Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study
Abstract Objective To evaluate the effectiveness of a composite oral health promotion program designed to reduce dental plaque among persons with severe mental illness in a psychiatric institution. Methods A cluster randomized controlled study was carried out in chronic psychiatric wards of a genera...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Oral Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12903-020-01280-7 |
| _version_ | 1818113726167908352 |
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| author | Mei-Wen Kuo Shu-Hui Yeh Heng-Ming Chang Po-Ren Teng |
| author_facet | Mei-Wen Kuo Shu-Hui Yeh Heng-Ming Chang Po-Ren Teng |
| author_sort | Mei-Wen Kuo |
| collection | DOAJ |
| description | Abstract Objective To evaluate the effectiveness of a composite oral health promotion program designed to reduce dental plaque among persons with severe mental illness in a psychiatric institution. Methods A cluster randomized controlled study was carried out in chronic psychiatric wards of a general hospital in central Taiwan. Sixty-eight eligible male individuals admitted to 2 wards were randomly assigned to an experimental and a control group. Participants in the experimental group underwent an oral health promotion program that consisted of biweekly group education sessions, and a 12-week individual behavioral modification for oral hygiene course. The participants in the control group received usual care only. Dental plaque (measured by the Plaque Control Index) was examined by a single dentist before and after the experiment. Each participant responded to a questionnaire regarding oral health knowledge, attitude and behavior before and after the experiment. Results Fifty-eight individuals completed the study. Before the experiment, the plaque index was similar between the intervention group (68.9; N = 27) and the control group (69.8; N = 31). After the experiment, the plaque index was significantly better in the intervention group than in the control group (42.6 vs. 61.8; P < 0.001). Participants in the intervention group also demonstrated better oral health knowledge, attitude and behavior than those in the control group after the experiment. Conclusions A composite oral health promotion program using both group education and individual behavioral methods over a 12-week period was effective in both reducing dental plaque and improving the oral health knowledge of persons with severe mental illness in the institution. Trial registration: This study was retrospectively registered in Clinicaltrials.gov, with number NCT04464941, dated 7/7/2020. https://register.clinicaltrials.gov/RD103035018 . |
| first_indexed | 2024-12-11T03:39:24Z |
| format | Article |
| id | doaj.art-841329a369e145c7af9981eb9c0fb9cb |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-11T03:39:24Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-841329a369e145c7af9981eb9c0fb9cb2022-12-22T01:22:10ZengBMCBMC Oral Health1472-68312020-10-012011910.1186/s12903-020-01280-7Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled studyMei-Wen Kuo0Shu-Hui Yeh1Heng-Ming Chang2Po-Ren Teng3Department of Psychiatry, Chang Bing Show Chwan Memorial HospitalInstitute of Long-Term Care, MacKay Medical CollegeOrthodontic and Dental Department, Chang Bing Show Chwan Memorial HospitalDepartment of Psychiatry, Chang Bing Show Chwan Memorial HospitalAbstract Objective To evaluate the effectiveness of a composite oral health promotion program designed to reduce dental plaque among persons with severe mental illness in a psychiatric institution. Methods A cluster randomized controlled study was carried out in chronic psychiatric wards of a general hospital in central Taiwan. Sixty-eight eligible male individuals admitted to 2 wards were randomly assigned to an experimental and a control group. Participants in the experimental group underwent an oral health promotion program that consisted of biweekly group education sessions, and a 12-week individual behavioral modification for oral hygiene course. The participants in the control group received usual care only. Dental plaque (measured by the Plaque Control Index) was examined by a single dentist before and after the experiment. Each participant responded to a questionnaire regarding oral health knowledge, attitude and behavior before and after the experiment. Results Fifty-eight individuals completed the study. Before the experiment, the plaque index was similar between the intervention group (68.9; N = 27) and the control group (69.8; N = 31). After the experiment, the plaque index was significantly better in the intervention group than in the control group (42.6 vs. 61.8; P < 0.001). Participants in the intervention group also demonstrated better oral health knowledge, attitude and behavior than those in the control group after the experiment. Conclusions A composite oral health promotion program using both group education and individual behavioral methods over a 12-week period was effective in both reducing dental plaque and improving the oral health knowledge of persons with severe mental illness in the institution. Trial registration: This study was retrospectively registered in Clinicaltrials.gov, with number NCT04464941, dated 7/7/2020. https://register.clinicaltrials.gov/RD103035018 .http://link.springer.com/article/10.1186/s12903-020-01280-7Oral healthPromotion programPlaque indexMental illness |
| spellingShingle | Mei-Wen Kuo Shu-Hui Yeh Heng-Ming Chang Po-Ren Teng Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study BMC Oral Health Oral health Promotion program Plaque index Mental illness |
| title | Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study |
| title_full | Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study |
| title_fullStr | Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study |
| title_full_unstemmed | Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study |
| title_short | Effectiveness of oral health promotion program for persons with severe mental illness: a cluster randomized controlled study |
| title_sort | effectiveness of oral health promotion program for persons with severe mental illness a cluster randomized controlled study |
| topic | Oral health Promotion program Plaque index Mental illness |
| url | http://link.springer.com/article/10.1186/s12903-020-01280-7 |
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