Rothgang, Heinz Nitschke, Ina Haffner, Cornelius Hoffmann, Falk |
| description | We quantified the effectiveness of an oral health intervention among home care recipients. Seven German insurance funds invited home care recipients to participate in a two-arm randomized controlled trial. At t0, the treatment group (TG) received an intervention comprising an oral health assessment, dental treatment recommendations and oral health education. The control group (CG) received usual care. At t1, blinded observers assessed objective (Oral Health Assessment Tool (OHAT)) and subjective (Oral Health Impact Profile (OHIP)) oral health and the objective periodontal situation (Periodontal Screening Index (PSI)). Of 9656 invited individuals, 527 (5.5%) participated. In the TG, 164 of 259 (63.3%) participants received the intervention and 112 (43.2%) received an outcome assessment. In the CG, 137 of 268 (51.1%) participants received an outcome assessment. The OHAT mean score (2.83 vs. 3.31, p = 0.0665) and the OHIP mean score (8.92 vs. 7.99, p = 0.1884) did not differ significantly. The prevalence of any periodontal problems (77.1% vs. 92.0%, p = 0.0027) was significantly lower in the TG than in the CG, but the prevalence of periodontitis was not (35.4% vs. 44.6%, p = 0.1764). Future studies should investigate whether other recruitment strategies and a more comprehensive intervention might be more successful in improving oral health among home care recipients. |
| doi_str_mv | 10.3390/ijerph18179339 |
| format | Article |
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Seven German insurance funds invited home care recipients to participate in a two-arm randomized controlled trial. At t0, the treatment group (TG) received an intervention comprising an oral health assessment, dental treatment recommendations and oral health education. The control group (CG) received usual care. At t1, blinded observers assessed objective (Oral Health Assessment Tool (OHAT)) and subjective (Oral Health Impact Profile (OHIP)) oral health and the objective periodontal situation (Periodontal Screening Index (PSI)). Of 9656 invited individuals, 527 (5.5%) participated. In the TG, 164 of 259 (63.3%) participants received the intervention and 112 (43.2%) received an outcome assessment. In the CG, 137 of 268 (51.1%) participants received an outcome assessment. The OHAT mean score (2.83 vs. 3.31, p = 0.0665) and the OHIP mean score (8.92 vs. 7.99, p = 0.1884) did not differ significantly. The prevalence of any periodontal problems (77.1% vs. 92.0%, p = 0.0027) was significantly lower in the TG than in the CG, but the prevalence of periodontitis was not (35.4% vs. 44.6%, p = 0.1764). Future studies should investigate whether other recruitment strategies and a more comprehensive intervention might be more successful in improving oral health among home care recipients.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18179339</identifier><identifier>PMID: 34501925</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Clinical trials ; Cooperation ; Dental care ; Dental insurance ; Dentists ; Dentures ; Gum disease ; Health education ; Health promotion ; Intervention ; Nursing homes ; Oral hygiene ; Pain ; Periodontitis ; Quality of life ; Teeth ; Tongue</subject><ispartof>International journal of environmental research and public health, 2021-09, Vol.18 (17), p.9339</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-3c499c69caf2e3ede02caab5630ea224ef66b64019f960e4c9bf4a7647e48f6f3</citedby><cites>FETCH-LOGICAL-c395t-3c499c69caf2e3ede02caab5630ea224ef66b64019f960e4c9bf4a7647e48f6f3</cites><orcidid>0000-0001-7262-3838 ; 0000-0001-6529-2129 ; 0000-0003-0182-5373</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430536/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430536/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Czwikla, Jonas</creatorcontrib><creatorcontrib>Herzberg, Alexandra</creatorcontrib><creatorcontrib>Kapp, Sonja</creatorcontrib><creatorcontrib>Kloep, Stephan</creatorcontrib><creatorcontrib>Rothgang, Heinz</creatorcontrib><creatorcontrib>Nitschke, Ina</creatorcontrib><creatorcontrib>Haffner, Cornelius</creatorcontrib><creatorcontrib>Hoffmann, Falk</creatorcontrib><title>Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients: A Randomized Controlled Trial</title><title>International journal of environmental research and public health</title><description>We quantified the effectiveness of an oral health intervention among home care recipients. Seven German insurance funds invited home care recipients to participate in a two-arm randomized controlled trial. At t0, the treatment group (TG) received an intervention comprising an oral health assessment, dental treatment recommendations and oral health education. The control group (CG) received usual care. At t1, blinded observers assessed objective (Oral Health Assessment Tool (OHAT)) and subjective (Oral Health Impact Profile (OHIP)) oral health and the objective periodontal situation (Periodontal Screening Index (PSI)). Of 9656 invited individuals, 527 (5.5%) participated. In the TG, 164 of 259 (63.3%) participants received the intervention and 112 (43.2%) received an outcome assessment. In the CG, 137 of 268 (51.1%) participants received an outcome assessment. The OHAT mean score (2.83 vs. 3.31, p = 0.0665) and the OHIP mean score (8.92 vs. 7.99, p = 0.1884) did not differ significantly. The prevalence of any periodontal problems (77.1% vs. 92.0%, p = 0.0027) was significantly lower in the TG than in the CG, but the prevalence of periodontitis was not (35.4% vs. 44.6%, p = 0.1764). Future studies should investigate whether other recruitment strategies and a more comprehensive intervention might be more successful in improving oral health among home care recipients.</description><subject>Clinical trials</subject><subject>Cooperation</subject><subject>Dental care</subject><subject>Dental insurance</subject><subject>Dentists</subject><subject>Dentures</subject><subject>Gum disease</subject><subject>Health education</subject><subject>Health promotion</subject><subject>Intervention</subject><subject>Nursing homes</subject><subject>Oral hygiene</subject><subject>Pain</subject><subject>Periodontitis</subject><subject>Quality of life</subject><subject>Teeth</subject><subject>Tongue</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkUtLAzEUhYMoWh9b1wE3bqqZSSbTuBCkVlsQBKnrkKY3NmUmGZO0or_eqEWsq_v6cjg3F6HTglxQKsilXULoFsWgqEWud1Cv4Jz0GSfF7p_8AB3GuCSEDhgX--iAsooUoqx66G1kDOhk1-AgRuwNVvgWXFINnrgEIfeT9Q4njydtF_wa8GPIwzGoJi2war17wWPfAh6qAPgJtO1sfhOv8A1-Um7uW_sBczz0LgXfNDmdBquaY7RnVBPhZBOP0PPdaDoc9x8e7yfDm4e-pqJKfaqZEJoLrUwJFOZASq3UrOKUgCpLBobzGWd5GSM4AabFzDBVc1YDGxhu6BG6_tHtVrMW5jpby_ZlF2yrwrv0ysrtibML-eLXcsAoqSjPAucbgeBfVxCTbG3U0DTKgV9FWVZ1_smyqGlGz_6hS78KLq_3TRFRE1Fl6uKH0sHHGMD8mimI_Lqp3L4p_QQq0pYN</recordid><startdate>20210903</startdate><enddate>20210903</enddate><creator>Czwikla, Jonas</creator><creator>Herzberg, Alexandra</creator><creator>Kapp, Sonja</creator><creator>Kloep, Stephan</creator><creator>Rothgang, Heinz</creator><creator>Nitschke, Ina</creator><creator>Haffner, Cornelius</creator><creator>Hoffmann, Falk</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7262-3838</orcidid><orcidid>https://orcid.org/0000-0001-6529-2129</orcidid><orcidid>https://orcid.org/0000-0003-0182-5373</orcidid></search><sort><creationdate>20210903</creationdate><title>Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients: A Randomized Controlled Trial</title><author>Czwikla, Jonas ; 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The prevalence of any periodontal problems (77.1% vs. 92.0%, p = 0.0027) was significantly lower in the TG than in the CG, but the prevalence of periodontitis was not (35.4% vs. 44.6%, p = 0.1764). Future studies should investigate whether other recruitment strategies and a more comprehensive intervention might be more successful in improving oral health among home care recipients.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>34501925</pmid><doi>10.3390/ijerph18179339</doi><orcidid>https://orcid.org/0000-0001-7262-3838</orcidid><orcidid>https://orcid.org/0000-0001-6529-2129</orcidid><orcidid>https://orcid.org/0000-0003-0182-5373</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Clinical trials Cooperation Dental care Dental insurance Dentists Dentures Gum disease Health education Health promotion Intervention Nursing homes Oral hygiene Pain Periodontitis Quality of life Teeth Tongue |
| title | Effectiveness of a Dental Intervention to Improve Oral Health among Home Care Recipients: A Randomized Controlled Trial |
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