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1.
Spec Care Dentist ; 39(1): 28-33, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30427556

RESUMO

PURPOSE/AIM: Ageism negatively affects health care. This paper presents an extended validation of a novel scale assessing ageism among dental students. METHOD AND MATERIALS: A previously pilot-tested 27-question scale applied to a larger sample (n = 315) from two U.S. dental schools with Principal Component Analysis used to assess internal structure of the measure. Questions whose deletion increased the overall α loading on >1 factor or those unexpectedly grouped in another factor were thoroughly examined. RESULTS: The scale resulted in five statements (grouped in two factors), which explained 63% of the overall variance with a substantially higher reliability value than other solutions (0.76). Two factors highly correlated were grouped together in a single scale. The five statements are "Elderly people do not take good care of their teeth" (0.62), "Elderly patients do not usually comply with dental advice" (0.93), "The Elderly patient does not live long enough to make it worthwhile to invest time and effort in complex dental treatment" (0.81), "The elderly patient does not live long enough to make it worthwhile to invest money in expensive dental treatment" (0.95), and "Dental treatment of elderly patients is too time-consuming" (0.57). CONCLUSIONS: Five items achieved high reliability toward the validity of this scale.


Assuntos
Ageismo , Assistência Odontológica para Idosos/psicologia , Estudantes de Odontologia/psicologia , Adulto , Feminino , Humanos , Iowa , Kansas , Masculino , Análise de Componente Principal , Reprodutibilidade dos Testes , Inquéritos e Questionários
2.
Spec Care Dentist ; 38(1): 31-35, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29314164

RESUMO

PURPOSE/AIM: This work presents the preliminary validation of a novel scale assessing ageism attitudes among dental students. METHOD AND MATERIALS: A 27-question scale was created based on existing ageism scales. The new ageism scale was applied to 144 dental students. Content validity was achieved by experts' consensus. Questions whose deletion increased the overall α, loading < 0.40, loading on more than one factors, or those unexpectedly grouped in another factor were thoroughly examined. Principal Component Analysis assessed internal structure of the measure. RESULTS: The final ageism scale included four items in a single factor that explained 58.5% of the overall variance with substantially higher reliability than other factors. The Cronbach's α for this single four-items factor was 0.75. CONCLUSIONS: This preliminary analysis of a novel ageism scale for dental professionals pointed to four items achieving high reliability, providing guidance for a future definitive validation study with a larger sample.


Assuntos
Ageismo/psicologia , Atitude do Pessoal de Saúde , Assistência Odontológica para Idosos/psicologia , Estudantes de Odontologia/psicologia , Adulto , Feminino , Humanos , Masculino , Análise de Componente Principal , Inquéritos e Questionários
3.
Gerodontology ; 34(3): 326-333, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28393387

RESUMO

OBJECTIVE: The aim of this study was to explore students' reflective thinking about long-term care experiences from the perspective of a model of oral health. MATERIALS AND METHODS: A total of 186 reflections from 193 second-year undergraduate dental students enrolled between 2011/12 and 2014/15 at the University of British Columbia were explored qualitatively. Reflections had a word limit of 300, and students were asked to relate an existing model of oral health to their long-term care experiences. We have identified the main ideas via a thematic analysis related to the geriatric dentistry experience in long-term care. RESULTS: The thematic analysis revealed that students attempted to demystify their pre-conceived ideas about older people and long-term care facilities, to think outside the box, for example away from a typical dental office, and to consider caring for elderly people from an interprofessional lens. According to some students, not all domains from the existing model of oral health were directly relevant to their geriatric experience while other domains, including interprofessionalism and cognition, were missing. While some participants had a positive attitude towards caring for this cohort of the population, others did not take this educational activity as a constructive experience. CONCLUSIONS: The nature of most students' reflective thinking within a long-term care experience showed to be related to an existing model of oral health. This model can help to give meaning to the dental geriatric experience of an undergraduate curriculum. Such experience has been instrumental in overcoming potential misconceptions about long-term care and geriatric dentistry.


Assuntos
Assistência Odontológica para Idosos/psicologia , Assistência de Longa Duração , Saúde Bucal , Estudantes de Odontologia/psicologia , Idoso , Atitude do Pessoal de Saúde , Humanos , Assistência de Longa Duração/psicologia , Modelos Teóricos
4.
Gerodontology ; 34(1): 33-41, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26763582

RESUMO

OBJECTIVE: The aims of the study were twofold: to explore African migrant carers' perceptions of oral health who worked in residential aged care and to investigate their perspectives of oral care for aged care residents. BACKGROUND: Culturally and linguistically diverse (CALD) carers are strongly represented in Australian residential aged care facilities. METHODS: Exploratory qualitative research targeted carers from African backgrounds working in residential aged care facilities in Perth, Western Australia. Fifteen African carers were recruited through community networks and participated in semistructured interviews. Data were analysed for key themes related to the study's aims noting similarities and differences between participants. RESULTS: All participants considered oral health important to individual well-being and quality of life. Most had limited knowledge of prevention and early detection of oral disease resulting from regular dental check-ups with the majority visiting dental professionals only for dental pain. Yet participants considered oral health care for residents needed improvement. Suggestions included dental professionals on staff and training and professional development for all staff not just in oral health care but also in working respectfully and sensitively with residents and staff from CALD backgrounds. CONCLUSION: Our findings suggest that, to ensure residents receive high quality oral health care, ongoing professional development is required, not only for CALD carers in oral health but also for non-CALD staff in care that is respectful of cultural differences.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Idosos , Pessoal de Saúde/psicologia , Instituições Residenciais , Adulto , Grupo com Ancestrais do Continente Africano/psicologia , Idoso , Cultura , Assistência Odontológica para Idosos/psicologia , Emigrantes e Imigrantes/psicologia , Feminino , Humanos , Entrevistas como Assunto , Idioma , Masculino , Pessoa de Meia-Idade , Saúde Bucal , Pesquisa Qualitativa , Austrália Ocidental , Adulto Jovem
5.
Gerodontology ; 34(1): 90-100, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27198056

RESUMO

OBJECTIVES: We explored the following research questions: (i) what challenges do dentists face when providing oral health care to dependent older adults; and (ii) to overcome those challenges, what recommendations would dentists providing care give those planning and implementing oral health policy and services for dependent older adults? BACKGROUND: The dentate older population is steadily increasing, and about half will end up in residential care, where dental caries rates over time are at least twice as great as those observed elsewhere. MATERIALS AND METHODS: A qualitative study was used, with semi-structured interviews conducted by a single interviewer. Dental examiners in a recent national survey of oral health in dependent older people in New Zealand were interviewed about their experiences and perspectives of that. RESULTS: The challenges participants identified stemmed from three areas - the patient, the care facility and the oral health sector. To address those challenges, the participants recommended actions at the patient, system and sector levels. Each of the challenges and recommendations had a number of subthemes. Overall, the dentists felt that it is a very complex situation urgently requiring policy development, cross-sectoral collaboration and upskilling of the dental profession, carers, the private sector and the State to ensure a care environment which supports achieving and maintaining oral health among frail elders. CONCLUSIONS: Urgent attention to frail older New Zealanders' oral health is needed. Such attention needs to focus on not only the narrow dental clinical preventive and therapeutic implications of those needs, but also on the broader health system and policy development challenges.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Idosos/psicologia , Odontólogos/psicologia , Idoso , Política de Saúde , Humanos , Entrevistas como Assunto , Nova Zelândia , Pesquisa Qualitativa , Instituições Residenciais
6.
Int J Dent Hyg ; 15(1): 30-36, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26086397

RESUMO

INTRODUCTION: The aim of this qualitative study was to measure the effect of a specifically designed orientation re-enactment DVD used to facilitate dental hygiene students transition from the classroom to a Residential Aged Care Facility (RACF) service-learning placement with less personal anxiety and more confidence in their role during the placement. METHODOLOGY: Final year students (n = 47) were randomly allocated to one of 17 RACFs on the NSW, Central Coast, Australia. All students were then randomly allocated to a two-group study with the active group assigned to view the DVD prior to their placement. Students who viewed the DVD were asked not to discuss the content with students who were assigned to the control group. Post-placement focus groups were organized, recorded and transcribed verbatim. Data were collated, analysed and unitized into emergent themes. Representative quotes are presented in the results. The study was informed by 4 years of previous quantitative and qualitative process evaluation of the RACF programme. RESULTS: Focus group discussions identified that those students who had seen the DVD reported a shorter timeframe to successfully transition from the classroom to the RACF and stated that the DVD provided them with a realistic expectation of the RACF environment and their role in the placement experience. CONCLUSION: The orientation DVD reduced student anxiety and improved student confidence in their role during the placement by providing a realistic orientation of the RACF environment.


Assuntos
Assistência Odontológica para Idosos , Higienistas Dentários/educação , Assistência Odontológica para Idosos/psicologia , Higienistas Dentários/psicologia , Grupos Focais , Humanos , Capacitação em Serviço/métodos , Pesquisa Qualitativa , Instituições Residenciais
7.
J Dent Educ ; 80(3): 265-74, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26933101

RESUMO

The aim of this study was to ascertain which assumptions dental students recalled feeling prior to beginning community-based clinical experiences and whether those assumptions were fulfilled or challenged. All fourth-year students at the University of Iowa College of Dentistry & Dental Clinics participate in community-based clinical experiences. At the completion of their rotations, they write a guided reflection paper detailing the assumptions they had prior to beginning their rotations and assessing the accuracy of their assumptions. For this qualitative descriptive study, the 218 papers from three classes (2011-13) were analyzed for common themes. The results showed that the students had a variety of assumptions about their rotations. They were apprehensive about working with challenging patients, performing procedures for which they had minimal experience, and working too slowly. In contrast, they looked forward to improving their clinical and patient management skills and knowledge. Other assumptions involved the site (e.g., the equipment/facility would be outdated; protocols/procedures would be similar to the dental school's). Upon reflection, students reported experiences that both fulfilled and challenged their assumptions. Some continued to feel apprehensive about treating certain patient populations, while others found it easier than anticipated. Students were able to treat multiple patients per day, which led to increased speed and patient management skills. However, some reported challenges with time management. Similarly, students were surprised to discover some clinics were new/updated although some had limited instruments and materials. Based on this study's findings about students' recalled assumptions and reflective experiences, educators should consider assessing and addressing their students' assumptions prior to beginning community-based dental education experiences.


Assuntos
Atitude do Pessoal de Saúde , Odontologia Comunitária/educação , Educação em Odontologia , Preceptoria , Estudantes de Odontologia/psicologia , Idoso , Ansiedade/psicologia , Atitude Frente a Saúde , Criança , Competência Clínica , Centros Comunitários de Saúde/organização & administração , Serviços de Saúde Comunitária , Comportamento Cooperativo , Assistência Odontológica/psicologia , Assistência Odontológica para Idosos/psicologia , Assistência Odontológica para Crianças/psicologia , Assistência Odontológica para Pessoas com Deficiências/psicologia , Relações Dentista-Paciente , Eficiência , Feminino , Humanos , Idioma , Masculino , Pobreza , Pesquisa Qualitativa , Gerenciamento do Tempo
8.
Eur J Dent Educ ; 20(3): 167-73, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26083002

RESUMO

The term 'oral health care for older adults' has various interpretations, and its meaning is not clear among dental school academic staff. Additionally, there are no theoretical or practical stand-alone courses on oral health care for older adults in Japanese dental schools. To improve oral health care education, we investigated the opinions and attitudes toward oral health care education for older adults among academic staff in dental schools. Data were collected in seven dental schools from May to September 2013 via an online questionnaire survey. Five-hundred-fifty-eight academics (428 male, 130 female) participated (response rate 57%). The average number of years since they had completed a university degree was 20.2 (SD 10.2) years. The majority (Over 90%) of participants perceived that oral health care should be provided in nursing facilities, hospitals, and at home. Its treatments and instructions should include, not only methods of keeping good oral hygiene, but also improvement of oral function such as swallowing training and salivary glands massage. The majority (84.2%) suggested oral health care education should be combined as a one-credit, stand-alone course. Findings indicate that dental academics have an understanding the need for a course in oral health care for older adults. Participants supported the need for further development of education in oral health care for older adults' in Japan, as a separate course on its own right. However there were some different views about content by teaching field. The need for a national core program for teaching oral health care education was suggested.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Idosos/psicologia , Recursos Humanos em Odontologia/psicologia , Saúde Bucal , Faculdades de Odontologia , Adulto , Idoso , Auxiliares de Odontologia , Educação em Odontologia/estatística & dados numéricos , Feminino , Educação em Saúde Bucal , Hospitais , Humanos , Japão , Masculino , Casas de Saúde , Higiene Bucal , Inquéritos e Questionários
9.
Ned Tijdschr Tandheelkd ; 122(9): 455-60, 2015 Sep.
Artigo em Holandês | MEDLINE | ID: mdl-26397105

RESUMO

In 1990, the thesis 'Removable complete dentures in older people, an issue dealing with adaptability?' was published. Among other things, this thesis aimed at finding a method of measuring older people's adaptability to removable complete dentures. Its conclusion was that a subscale of the "Beoordelingsschaal voor Oudere Patiënten" (Rating scale for older patients) had predictive value. Subsequently, only a few research projects on this topic have been carried out. They dealt with demonstrated adaptation achieved after treatment, the realised adaptation. The results were disappointing. Ever since the availability of endosseous oral implants, research into adaptability to conventional removable complete dentures seems less relevant. During the last decades, inquiries into a method of measuring treatment effectiveness has focused on older people's quality of life and general health condition. However, to assess with respect to oral health care an older person's general health condition and load-taking capacity adequately, some experience is indispensable.


Assuntos
Adaptação Psicológica , Envelhecimento/psicologia , Assistência Odontológica para Idosos/psicologia , Prótese Total/psicologia , Idoso , Idoso de 80 Anos ou mais , Avaliação Geriátrica , Humanos , Satisfação do Paciente
10.
Ned Tijdschr Tandheelkd ; 122(4): 210-6, 2015 Apr.
Artigo em Holandês | MEDLINE | ID: mdl-26210121

RESUMO

In order to explore how the level of frailty and various frailty factors affect the dental service use and oral self-care behaviour of frail elderly people, 51 frail elderly people were interviewed. Additional information on age, gender, living situation, prosthetic status, self-reported health and oral health, chronic diseases and an index for frailty was collected. A thematic qualitative analysis of the collected data reveals that frail elders maintain long-established oral hygiene routines as long as possible to sustain a sense of self-worth. When burdened by severe health complaints they discontinue visits to the dentist first and oral hygiene routines subsequently. A loss of confidence in the results of dental service use, the trivializing of complaints and a diminishing sense of the importance of oral health play a role in these developments. Frail elderly people also experience psychological and social barriers to oral healthcare and dental service use when they are institutionalized.


Assuntos
Assistência Odontológica para Idosos/psicologia , Idoso Fragilizado/psicologia , Higiene Bucal , Autocuidado , Autoimagem , Idoso , Idoso de 80 Anos ou mais , Assistência Odontológica para Idosos/estatística & dados numéricos , Feminino , Comportamentos Relacionados com a Saúde , Nível de Saúde , Humanos , Masculino
11.
Community Dent Health ; 32(4): 231-6, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26738221

RESUMO

BACKGROUND: Increased life expectancy, retention of a natural dentition often heavily restored, and increasing risks of oral disease mean that older people have particular dental needs and yet uptake of care is low. A new health and wellbeing centre in south London offering student-delivered care has been built to serve the local community. Community views could informed the planning of acceptable care for older people. OBJECTIVE: To explore the views and expectations of older adults towards dental services and ascertain how a new dental centre may best provide dental care. RESEARCH DESIGN: This qualitative study used in-depth and triad interviews to explore the views of older people. Purposive sampling of local centres/groups for older adults was undertaken and all willing clients interviewed. Interviews were audio recorded, transcribed and analysed using Framework Methodology with emerging themes categorised according to Maxwell's six descriptors of quality. RESULTS: Nine sessions (five triad and four in-depth interviews) involving 17 older adults were conducted in local day centres. Barriers to dental care were largely related to fear, cost, transport, lack of perceived need and the attitude of clinicians. Outcomes related to acceptability featured highly in a dental service for older adults; the overarching principles of 'delivering mutual benefit' for students and older people, 'experiencing warm humanity' and 'restoring dignity and worth' were central to their views of quality care. The importance of clinicians, whether student or staff, delivering person centred care with warm humanity was dominant: comprising 'welcoming', 'valuing', 'listening' 'communicating' and 'caring' for older adults to enhance relationships and contributing to 'restoring dignity and worth'. CONCLUSION: Community engagement identified a willingness amongst older adults to utilise dental services where mutual benefit was perceived and, importantly, there were low barriers to care and a warm humanity was exhibited.


Assuntos
Serviços de Saúde Comunitária , Relações Comunidade-Instituição , Assistência Odontológica para Idosos , Idoso , Idoso de 80 Anos ou mais , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Comunicação , Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica para Idosos/economia , Assistência Odontológica para Idosos/psicologia , Relações Dentista-Paciente , Odontólogos/psicologia , Feminino , Custos de Cuidados de Saúde , Acesso aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Planejamento de Assistência ao Paciente , Assistência Centrada no Paciente , Pesquisa Qualitativa , Centros Comunitários para Idosos , Transportes
12.
J Dent Hyg ; 88(5): 302-8, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25325726

RESUMO

PURPOSE: The objective of this study was to investigate knowledge and perceptions of executive directors of long-term care facilities in a large western state regarding oral health of residents, barriers to the provision of optimal oral health care and the collaborative practice role for dental hygienists. METHODS: A descriptive, exploratory online survey research design was utilized. A purposive sample of executive directors of long-term care facilities in a large western state certified for Medicare/Medicaid reimbursement was used. An online survey was developed to investigate perceptions and knowledge regarding oral health of long-term care residents, protocol for provision of, and barriers to optimal oral health care, and support for employment of dental hygienists in long-term care facilities. Statistics used for data analysis included frequency distributions, Spearman's rho correlation coefficient and the Mann-Whitney test. RESULTS: Executive directors in long-term care facilities included in the study perceived oral health as an important aspect of general health; however, a knowledge deficit was identified related to oral disease as an exacerbating factor to systemic disease. Financial concerns and low interest among residents/families were identified as major barriers to accessing care. Executive directors supported interprofessional practice of nurses working with dental hygienists to optimize oral health care of residents. No significant associations were found between demographics and facility characteristics. CONCLUSION: Awareness of the knowledge and perceptions of executive directors providing leadership in these facilities can provide avenues to creating needed change, which can foster improvement in the oral and overall health status of long-term care residents. Support for interprofessional work of nurses and dental hygienists can open a door for innovative practice that optimizes oral health care of long-term care facility residents through the application of shared expertise.


Assuntos
Atitude do Pessoal de Saúde , Assistência Odontológica para Idosos/psicologia , Administradores de Instituições de Saúde/psicologia , Instituição de Longa Permanência para Idosos , Assistência de Longa Duração , Adulto , Idoso , Atitude Frente a Saúde , Assistência Odontológica para Idosos/economia , Higienistas Dentários , Emprego , Feminino , Administradores de Instituições de Saúde/educação , Conhecimentos, Atitudes e Prática em Saúde , Acesso aos Serviços de Saúde , Instituição de Longa Permanência para Idosos/economia , Humanos , Relações Interprofissionais , Assistência de Longa Duração/economia , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros , Saúde Bucal , Prática Profissional , Utah
13.
Am J Health Behav ; 38(5): 781-8, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24933147

RESUMO

OBJECTIVE: To explore barriers to older adults' accessing dental care. METHODS: We performed oral exams on 184 community-dwelling older adults; those who needed dental care were contacted 6-12 weeks later to determine if they were able to access treatment. Those who could not access care were interviewed regarding barriers. RESULTS: Of those examined, 89% needed dental treatment. After 6 weeks, 52% had received treatment, 48% had not. Those unable to access treatment had fewer teeth, were more likely to be referred regarding dentures, and were less likely to have a dentist. Reasons cited for not accessing care among the 35 participants we interviewed included a lack of finances, transportation, or assistance in navigating dental service. CONCLUSIONS: Older adults have a high burden of oral disease and access barriers remain.


Assuntos
Assistência Odontológica para Idosos/psicologia , Disparidades em Assistência à Saúde/normas , Idoso , Idoso de 80 Anos ou mais , Assistência Odontológica para Idosos/economia , Assistência Odontológica para Idosos/estatística & dados numéricos , Dentaduras/economia , Feminino , Odontologia Geriátrica/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Humanos , Seguro Odontológico , Entrevistas como Assunto , Masculino , Características de Residência , Fatores de Tempo , Transportes
14.
Community Dent Health ; 30(2): 77-82, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23888536

RESUMO

OBJECTIVE: To investigate care home managers' views on the provision of dental care (current and future; urgent, check-up and follow-up) for their residents, barriers to care and the impact of policy changes, by type of home (nursing vs residential), with a view to informing the planning and provision of care. BASIC RESEARCH DESIGN: A cross sectional postal questionnaire survey and follow-up semi-structured interviews. SETTING: Care homes in South East London. PARTCIPANTS: All care home managers in three south east London boroughs. RESULTS: A 72% response rate (n=152) was achieved, 140 of which were designated as nursing and/or residential homes (92%). Almost all managers reported that the care homes had arrangements in place for residents to access some elements of dental care (99%, n=148). Reported barriers to care included residents' fear of treatment (53%), patients' limited mobility (45%) and waiting times for services (42%). Limited mobility (p=0.01) and transport issues (p=0.01) were more significant barriers for nursing homes, whereas fear (p=0.02) was more significant for residential homes. Access to a range of dental services and modes of service delivery were requested for the future; most notable were the demands for domiciliary services to be available to nursing homes and for residential homes to access local general dental practitioners to meet the needs of their residents. CONCLUSIONS: Managers report having arrangements in place for residents to access dental services; however, there was a clear view that future arrangements should be more appropriate to the needs and vulnerabilities of their residents.


Assuntos
Pessoal Administrativo/psicologia , Atitude Frente a Saúde , Assistência Odontológica para Idosos , Instituição de Longa Permanência para Idosos , Casas de Saúde , Idoso , Estudos Transversais , Ansiedade ao Tratamento Odontológico/psicologia , Assistência Odontológica para Idosos/organização & administração , Assistência Odontológica para Idosos/psicologia , Consultórios Odontológicos , Unidade Hospitalar de Odontologia , Tratamento de Emergência , Seguimentos , Planejamento em Saúde , Política de Saúde , Acesso aos Serviços de Saúde/organização & administração , Necessidades e Demandas de Serviços de Saúde , Serviços de Assistência Domiciliar , Humanos , Entrevistas como Assunto , Londres , Limitação da Mobilidade , Transporte de Pacientes , Listas de Espera , Recursos Humanos
16.
Health Qual Life Outcomes ; 10: 131, 2012 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-23110518

RESUMO

BACKGROUND: The respective abilities of the GOHAI and OHIP-14 to discriminate between aged patients with different levels of oral diseases have rarely been studied in developing countries. The aim of this study was to compare the discriminative abilities of the OHIP-14 and the GOHAI in an elderly Lebanese population, and particularly to identify persons with different masticatory function. METHODS: A sample of elderly, aged 65 years or more, living independently was recruited in two primary care offices in Beirut, Lebanon. Data were collected by means of personal interview and clinical examination. The Arabic OHIP-14 and GOHAI questionnaires were used after cultural adaptation for use in Lebanon. The internal consistency, reproducibility and concurrent validity were verified. To test their discriminative abilities, the ADD (GOHAI and OHIP) and SC (GOHAI and OHIP) scores were dichotomized according to the 25th and 75th percentile respectively and logistic regressions were conducted using socio-demographic, clinical and subjective explanatory variables. RESULTS: Two hundred and six participants were included; mean age was 72 years and 60% were women. Good psychometric properties were observed for both questionnaires for internal consistency (Cronbach's alpha>0.88), reproducibility (ICC>0.86) and concurrent validity. Strong correlations were found between GOHAI and OHIP-14 scores but a high prevalence of subjects with no impact was observed using the OHIP-14. Both questionnaires were able to discriminate between participants according to age, perception of temporomandibular joint (TMJ) pain or functional status as represented by the number of dental Functional Units (FU). GOHAI was more discriminant since it identified participants with high dental care needs: high numbers of decayed teeth, low numbers of teeth and socially deprived status. CONCLUSIONS: Lebanese elderly with high dental care needs and impaired oral health were identified more easily with the GOHAI. These results may guide the choice of dental indicators to use in a national geriatric survey.


Assuntos
Assistência Odontológica para Idosos/psicologia , Avaliação Geriátrica , Saúde Bucal , Qualidade de Vida/psicologia , Perfil de Impacto da Doença , Inquéritos e Questionários/normas , Idoso , Comparação Transcultural , Assistência Odontológica para Idosos/estatística & dados numéricos , Dentaduras , Análise Discriminante , Feminino , Avaliação Geriátrica/estatística & dados numéricos , Indicadores Básicos de Saúde , Humanos , Entrevistas como Assunto , Líbano , Masculino , Saúde Bucal/normas , Avaliação de Resultados em Cuidados de Saúde/métodos , Satisfação do Paciente/estatística & dados numéricos , Psicometria/instrumentação , Reprodutibilidade dos Testes , Fatores Socioeconômicos , Estatísticas não Paramétricas , Tradução
17.
Spec Care Dentist ; 32(4): 136-41, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22784321

RESUMO

This study compared two groups of patients who were elderly and edentulous, one group included subjects who had mandibular overdentures supported by two implants (Group I); the other groups wore conventional complete dentures (Group II). This retrospective study included 100 edentulous patients (50 from each group) with an average age of 67.86 years, who had been followed for 4 years. The groups were compared in terms of patient satisfaction, quality of life (QOL), and bite force. The bite force and patient satisfaction scores of Group I were found to be statistically significantly higher than Group II (p < .05). However, no statistically significant difference was found between the two groups' QOL scores (p > .05) except on the physical pain subscale (p = .013). Based on these results, it can be concluded that after 4 years of function, subjects wearing mandibular overdentures supported by two implants had higher values for bite force and patient satisfaction scores, but similar QOL scores when compared to conventional complete denture-wearers.


Assuntos
Assistência Odontológica para Idosos/métodos , Prótese Dentária Fixada por Implante/psicologia , Prótese Total Inferior/psicologia , Revestimento de Dentadura/psicologia , Qualidade de Vida , Idoso , Força de Mordida , Distribuição de Qui-Quadrado , Assistência Odontológica para Idosos/psicologia , Feminino , Humanos , Arcada Edêntula/reabilitação , Masculino , Mandíbula , Satisfação do Paciente , Estudos Retrospectivos , Perfil de Impacto da Doença , Estatísticas não Paramétricas , Turquia
18.
Community Dent Oral Epidemiol ; 40(1): 89-95, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21819439

RESUMO

OBJECTIVES: To investigate factors associated with older people's preference for a dentist's home visit. METHODS: This is a report on 321 home-dwelling participants (mean age 81.6) in the population-based Geriatric Multidisciplinary Strategy for Good Care of the Elderly (GeMS) study, conducted in 2004-2005 in the city of Kuopio in eastern Finland. The information about sociodemographic and general health-related factors and the use of social and health services was collected by two study nurses using a structured interview. Each study subject was given a clinical oral examination and an interview about oral health and the use of dental health care services by one of two dentists. Logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI). RESULTS: Of the study subjects, 25.9% preferred a dentist's home visit. The preference for choosing a dentist's home visit was associated with a low score (≤24) in the Mini-Mental State Examination, OR 6.1 (CI: 2.9-13.6), and a low score (<8) on the scale of Instrumental Activities of Daily Living, OR 8.0 (CI: 3.6-18.6). It was also associated with living alone, OR 5.9 (CI: 2.7-13.0), and high use of home care services, OR 9.3 (CI: 4.6-19.0). CONCLUSIONS: The findings of this study emphasize the need to organize dentists' home visits in order to increase equality in the use of dental health care services among the older people with disabilities.


Assuntos
Assistência Odontológica para Idosos/psicologia , Visita Domiciliar , Preferência do Paciente/psicologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Assistência Odontológica para Idosos/estatística & dados numéricos , Feminino , Finlândia/epidemiologia , Humanos , Modelos Logísticos , Masculino , Razão de Chances , Saúde Bucal/estatística & dados numéricos , Preferência do Paciente/estatística & dados numéricos , Fatores Socioeconômicos
19.
Gerodontology ; 29(1): 54-63, 2012 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20609006

RESUMO

BACKGROUND: Most research on older people's oral health has been quantitative. A need for more in-depth understanding of the oral health of that age group has pointed to a need for more qualitative investigations. OBJECTIVE: To explore experiences and perceptions of oral health and oral health care among an ethnically-mixed sample of older New Zealanders. METHODS: In-depth interviews were conducted with 24 older people in two communities in New Zealand's South Island. Thematic analysis of transcribed data was undertaken. RESULTS: Three main themes that emerged were: (1) the processes of negotiating a tension between cost and convenience of access; (2) the experiential constraining of oral health maintenance; and (3) trusting in dental professionals. These serve to organise processes such as normalising, justifying and social comparisons that create an equilibrium or tolerance and acceptance of what might otherwise be considered to be relatively poor oral health. CONCLUSIONS: We identified a number of shared experiences which affect older people's ability to maintain their oral health in the face of material and social barriers to oral health care. Because expectations were generally lower, there was greater concordance between experience and expectation, and people tended to be fairly satisfied with their oral health and the care they had received.


Assuntos
Assistência Odontológica para Idosos/psicologia , Saúde Bucal , Satisfação Pessoal , Idoso , Idoso de 80 Anos ou mais , Custos e Análise de Custo , Feminino , Acesso aos Serviços de Saúde , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Pesquisa Qualitativa , Confiança
20.
J Dent Educ ; 75(10): 1329-32, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22012776

RESUMO

This study was an extension of a previous study that considered dental student attitudes about older adults. In the current study, the association of student interactions with older adults, in both the dental school clinic and daily life, with their attitudes about this group was evaluated using the Aging Semantic Differential. A total of 311 dental students across all four years of academic standing were included in the study. The results showed that students' interactions with older adults outside the clinic did not relate to positive attitudes; however, even after controlling for the age of the student and the frequency, type of individual, and context of interactions with older adults outside the dental clinic, the number of older adult patients seen in the clinic showed a significant positive relationship with attitudes towards older adults. These results reinforce the conclusions drawn in a previous study that dental students' general attitudes about older adults may be changed, but that it is the exposure to older adults in a clinical setting that seems to be more critical in shaping these attitudes.


Assuntos
Idoso/psicologia , Atitude do Pessoal de Saúde , Assistência Odontológica para Idosos/psicologia , Relação entre Gerações , Estudantes de Odontologia/psicologia , Adulto , Fatores Etários , Feminino , Humanos , Relações Interpessoais , Masculino , Preconceito , Faculdades de Odontologia , Diferencial Semântico , Inquéritos e Questionários
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