Improving the oral health of residents with intellectual and developmental disabilities: an oral health strategy and pilot study.
Improving the oral health of residents with intellectual and developmental disabilities: an oral health strategy and pilot study.
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改善智力和发育障碍居民的口腔健康：口腔健康战略和试点研究。
DOI：
10.1016/j.evalprogplan.2014.07.003
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发表时间：
2014-12
影响因子：
1.6
通讯作者：
Zaksek, Brigit
中科院分区：
文献类型：
--
作者：
Binkley, Catherine J.;Johnson, Knowlton W.;Abadi, Melissa;Thompson, Kirsten;Shamblen, Stephen R.;Young, Linda;Zaksek, Brigit
关键词：
本文介绍了一个口腔健康（OH）的战略和试点研究，重点是个人的智力和/或发育障碍（IDD）生活在集体家园。该战略包括四个组成部分：（1）以行为合同和护理人员OH行动计划的形式计划的行动;（2）通过教学和观察学习培训进行能力建设;（3）环境适应，包括额外的口腔健康设备和策略，以创造一个平静的气氛;（4）通过培训后辅导进行强化。进行了一项试点研究，包括前和后评估数据收集一周前和一周后实施一个月的OH战略。研究样本包括11组家庭与21名照顾者和25名居民与IDD从一个服务机构在中西部城市。过程评价发现高质量的实施OH战略的剂量，保真度和护理人员的反应，以实施该战略。使用重复的横截面和重复测量分析，我们发现统计上显着的积极变化，OH状态和口腔卫生习惯的居民。作为改变机制的护理人员自我效能没有得到充分评估;然而，在评估的一些但并非所有类型的护理人员OH支持中发现了积极的变化。从实施试点研究干预和评价的经验教训进行了讨论，是在进行OH战略的有效性研究的下一步。
This article presents an oral health (OH) strategy and pilot study focusing on individuals with intellectual and/or developmental disabilities (IDD) living in group homes. The strategy consists of four components: (1) planned action in the form of the behavioral contract and caregiver OH action planning; (2) capacity building through didactic and observation learning training; (3) environmental adaptations consisting of additional oral heath devices and strategies to create a calm atmosphere; and (4) reinforcement by post-training coaching. A pilot study was conducted consisting of pre- and post-assessment data collected one week before and one week after implementing a one-month OH strategy. The study sample comprised 11 group homes with 21 caregivers and 25 residents with IDD from one service organization in a Midwestern city. A process evaluation found high-quality implementation of the OH strategy as measured by dosage, fidelity, and caregiver reactions to implementing the strategy. Using repeated cross-sectional and repeated measures analyses, we found statistically significant positive changes in OH status and oral hygiene practices of residents. Caregiver self-efficacy as a mechanism of change was not adequately evaluated; however, positive change was found in some but not all types of caregiver OH support that were assessed. Lessons learned from implementing the pilot study intervention and evaluation are discussed, as are the next steps in conducting an efficacy study of the OH strategy.
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DOI：
10.14219/jada.archive.2005.0291
发表时间：
2005-07-01
影响因子：
3.9
作者：
Pezzememti, ML;Fisher, MA
通讯作者：
Fisher, MA
DOI：
10.1111/j.1754-4505.2002.tb00268.x
发表时间：
2002-09-01
期刊：
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
影响因子：
--
作者：
Andersson, Pia;Hallberg, Ingalill R;Renvert, Stefan
通讯作者：
Renvert, Stefan
影响因子：
22.4
作者：
BOLLEN, K;LENNOX, R
通讯作者：
LENNOX, R
影响因子：
1.8
作者：
Fickert, Nancy A.;Ross, Diana
通讯作者：
Ross, Diana
DOI：
10.1111/j.1754-4505.1985.tb00586.x
发表时间：
1985-11-01
期刊：
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
影响因子：
--
作者：
Girgis, S S
通讯作者：
Girgis, S S