Evidence map›Paper›PMID 40238627›Full record

ArticleInternational journal of environmental research and public health2025

Barriers and Facilitators Concerning Involuntary Oral Care for Individuals with Dementia: A Qualitative Study.

Maud Jonker, Coos Engelsma, David J Manton, Anita Visser

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

4 authors.

Maud JonkerDepartment of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.ORCID 0000-0002-2108-8641
Coos EngelsmaMedical Ethics and Decision Making, Department of Ethics, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.ORCID 0000-0002-0382-6727
David J MantonDepartment of Cariology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.ORCID 0000-0002-4570-0620
Anita VisserDepartment of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, 9713 AV Groningen, The Netherlands.ORCID 0000-0002-8676-2334

Funding

University Medical Centrum Groningen n/a
6 · The paper itself

Abstract

Many individuals with dementia show care-resistant behavior toward oral care, while care providers are often reluctant to provide it involuntarily, risking negative health outcomes. This study aims to identify the barriers and facilitators of providing involuntary oral care for individuals with dementia who show care-resistant behavior. In total, 32 semi-structured one-on-one interviews with healthcare providers were conducted. Through the interviews, multiple barriers and facilitators were identified and divided into four main themes, each containing multiple sub-themes: (1) communication (between dental and non-dental care providers, and amongst non-dental care providers themselves), (2) logistics (materials, transportation, and staff and time), (3) knowledge (training, awareness of oral health problems, and assessment of severity of oral health problems), and (4) oral care provision (psychology care providers, attitude concerning involuntary oral care, ethical and legal considerations, and sedation). Our study shed more light on the barriers and facilitators regarding involuntary oral care provision to older individuals with dementia. Multiple recommendations were provided, including designating nurses to help monitor oral health, involving dental professionals in multidisciplinary team meetings, discussing a shift in attitude concerning oral care, providing clear guidelines and protocols for sedation and daily oral care provision, and performing more research into involuntary oral care.

Indexed as

DementiaHealth PersonnelAdultAgedAttitude of Health PersonnelFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedOral HealthQualitative Researchcare-resistant behaviordementiaelderlyinvoluntary oral carenursing homesoral health care

Identifiers

PMID40238627
PMCPMC11942383

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.