None listed
Conditions
Brief summary
This project aims to co-design, develop and pilot test a modified oral health assessment toolkit (M-OHAT) and referral system appropriate for aged care residents. Co-deisgn participants (preregistered study https://osf.io/2kynu) will review the existing OHAT and discuss oral health needs, drivers, and barriers to broader implementation. Utilising the data from the co-design workshops, OHAT modifications and a comprehensive training package will be developed for non-dental staff members at residential aged care facilities. The M-OHAT training and tool will be piloted for acceptability and validity with residents and staff of Australian residential aged care facilities.
Interventions
The Oral Health Assessment Tool (OHAT) is designed for use in older adult populations. OHAT assesses the integrity of oral soft tissues and teeth, and saliva quality and quantity, oral cleanliness, and dental pain; and when referral to a dental practitioner is indicated. Assessment with the OHAT involves inspection of the mouth, teeth and oral tissues, and is approximately 10-15 minutes duration. It may be conducted by non-dentally trained staff.
The Modified-OHAT (M-OHAT) is an adapted tool bas
The Oral Health Assessment Tool (OHAT) is designed for use in older adult populations. OHAT assesses the integrity of oral soft tissues and teeth, and saliva quality and quantity, oral cleanliness, and dental pain; and when referral to a dental practitioner is indicated. Assessment with the OHAT involves inspection of the mouth, teeth and oral tissues, and is approximately 10-15 minutes duration. It may be conducted by non-dentally trained staff. The Modified-OHAT (M-OHAT) is an adapted tool based on the OHAT currently under development in co-design with residential aged care consumers and staff (https://osf.io/2kynu). Co-design activities will inform modifications and the development of the associated training package. In this pilot study, residential aged care staff participants will be trained to implement the M-OHAT. The characteristics of the training will be devised based on recommendations arising from M-OHAT co-design with consumers and staff, including frequency and duration, and mode of administration. The training will be delivered by an oral health professional and adherence monitored through direct observation by the research team. At T1 (assessment), resident participants will receive an M-OHAT assessment from 1) a trained staff participant; and 2) a qualified dental practitioner. Resident participants will also receive an oral epidemiological assessment by a dental practitioner, and receive referral to treatment based on the dental practitioner's assessment, where indicated.
Sponsors
The University of Queensland
Study design
Allocation
Non-randomised trial
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
55 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Staff participants: Work in a participating residential aged care facility Have written permission from the aged care facility or participate during non-work time Resident participants: >=65 years of age (or >=55 years for people identifying as Aboriginal and/or Torres Strait Islander Reside permanently in a participating residential aged care facility Demonstrate capacity to give informed consent (i.e., score of 21 or greater on the Telephone Interview for Cognitive Status - Modified (TICS-M - Australian version) or other evidence of global capacity); OR provide consent through Enduring Power of Attorney (EPoA), Advance Health Directive (AHD), or other guardianship arrangement.
Exclusion criteria
Staff participants: <18 years old
Outcome results
None listed