Evidence map›Paper›PMID 34082730›Full record

ArticleBMC medical education2021

The effect of multimodal comprehensive care methodology training on oral health care professionals' empathy for patients with dementia.

Masaki Kobayashi, Mio Ito, Yasuyuki Iwasa, Yoshiko Motohashi, Ayako Edahiro, Maki Shirobe, Hirohiko Hirano, Yves Gineste, Miwako Honda

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. The effects of compassionate care on oral health outcomes: A scoping review.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
    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.

Masaki KobayashiDepartment of Geriatric Medicine, National Hospital Organization Tokyo Medical Center, Meguro-ku, Tokyo, 152-8902, Japan. Kobayashi@tmcgrc.org.ORCID http://orcid.org/0000-0001-5567-3788
Mio ItoGunma University Graduate School of Health Science, Maebashi-City, Gunma, 371-8514, Japan.
Yasuyuki IwasaDepartment of Dentistry, Haradoi Hospital, Fukuoka-City, Fukuoka, 813-8588, Japan.
Yoshiko MotohashiTokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, 173-0015, Japan.
Ayako EdahiroTokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, 173-0015, Japan.
Maki ShirobeTokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, 173-0015, Japan.
Hirohiko HiranoTokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Itabashi-ku, Tokyo, 173-0015, Japan.
Yves GinesteDepartment of Geriatric Medicine, National Hospital Organization Tokyo Medical Center, Meguro-ku, Tokyo, 152-8902, Japan.
Miwako HondaDepartment of Geriatric Medicine, National Hospital Organization Tokyo Medical Center, Meguro-ku, Tokyo, 152-8902, Japan.
Tokyo Metropolitan Geriatric Hospital · JPTokyo Medical Center · JPGunma University · JPHaradoi Hospital · JP

Funding

Japan Science and Technology Agency JPMJCR17A5 17942099
6 · The paper itself

Abstract

backgroundThe prevalence of oral diseases in people with dementia has increased, and patients with dementia have worse oral health than people without dementia. However, in the provision of oral care, these patients often exhibit care-resistant behaviours. Empathy is important for health care professionals who provide dental care for people with dementia. A study was conducted to assess whether a multimodal comprehensive care methodology training programme, Humanitude™, was associated with an improvement in empathy for people with dementia among oral health care professionals.

methodsThis research was a pre-post prospective study. A total of 45 dentists and dental hygienists participated in a 7-h multimodal comprehensive care methodology training programme. Participants' empathy for their patients was evaluated with the Jefferson Scale of Physician Empathy-Health Professionals Version (JSPE-HP) before the training and 1 month after the training (primary outcome). Each participant listed 3 patients with poor oral health due to the refusal of usual oral care or dental treatment from his or her clinical practice. The oral health of the 3 care-resistant patients listed by each participant was evaluated by the Oral Health Assessment Tool (OHAT) before the training and 1 month after the training (secondary outcome).

resultsThe post-training response rate was 87% (21 dentists and 18 dental hygienists). From pre-training to post-training, the multimodal comprehensive care methodology training significantly increased the mean empathy score (from 113.97 to 122.95, P < 0.05, effect size = 0.9). Regardless of gender, profession and years of clinical experience, all post-training subgroup scores were higher than the pre-training subgroup scores. The tongue, natural teeth, and oral hygiene scores of patients with dementia who resisted usual oral care or dental treatment, as assessed by the OHAT, were significantly improved compared with those before the training.

conclusionsThe multimodal comprehensive care methodology training was associated with an improvement in oral health professionals' empathy for patients with dementia. These findings suggest that randomized controlled trials with large sample sizes will be needed.

trial registrationUMIN Clinical Trials Registry (UMIN-CTR), UMIN000041687 . Registered 4 September 2020 - Retrospectively registered, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047586.

Indexed as

DementiaEmpathyFemaleHealth PersonnelHumansOral HealthProspective StudiesDental careEmpathyJefferson scale of physician empathyMultimodal comprehensive care methodologyOral health assessment tool

Identifiers

PMID34082730
PMCPMC8176594
OpenAlexW3165185823

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.