Evidence map›Paper›PMID 32558061›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

A qualitative exploration of oral health care among stroke survivors living in the community.

Lucy O'Malley, Rachael Powell, Sharon Hulme, Matthew Lievesley, Wendy Westoby, Jess Zadik, Audrey Bowen, Paul Brocklehurst, Craig J Smith

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07382089 (Effect of Oral Hygiene Care on Aspiration Pneumonia Among Hospitalized Stroke Patients), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
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.

NCT07382089 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Oral Hygiene Care on Aspiration Pneumonia Among Hospitalized Stroke Patients: A Quasi-Experimental Study With Historical Controls

TypeinterventionalSponsorAddis Ababa UniversityRan2023 to 2024Enrolled90ConditionsStroke, Aspiration PneumoniaArmsOral hygiene care bundle
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. A qualitative exploration of oral health care among stroke survivors living in the community.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
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

9 authors at 4 institutions in 1 country.

Lucy O'MalleyDivision of Dentistry, School of Medical Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.ORCID 0000-0003-3057-3814
Rachael PowellDivision of Psychology & Mental Health, School of Health Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.ORCID 0000-0002-8023-8873
Sharon HulmeDivision of Cardiovascular Sciences, School of Medical Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.ORCID 0000-0003-3056-1653
Matthew LievesleySchool of Design, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0001-9724-6418
Wendy WestobyPublic Contributor, Leigh, UK.
Jess ZadikSalford Royal NHS Foundation Trust, Salford, UK.ORCID 0000-0001-5092-7646
Audrey BowenDivision of Neuroscience & Experimental Psychology, School of Biological Sciences, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK.ORCID 0000-0003-4075-1215
Paul BrocklehurstNWORTH Clinical Trials Unit, University of Bangor, Bangor, UK.ORCID 0000-0003-1878-9030
Craig J SmithSalford Royal NHS Foundation Trust, Salford, UK.ORCID 0000-0002-9078-9919
Manchester Academic Health Science Centre · GBBangor University · GBNorthumbria University · GBSalford Royal NHS Foundation Trust · GB

Funding

Department of Health PB-PG-0815-20017
6 · The paper itself

Abstract

backgroundDental disease is highly prevalent in people with stroke. Stroke survivors regard oral hygiene as an important, yet neglected, area. The aim was to explore experiences of and barriers to oral care, particularly in relation to oral hygiene practice and dental attendance, among stroke survivors in the community.

methodsThis was a qualitative study incorporating a critical realist approach. Interviews were conducted with community-dwelling stroke survivors requiring assistance with activities of daily living, and focus groups were held with health and care professionals. Interviews and focus groups were recorded and transcribed verbatim. Thematic analysis was conducted.

resultsTwenty-three stroke survivors were interviewed, and 19 professionals took part in 3 focus groups. Professionals included nurses, speech and language therapists, occupational therapists, dieticians, professional carers and dental staff. Interviews revealed difficulties in carrying out oral hygiene self-care due to fatigue, forgetfulness and limb function and dexterity problems. Routine was considered important for oral hygiene self-care and was disrupted by hospitalization resulting from stroke. Professionals highlighted gaps in staff training and confidence in supporting patients with oral care. Access to dental services appeared particularly problematic for those who were not registered with a dentist pre-stroke.

conclusionOral hygiene routines may be disrupted by stroke, and resulting disabilities may make regular oral self-care more difficult. This study has identified specific barriers to oral hygiene self-care and dental service access. Findings from this study are feeding into the development of an intervention to support stroke survivors with oral care.

Indexed as

StrokeStroke RehabilitationActivities of Daily LivingDelivery of Health CareHumansQualitative ResearchSurvivorsbehaviourdentistoral healthoral hygienequalitative researchstrokestroke rehabilitationtoothbrushing

Identifiers

PMID32558061
PMCPMC7696142
OpenAlexW3021683737

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.