Evidence map›Paper›PMID 29970073›Full record

ArticleBMC health services research2018

An integrated oral health program for rural residential aged care facilities: a mixed methods comparative study.

Anna Tynan, Lisa Deeth, Debra McKenzie

Abstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  6. Dental Care Access and the Elderly: What Is the Role of Teledentistry? A Systematic Review.International journal of environmental research and public health · 2020
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  7. Dental Caries Experience in Older Adults With Parkinson's Disease: A Systematic Review and Meta-Analysis.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Anna TynanResearch Support Team, Darling Downs Hospital and Health Service, Baillie Henderson Hospital, PO Box 405, Toowoomba, QLD, 4350, Australia. anna.tynan@health.qld.gov.au.ORCID 0000-0002-5809-675X
Lisa DeethTele-Health Team, Darling Downs Hospital and Health Service, Baillie Henderson Hospital, PO Box 405, Toowoomba, QLD, 4350, Australia.
Debra McKenzieToowoomba Oral Health Clinic, Toowoomba Hospital, Darling Downs Hospital and Health Service, 280 Pechey Street, Toowoomba, QLD, 4350, Australia.

Funding

Toowoomba Hospital Foundation Research Scholarship Grant THF 2015 R2-05
6 · The paper itself

Abstract

backgroundPeople in residential aged care facilities (RACF) are at very high risk of developing complex oral diseases and dental problems. A multidisciplinary approach incorporating oral health professionals and RACF staff is important for improving and sustaining oral health in RACFs. However, difficulties exist with access to oral health services for RACFs, particularly those in regional and rural areas. This study investigated the impact and experience of an integrated oral health program utilising tele-dentistry and Oral Health Therapists (OHT) in RACFs in a rural setting within Australia.

methodsA mixed method comparison study was undertaken. Two hundred fifty-two clinical audits were completed across nine facilities with and without access to the integrated oral health program. Twenty-seven oral health quality of life surveys were completed with eligible residents. One focus group discussions (FGD) and eight interviews were completed with RACF staff. Thematic analysis was conducted on the transcribed FGDs and IDIs. Quantitative data were analysed using descriptive statistics.

resultsAudits showed an improved compliance to Australian Aged Care Quality Accreditation Standards for oral health in the facilities with access to the integrated program compared to those without the program. Thematic analysis revealed that facilities with the integrated program reported improvements in importance placed on OH, better access to OH services and training, and decreased disruption of residents, particularly those with high care needs.

conclusionsThe integrated oral health program incorporating OHTs and tele-dentistry shows potential to improve the oral health outcomes of residents of RACFs. Improvements for managing oral health of residents with high care needs were observed. RACFs without easy access to an oral health service will also likely benefit from the increased support and training opportunities that the program enables.

Indexed as

AdultAgedAged, 80 and overAssisted Living FacilitiesClinical AuditFemaleHealth PromotionHealth Services AccessibilityHomes for the AgedHumansMaleMiddle AgedNursing HomesOral HealthQuality of Health CareQuality of LifeOral healthResidential aged careRural healthTele-dentistry

Identifiers

PMID29970073
PMCPMC6029389

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.