None listed
Conditions
Brief summary
The AWESSoM Care Home Project: Oral Health multidisciplinary team comprises oral health professionals and nursing personnel. The project aims to (i) co-design and deliver preventive oral care assessment and planning, and supporting training and resources, and (ii) use mixed methods to evaluate those activities for their feasibility, acceptability, impact and sustainability. Overall, the goal of the AWESSoM Care Home Project: Oral Health is to improve the oral health-related quality of life and well-being of RAC residents in New Zealand, and to contribute to their overall health and well-being by embedding preventive oral health care policies and procedures in ARC, and promoting oral health among those working in the residential aged care workplace.
Interventions
Element 1. Oral health care assessment and development of a preventive oral health care plan that aligns with the resident’s wishes, preferences and capacity for oral self-care. This will occur within 1 week after the participant's enrolment in the study. It will be delivered by by a registered oral health therapist/dental hygienist and will involve one session lasting one hour. Mode of delivery: face to face. The recommended preventive oral care materials will be selected from standard propriet
Element 1. Oral health care assessment and development of a preventive oral health care plan that aligns with the resident’s wishes, preferences and capacity for oral self-care. This will occur within 1 week after the participant's enrolment in the study. It will be delivered by by a registered oral health therapist/dental hygienist and will involve one session lasting one hour. Mode of delivery: face to face. The recommended preventive oral care materials will be selected from standard proprietary preventive and supportive oral care products, as appropriate for each participant. These might include 5,000ppm fluoride toothpaste (for tooth decay), oral moistening preparations (for dry mouth), adaptations to oral self-care aids such as toothpastes and interdental cleaning brushes. Adherence to the intervention will be determined through verbal confirmation at the end of the study. Element 2. Single one-on-one preventive oral health care session with the participant and a nominated Wellness Partner, and if the participant wishes, a family or whanau member, to explain and demonstrate the oral hygiene care plan which arose from Element 1. Mode of delivery: face to face. It will be delivered by by a registered oral health therapist/dental hygienist and will occur 2-3 days after the initial assessment. It will take up to 1 hour. Element 3. Support sessions (as necessary) with the oral health therapist/dental hygienist to encourage, motivate and assist resident and staff participants in the daily delivery of the oral hygiene care plan; and if indicated, referral to a dentist for acute pain or infection, or suspected malignancy, and/or recommendation to consult a dentist. The number of sessions required (and their periodicity) for each participant will be determined during Element 1 (above), because the intervention is tailored to participants' needs. Mode of delivery: face to face. Typically, there are likely to be 2-5 sessions (up to 10 if necessary), with sessions anticipated to be 10-30 minutes in duration. Support sessions will be available for no longer than 2 months after enrolment in the study. Adherence to the intervention will be monitored through verbal confirmation at the end of the study.
Sponsors
University of Otago
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Residents • Receiving rest home, hospital, dementia or psychogeriatric-level support. • Aged 65 years and over. • Consents to participate. Staff • Employed on a permanent basis by the Care provider (not named here) to work in the care facilities involved, and providing and/or managing care for residents receiving rest home, hospital, dementia or psycho-geriatric-level. • Consents to participate.
Exclusion criteria
Residents • Receiving respite, palliative or end of life care. • Extremely unwell or against medical advice. • Do not consent to participate. Staff • Temporary/relief staff. • Do not consent to participate.
Outcome results
None listed