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- Grönbeck-Linden, Ingela, 1955, et al.
(författare)
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Factors Affecting Older Persons’ Ability to Manage Oral Hygiene: A Qualitative Study
- 2017
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Ingår i: JDR Clinical & Translational Research. - : SAGE Publications. - 2380-0844 .- 2380-0852. ; 2:3, s. 223-32
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Tidskriftsartikel (refereegranskat)abstract
- A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working with elderly persons. The fourth group was made up of elderly people (72–89 years). Content analysis was used to analyze the data. The latent content was formulated into the core category, “oral hygiene—a complex activity.” Three categories emerged: “psychological,” “environmental,” and “functional” dimensions. The psychological dimension described attitude/motivation, emotions, and cognitive factors. The environmental dimension included practical conditions and social context. The functional dimension dealt with bodily and oral function as well as the senses. In conclusion, self-care with respect to oral hygiene is a complex activity for elderly persons and includes a large number of factors. These factors should be taken into consideration when developing a future oral hygiene ability index.
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| 2. |
- Grönbeck-Linden, Ingela, 1955, et al.
(författare)
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Development of an instrument to assess oral hygiene ability in older adults: The oral hygiene ability instrument
- 2020
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Ingår i: Gerodontology. - : Wiley. - 0734-0664 .- 1741-2358. ; 37:1, s. 19-27
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To describe the development process of an instrument to assess the ability to manage daily oral hygiene and the cause of impaired oral hygiene. The instrument is initially aimed for use by the dental team in the ageing population. Background: Oral hygiene is an important component of oral health. Inability to manage oral hygiene combined with other risk factors often results in poor oral health and impaired quality of life. Methods: A guideline for instrument development was used during the construction of the instrument. The method included three phases: I. planning: the purpose and target group of the instrument were determined, and a literature review and qualitative focus-group study were conducted; II. construction: objectives were formulated, and a pool of items was built; and III. evaluation and validation, which included two pilot studies, interviews, item analyses and revision of the instrument. Results: The planning and construction phases resulted in an instrument with 47 items comprising three parts: (a) interview, (b) clinical examination and (c) observation of activities of daily living (oral hygiene). After two pilot studies, the instrument was found to have good content validity. Analyses of qualitative and quantitative data resulted in a reduction in the number of items to 33. Conclusion: OHAI can be a valuable tool as a preventive method to identify older adults at risk of impaired oral health. However, the instrument needs further evaluation before wider use. © 2019 Gerodontology Association and John Wiley & Sons Ltd
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| 3. |
- Grönbeck-Linden, Ingela, 1955, et al.
(författare)
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Development of the Oral Hygiene Ability Index (OHAI).
- 2018
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Ingår i: 96th General Session of the International Association for Dental Research, IADR. 25-28 July 2018, London, England.
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Konferensbidrag (refereegranskat)
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| 4. |
- Grönbeck-Linden, Ingela, 1955, et al.
(författare)
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Discontinued dental attendance among elderly people in Sweden
- 2016
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Ingår i: Journal of International Society of Preventive and Community Dentistry. - : Medknow. - 2231-0762. ; 6:3, s. 224-229
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Tidskriftsartikel (refereegranskat)abstract
- Aim: Our objective was to study the loss of dental attendance and a possible age trend among patients aged >= 65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria. Materials and Methods: Data were collected for all patients (n = 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004u2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM). Results: Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65u79 and 21% >= 80). The decrease in regular dental contact had a statistically significant association with increasing age (P < 0.001). Conclusion: A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system.
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| 5. |
- Grönbeck Lindén, Ingela, et al.
(författare)
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Evaluation of the Oral Hygiene Ability Instrument (OHAI) : Test of reliability
- 2024
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Ingår i: International Journal of Dental Hygiene. - : Wiley-Blackwell Publishing Ltd. - 1601-5029 .- 1601-5037.
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Tidskriftsartikel (refereegranskat)abstract
- Objectives : To evaluate the reliability of the new Oral Hygiene Ability Instrument (OHAI) developed to assess the cause of any inability for older adults to manage oral hygiene self-care. Oral hygiene is an important part of oral health. The inability to manage oral hygiene, combined with other risk factors, often results in poor oral health and impaired quality of life. A reliable OHAI could benefit preventive oral health care. Methods : The preliminary OHAI uses 33 items in three parts: (I) interview, (II) clinical examination and (III) observation of oral hygiene activities. A total of 37 older adults participated in a test-retest study of Part I. Inclusion criteria were age ≥ 65 years, have at least one tooth and be able to oral hygiene self-care. The intra- and inter-rater reliability of parts II and III used films and photographs of OHAI assessments of 15 different individuals. These films/photographs were assessed twice by four dental professionals who had participated in the OHAI data collection. For statistical analyses of the reliability, per cent agreement, Krippendorff's alpha and E. Svensson's method were used. Results : The test-retest for Part I items showed acceptable-to-good agreement and no systematic disagreement. In Part II, two items showed somewhat limited reliability. Part III showed good intra- and inter-rater reliability. Conclusion : The OHAI items seem stable and reliable for the intended sample, and the instrument may be a valuable tool to identify older adults at risk of impaired oral health. However, two items may need to be reformulated.
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