Evidence map›Paper›PMID 40968709›Full record

ArticleGerodontology2026

Caregivers' Experiences With Involuntary Oral Care for Individuals With Dementia Within the Dutch Care and Coercion Act.

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

Abstract read
In one paragraph

Article in Gerodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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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

1 citing paper in PubMed.

  1. 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, Groningen, the Netherlands.ORCID https://orcid.org/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, Groningen, the Netherlands.
David J MantonDepartment of Cariology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Anita VisserDepartment of Gerodontology, Center for Dentistry and Oral Hygiene, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Funding

University Medical Center Groningen
6 · The paper itself

Abstract

backgroundIndividuals with dementia frequently show care-resistant behaviour toward the provision of oral care. Providing oral care despite care-resistant behaviour is legally considered to be involuntary oral care. In the Netherlands, the provision of involuntary oral care to incapacitated individuals with dementia is regulated by the Care and Coercion Act (CCA) since 2020.

objectiveThis study aimed to assess how care providers experienced the CCA in the context of involuntary oral care for individuals with dementia.

methods32 one-on-one semi-structured interviews were conducted with different care providers involved in oral care for incapacitated individuals with dementia.

resultsThrough the interviews, multiple experiences concerning the CCA were identified. These experiences were related to: (1) awareness of involuntary care, (2) implementation of the law, (3) definitions, (4) circumvention of the law and (5) responsibility for involuntary care.

conclusionThe CCA creates awareness about involuntary oral care among care providers. However, many care providers view the legal definitions differently, causing variation in the interpretations and applications of the legislation. Also, several care providers feel that the law could result in quicker discontinuation of oral care provision. Care organisations and policymakers should provide clarity concerning the legal definitions and provide training on legislation and the provision of oral health care in cases of care-resistant behaviour.

Indexed as

Attitude of Health PersonnelCaregiversCoercionDementiaInvoluntary TreatmentFemaleHumansInterviews as TopicMaleMiddle AgedNetherlandsQualitative Researchcare‐resistant behaviourdementiainvoluntary oral carelegislationoral health care

Identifiers

PMID40968709
PMCPMC12872970

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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.