Randomised clinical trial: Efficacy of strategies to provide oral hygiene activities to nursing home residents with dementia who resist mouth care

Rita A. Jablonski, Ann M. Kolanowski, Andres Azuero, Vicki Winstead, Corteza Jones-Townsend, Maria L. Geisinger

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: The purpose of this study was to test the efficacy of MOUTh (Managing Oral Hygiene Using Threat Reduction), a nonpharmacologic, relationship-based intervention vs. control on 2 primary outcomes for nursing home (NH) residents with dementia who resisted mouth care: (i) reduction in the occurrence and intensity of care-resistant behaviours (CRBs) and (ii) improvement in oral health. Two secondary outcomes were also examined: (i) the duration of mouth care and (ii) the completion of oral hygiene activities. Background: Persons with dementia who exhibit CRBs are at risk for inadequate mouth care and subsequent systemic illnesses. Materials and methods: The study used a randomised repeated measures design. Recruitment occurred in 9 nursing homes that varied in size, ownership, reimbursement patterns and location. One hundred and one nursing home residents with dementia were randomised at the individual level to experimental (n = 55) or control groups (n = 46). One hundred participants provided data for the analyses. Results: Compared to the control group, persons in the experimental group had twice the odds of allowing mouth care and completing oral hygiene activities; they also allowed longer duration of mouth care (d = 0.56), but showed only small reductions in the intensity of CRBs (d = 0.16) and small differential improvements in oral health (d = 0.18). Conclusion: The data suggest that this intervention facilitates mouth care among persons with dementia. The management of refusal behaviour may be a clinically more realistic approach than reducing or eradicating refusals.

Original languageEnglish (US)
Pages (from-to)365-375
Number of pages11
JournalGerodontology
Volume35
Issue number4
DOIs
StatePublished - Dec 2018

Fingerprint

Oral Hygiene
Nursing Homes
Dementia
Mouth
Randomized Controlled Trials
Oral Health
Primary Nursing
Control Groups
Ownership
Risk-Taking

All Science Journal Classification (ASJC) codes

  • Dentistry(all)
  • Geriatrics and Gerontology

Cite this

Jablonski, Rita A. ; Kolanowski, Ann M. ; Azuero, Andres ; Winstead, Vicki ; Jones-Townsend, Corteza ; Geisinger, Maria L. / Randomised clinical trial : Efficacy of strategies to provide oral hygiene activities to nursing home residents with dementia who resist mouth care. In: Gerodontology. 2018 ; Vol. 35, No. 4. pp. 365-375.
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Randomised clinical trial : Efficacy of strategies to provide oral hygiene activities to nursing home residents with dementia who resist mouth care. / Jablonski, Rita A.; Kolanowski, Ann M.; Azuero, Andres; Winstead, Vicki; Jones-Townsend, Corteza; Geisinger, Maria L.

In: Gerodontology, Vol. 35, No. 4, 12.2018, p. 365-375.

Research output: Contribution to journalArticle

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T2 - Efficacy of strategies to provide oral hygiene activities to nursing home residents with dementia who resist mouth care

AU - Jablonski, Rita A.

AU - Kolanowski, Ann M.

AU - Azuero, Andres

AU - Winstead, Vicki

AU - Jones-Townsend, Corteza

AU - Geisinger, Maria L.

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