A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper
Abstract Background People with severe mental illness (e.g. psychosis, bipolar disorder) experience poor oral health compared to the general population as shown by more decayed, missing and filled teeth and a higher prevalence of periodontal disease. Attending dental services allows treatment of ora...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Pilot and Feasibility Studies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40814-023-01383-2 |
| _version_ | 1797453852741468160 |
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| author | Claire Hilton Abigail Morris Girvan Burnside Rebecca Harris Vishal R. Aggarwal Sarah Procter Robert Griffiths Paul French Louise Laverty Fiona Lobban Katherine Berry David Shiers Rebecca Golby Fanni Fazekas Kyriakos Valemis Antonia Perry Connie Newens Eirian Kerry Pauline Mupinga Efstathia Gkioni Christopher Lodge Alison Dawber Emma Elliott Farah Lunat Jasper Palmier-Claus |
| author_facet | Claire Hilton Abigail Morris Girvan Burnside Rebecca Harris Vishal R. Aggarwal Sarah Procter Robert Griffiths Paul French Louise Laverty Fiona Lobban Katherine Berry David Shiers Rebecca Golby Fanni Fazekas Kyriakos Valemis Antonia Perry Connie Newens Eirian Kerry Pauline Mupinga Efstathia Gkioni Christopher Lodge Alison Dawber Emma Elliott Farah Lunat Jasper Palmier-Claus |
| author_sort | Claire Hilton |
| collection | DOAJ |
| description | Abstract Background People with severe mental illness (e.g. psychosis, bipolar disorder) experience poor oral health compared to the general population as shown by more decayed, missing and filled teeth and a higher prevalence of periodontal disease. Attending dental services allows treatment of oral health problems and support for prevention. However, people with severe mental illness face multiple barriers to attending routine dental appointments and often struggle to access care. Link work interventions use non-clinical support staff to afford vulnerable populations the capacity, opportunity, and motivation to navigate use of services. The authors have co-developed with service users a link work intervention for supporting people with severe mental illness to access routine dental appointments. The Mouth Matters in Mental Health Study aims to explore the feasibility and acceptability of this intervention within the context of a feasibility randomised controlled trial (RCT) measuring outcomes related to the recruitment of participants, completion of assessments, and adherence to the intervention. The trial will closely monitor the safety of the intervention and trial procedures. Methods A feasibility RCT with 1:1 allocation to two arms: treatment as usual (control) or treatment as usual plus a link work intervention (treatment). The intervention consists of six sessions with a link worker over 9 months. Participants will be adults with severe mental illness receiving clinical input from secondary care mental health service and who have not attended a planned dental appointment in the past 3 years. Assessments will take place at baseline and after 9 months. The target recruitment total is 84 participants from across three NHS Trusts. A subset of participants and key stakeholders will complete qualitative interviews to explore the acceptability of the intervention and trial procedures. Discussion The link work intervention aims to improve dental access and reduce oral health inequalities in people with severe mental illness. There is a dearth of research relating to interventions that attempt to improve oral health outcomes in people with mental illness and the collected feasibility data will offer insights into this important area. Trial registration The trial was preregistered on ISRCTN (ISRCTN13650779) and ClinicalTrials.gov (NCT05545228). |
| first_indexed | 2024-03-09T15:28:52Z |
| format | Article |
| id | doaj.art-07e6eb9ab3174224b8c7d966a52634b4 |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-03-09T15:28:52Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-07e6eb9ab3174224b8c7d966a52634b42023-11-26T12:22:32ZengBMCPilot and Feasibility Studies2055-57842023-09-01911910.1186/s40814-023-01383-2A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paperClaire Hilton0Abigail Morris1Girvan Burnside2Rebecca Harris3Vishal R. Aggarwal4Sarah Procter5Robert Griffiths6Paul French7Louise Laverty8Fiona Lobban9Katherine Berry10David Shiers11Rebecca Golby12Fanni Fazekas13Kyriakos Valemis14Antonia Perry15Connie Newens16Eirian Kerry17Pauline Mupinga18Efstathia Gkioni19Christopher Lodge20Alison Dawber21Emma Elliott22Farah Lunat23Jasper Palmier-Claus24The Spectrum Centre for Mental Health Research, Lancaster UniversityThe Spectrum Centre for Mental Health Research, Lancaster UniversityInstitute of Population Health, University of LiverpoolInstitute of Population Health, University of LiverpoolSchool of Dentistry, University of LeedsLancashire & South Cumbria NHS Foundation TrustDivision of Psychology & Mental Health, University of ManchesterManchester Metropolitan UniversityDivision of Informatics, Imaging and Data Sciences, University of ManchesterThe Spectrum Centre for Mental Health Research, Lancaster UniversityDivision of Psychology & Mental Health, University of ManchesterDivision of Psychology & Mental Health, University of ManchesterLancashire & South Cumbria NHS Foundation TrustPennine Care NHS Foundation TrustGreater Manchester Mental Health NHS Foundation TrustLancashire & South Cumbria NHS Foundation TrustLancashire & South Cumbria NHS Foundation TrustGreater Manchester Mental Health NHS Foundation TrustPennine Care NHS Foundation TrustInstitute of Population Health, University of LiverpoolThe Spectrum Centre for Mental Health Research, Lancaster UniversityGreater Manchester Mental Health NHS Foundation TrustSchool of Dentistry, University of LeedsLancashire & South Cumbria NHS Foundation TrustThe Spectrum Centre for Mental Health Research, Lancaster UniversityAbstract Background People with severe mental illness (e.g. psychosis, bipolar disorder) experience poor oral health compared to the general population as shown by more decayed, missing and filled teeth and a higher prevalence of periodontal disease. Attending dental services allows treatment of oral health problems and support for prevention. However, people with severe mental illness face multiple barriers to attending routine dental appointments and often struggle to access care. Link work interventions use non-clinical support staff to afford vulnerable populations the capacity, opportunity, and motivation to navigate use of services. The authors have co-developed with service users a link work intervention for supporting people with severe mental illness to access routine dental appointments. The Mouth Matters in Mental Health Study aims to explore the feasibility and acceptability of this intervention within the context of a feasibility randomised controlled trial (RCT) measuring outcomes related to the recruitment of participants, completion of assessments, and adherence to the intervention. The trial will closely monitor the safety of the intervention and trial procedures. Methods A feasibility RCT with 1:1 allocation to two arms: treatment as usual (control) or treatment as usual plus a link work intervention (treatment). The intervention consists of six sessions with a link worker over 9 months. Participants will be adults with severe mental illness receiving clinical input from secondary care mental health service and who have not attended a planned dental appointment in the past 3 years. Assessments will take place at baseline and after 9 months. The target recruitment total is 84 participants from across three NHS Trusts. A subset of participants and key stakeholders will complete qualitative interviews to explore the acceptability of the intervention and trial procedures. Discussion The link work intervention aims to improve dental access and reduce oral health inequalities in people with severe mental illness. There is a dearth of research relating to interventions that attempt to improve oral health outcomes in people with mental illness and the collected feasibility data will offer insights into this important area. Trial registration The trial was preregistered on ISRCTN (ISRCTN13650779) and ClinicalTrials.gov (NCT05545228).https://doi.org/10.1186/s40814-023-01383-2PsychosisBipolarSMIOralInequalitiesAccess |
| spellingShingle | Claire Hilton Abigail Morris Girvan Burnside Rebecca Harris Vishal R. Aggarwal Sarah Procter Robert Griffiths Paul French Louise Laverty Fiona Lobban Katherine Berry David Shiers Rebecca Golby Fanni Fazekas Kyriakos Valemis Antonia Perry Connie Newens Eirian Kerry Pauline Mupinga Efstathia Gkioni Christopher Lodge Alison Dawber Emma Elliott Farah Lunat Jasper Palmier-Claus A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper Pilot and Feasibility Studies Psychosis Bipolar SMI Oral Inequalities Access |
| title | A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper |
| title_full | A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper |
| title_fullStr | A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper |
| title_full_unstemmed | A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper |
| title_short | A two-arm, randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness: a protocol paper |
| title_sort | two arm randomised feasibility trial using link workers to improve dental visiting in people with severe mental illness a protocol paper |
| topic | Psychosis Bipolar SMI Oral Inequalities Access |
| url | https://doi.org/10.1186/s40814-023-01383-2 |
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