Evidence map›Paper›PMID 30004139›Full record

Trial reportGerodontology2018

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

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Gerodontology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  6. Review
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  11. Review
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  14. Decision-Making concerning Involuntary Oral Care for Older Individuals with Dementia.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Mouth Care in Assisted Living: Potential Areas for Improvement.Journal of the American Medical Directors Association · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Rita A JablonskiSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID http://orcid.org/0000-0003-3829-4334
Ann M KolanowskiCollege of Nursing, The Pennsylvania State University, University Park, PA, USA.
Andres AzueroSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Vicki WinsteadSchool of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Corteza Jones-TownsendNovartis Pharmaceuticals, Birmingham, AL, USA.
Maria L GeisingerSchool of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

Reducing Care-Resistant Behaviors During Oral Hygiene in Persons with DementiaR01NR012737 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JABLONSKI, RITA A · 2011 to 2014
$1.4M
National Institute of Nursing Research R01NR012737National Institutes of HealthNINR NIH HHS R01 NR012737
6 · The paper itself

Abstract

objectivesThe 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.

backgroundPersons with dementia who exhibit CRBs are at risk for inadequate mouth care and subsequent systemic illnesses. MATERIALS AND

methodsThe 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.

resultsCompared 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).

conclusionThe 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.

Indexed as

DementiaNursing HomesOral HygieneAgedAged, 80 and overDental Care for AgedDenturesFemaleHumansMaleOral HealthTreatment Refusalcare-rejectioncare-resistant behaviourdementianursing homeoral healthresistiveness to care

Identifiers

PMID30004139
PMCPMC6289838

What OpenQuestion holds

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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.