A pre and post-test assessment of oral health intervention: caregivers’ knowledge and attitudes at long-term care facilities in the eThekwini district, KwaZulu-Natal.

Authors

DOI:

https://doi.org/10.17159/sadj.v78i04.15177

Keywords:

caregivers, long-term care facilities, institutionalised residents, oral health education, oral health training

Abstract

Oral health remains a neglected aspect of health care among vulnerable populations residing at long-term care facilities. Routine oral health education and training for caregivers have the potential to improve oral health provision.

Aims and Objectives

To determine the effect of an oral health intervention on caregivers’ knowledge and attitudes.

Methods

This exploratory study utilised a pre/post-test assessment approach. A total of participated. A pre-test questionnaire was distributed among 145 caregivers from seven long-term care facilities in eThekwini district. An online oral health educational intervention was implemented four weeks later. Six months later, a post-test questionnaire was administered. A Mann-Whitney test and paired sample test were used for statistical analysis. p<0.05 was considered statistically significant.

Results

Participants (n=19; 13.1%) reported that brushing twice a day and flossing were the two most important dental habits in the pre-intervention phase, compared to 71% (n=103) in the post-intervention phase. Caregivers (n=124; 85.5%) in the pre-intervention phase reported to feel that they should be trained in providing oral health care, compared to 93.8% (n=136) in the post-intervention phase.

Conclusion

The oral health intervention had a positive effect on caregivers’ knowledge and attitudes. This finding necessitates routine oral health education and training for caregivers.

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Author Biography

  • Shenuka Singh, Discipline of Dentistry, School of Health Sciences, University of KwaZulu-Natal, South Africa

    Prof Shenuka Singh: B.OH, M.Sc (Dent), PhD (UWC), PG Dip Heal Res Ethics (Stell), PhD Clin and Res Ethics) (Stell)

References

Khanagar S, Kini P, Kumar A, Rajanna V, Badiyani B, Jathanna V. Oral health care education and its effect on caregivers′ knowledge, attitudes, and practices: A randomized controlled trial. J Int Soc Prev Community Dent [serial online]. 2014 [cited 2020 Nov 12];4(2):122. Available from: /pmc/articles/PMC4170545/?report=abstract. https://doi.org/10.4103/2231-0762.139843.

World Health Organisation. Oral Health [Homepage on the internet]. 2022 [cited 2022 Jul 20]. Available from: https://www.who.int /news -room /fact-sheets/detail/oral-health

Abullais SS, Al-Shahrani FMF, Al-Gafel KMS, Saeed A-HA, Al-Mathami SA, Bhavikatti SK, et al. The knowledge, attitude and practices of the caregivers about oral health care at centers for intellectually disabled, in southern region of Saudi Arabia. Healthcare. 2020;8(4):416. https://doi.org/10.3390/healthcare8040416

Shah AF, Tangade P, Ravishan, Tirth A, Pal S, Manu B. Dental caries status of institutionalised orphan children from Jammu and Kashmir, India. Int J Clin Pediatr Dent. 2016;9(4):364–71. https://doi.org/10.5005/jp-journals-10005-1392

Nqcobo C, Ralephenya T, Kolisa YM, Esan T, Yengopal V. Caregivers’ perceptions of the oral health related quality of life of children with special needs in Johannesburg, South Africa. Heal SA Gesondheid [serial online]. 2019 [cited 2020 Nov 12];24. Available from: /pmc/articles/PMC6917375/?report=abstract. https://doi.org/10.4102/hsag.v24i0.1056.

Manchery N, Subbiah G, Nagappan N, Premnath P. Are oral health education for carers effective in the oral hygiene management of elderly with dementia? A systematic review. Dent Res J. 2020;17(1):1–9. PMID: 32055287

Simons D, Baker P, Jones B, Kidd EAM, Beighton D. An evaluation of an oral health training programme for carers of the elderly in residential homes. Br Dent J. 2000;188(4):206–10. https://doi.org/10.1038/sj.bdj.4800432.

Gil-Montoya JA, de Mello ALF, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clin Interv Aging [serial online]. 2015 [cited 2020 Oct 27];10:461–7. Available from: /pmc/articles/PMC4334280/?report=abstract. https://doi.org/10.2147/CIA.S54630.

Hans R, Thomas S, Dagli R, Bhateja GA, Sharma A, Singh A. Oral health knowledge, attitude and practices of children and adolescents of orphanages in Jodhpur city Rajasthan, India. ournal Clin diagnostic Res [serial online]. 2014;8(10):ZC22–5. Available from: https://doi.org/10.7860/JCDR/2014/9026.4948

Petrovski M, Terzieva-Petrovska O, Kovecevska I, Minovska A, Ivanovski K, Papakoca K. Oral health education of staff in long-term care institutions. Balk J Dent Med. 2019;23(2):63–7. https://doi.org/10.2478/bjdm-2019-0012

Hoad-Reddick G. Summary. Bristish Dent J. 1998;184:288.

Lago JD, Fais LMG, Montandon AAB, Pinelli LAP. Educational program in oral health for caregivers on the oral hygiene of dependent elders. Rev Odontol da UNESP [serial online]. 2017 [cited 2020 Nov 12];46(5):284–91. Available from: http://dx.doi. org/10.1590/1807-2577.23916

Wu SJ, Wang CC, Kuo SC, Shieh SH HY. Evaluation of an oral hygiene education program for staff providing long-term care services: A mixed methods study. Int J Environ Res Public Health. 2020;17:4429. https://doi.org/ 10.3390/ijerph17124429.

Thema LK, Singh S. Integrated primary oral health services in South Africa: The role of the PHC nurse in providing oral health examination and education. African J Prim Health Care Fam Med. 2013;5(1):1–4. http://dx.doi.org/10.4102/phcfm. v 5i1 .41 3

Sampson P, Page C, Shepard G. Oral hygiene: the mouth trap. Nursing Times. 1987;19. PMID: 3299280.

Griffiths J, Boyle S. Oral assessment in color guide to holistic oral care: a practical approach. Mosby Year Book Europe Ltd; 1993. 87–98.

Hoad-Reddick G. Assessment of elderly people on entry to residential homes and continuing care arrangements. J Dent. 1992;20:199–201. http://doi.org/10.1016/0300-5712(92)90073-l.

Thomas B, Ciliska D, Dobbins M, Micucci S. A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs. 2004;1:176–84. http://doi.org/10.1111/j.1524-475X.2004.04006.x.

Senior service retirement places. Comprehensive directory of retirement facilities in South Africa [homepage on the internet]. 2021 [cited 2021 May 18]. Available from: https://www.seniorservice.co.za/advanced-search/?province=Kwa+Zulu+ Natal&city=DURBAN+-+Greater+Durban&property_type=Old+Age+Homes&section=properties

eThekwini municipality. eThekwini municipality health and wellbeing service provider directory 2018 [homepage on the internet]. 2018 [cited 2021 May 19]. Available from: http://www.durban.gov.za/Documents/HWDirectory2018.pdf

Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community Dent Oral Epidemiol [serial online]. 2005 [cited 2020 Dec 2];33:81–92. Available from: https://www.who.int /oral_health/publications/orh_cdoe05_vol33.pdf. http://doi.org/10.1111/j.1600-0528.2004.00219.x.

Stancic I, Popovac AJ, Vasovic M, Petrovic M. Caregivers’ attitudes, knowledge and practices of oral care at nursing homes in Serbia. Mil Pharm Rev [serial online]. 2016 [cited 2020 Nov 12];73(00):65–65. Available from: https://www.researchgate .net/publication/301703786_Caregivers’_attitudes_knowledge_and_practices_of_oral_care_at_nursing_homes_in_Serbia. http://doi.org/ 10.2298/VSP141001065S.

Urrutia C, Ormazábal F, Santander I, Salvo D. Oral health practices and beliefs among caregivers of the dependent elderly. Gerodontology. 2011;29(2):742–7. http://doi.org/10.1111/j.1741-2358.2011.00553.x.

Cornejo-Ovalle M, Costa-de-Lima K, Pérez G, Borrell C, Casals-Peidro E. Oral health care activities performed by caregivers for institutionalised elderly in Barcelona-Spain. Med Oral Patol Oral Cir Bucal. 2013;18(4):e641–e649. http://doi.org/10.4317 /medoral.18767.

Walid E, Nasir F, Naidoo S. Oral health knowledge, attitudes and behavior among nursing staff in Lesotho. SADJ. 2004;59(7): 288,290 -92. PMID: 15537032

Munoz N, Touger-Decker R, Byham-Gray L, Maillet J. Effect of an oral health assessment education program on nurses’ knowledge and patient care practices in skilled nursing facilities. Spec Care Dent. 2009;29(4):179–85. http://doi.org/10.1111/j.1754-4505.2009.00084.x.

Wong F, Yannies T, Leung W. Oral health and its associated factors among older institutionalised residents-a systematic review. Int J Env Res Public Heal. 2019;16(21):4132. http://doi.org/10.3390/ijerph16214132.

Shah A, Naseem M, Khan M, Asiri F, AlQarni I, Gulzar S, et al. Oral health knowledge and attitude among caregivers of special needs patients at a comprehensive rehabilitation centre: an analytical study. Ann Stomatol. 2018;8(3):110–6. http://doi.org/10.11138/ads/2017.8.3.110.

Liu HY, Chen JR, Hsiao SY, Huang S Te. Caregivers’ oral health knowledge, attitude and behaviour toward their children with disabilities. J Dent Sci. 2017;12(4):388–95. http://doi.org/10.1016/j.jds.2017.05.003.

Saarela RKT, Hiltunen K, Kautiainen H, Roitto HM, Mäntylä P PK. Oral hygiene and health-related quality of life institutionalised older people. Eur Geriatr Med. 2022;13(1):213–20. http://doi.org/10.1007/s41999-021-00547-8.

Manoharan S, Nagaraja V, Eslick G. Ill-fitting dentures and oral cancer: a meta-analysis. Oral Oncol. 2014;50(11):1058–61. http://doi.org/10.1016/j.oraloncology.2014.08.002.

Saarela RKT, Hiltunen K, Mäntylä P PK. Changes in institutionalised older people’s dentition status in Helsinki 2003–2017. J Am Geriatr Soc. 2020;68:221–3. http://doi.org/10.1111/jgs.16230.

Porter J, Ntouva A, Read A, Murdoch M, Ola D TG. The impact of oral health on the quality of life of nursing home residents. Heal Qual Life Outcomes. 2015;13:102. http://doi.org/ 10.1186/s12955-015-0300-y.

De Visschere L, Janssens B, De Reu G, Duyck J, Vanobbergen J. An oral health survey of vulnerable older people in Belgium. Clin Oral Investig. 2016;20(8):1903–12. http://doi.org/ 10.1007/s00784-015-1652-8.

Janssens B, Vanobbergen J, Petrovic M, Jacquet W, Schols JMG, De Visschere L . The oral health condition and treatment needs assessment of nursing home residents in Flanders (Belgium). Community Dent Heal. 2017;34:143–51. http://doi.org/10.1922/ CDH_4086Janssens09.

Khedekar M, Suresh K V, Parkar MI, Malik N, Patil S, Taur S, et al. Implementation of oral health education to orphan children. J Coll physicians Surg. 2015;25(12):856–9. PMID: 26691356.

Bushra R, Othman ZY. Initial impact of an educational programme for the orphans in Erbil city. Eurasian J Sci Eng. 2022;8(1):180–6.

Wardh I, Andersson L, Sorensen S. Staff attitudes to oral health care. A comparative study of registered nurses, nursing assistants and home care aides. Gerodontology. 1997;14:28–32. http://doi.org/10.1111/j.1741-2358.1997.00028.x.

Gil-Montoya J, de Mello A, Cardenas C, Lopez I. Oral health protocol for the dependent institutionalised elderly. Geriatr Nurs. 2006;27:95–101. http://doi.org/10.1016/j.gerinurse.2005.12.003.

Ahamed S, Moyin S, Punathil S, Patil NA, Kale VT, Pawar G, et al. Evaluation of the oral health knowledge, attitude and behaviour of the preclinical and clinical dental students. J Int Oral Heal. 2015;7:65–70. PMID: 26124603

Singh S, Pottapinjara S. Dental undergraduate students’ knowledge, attitudes and practices in oral health self-care: A survey from a South African university. African J Heal Prof Educ. 2017;9(2):83–7. http://doi.org/10.7196/AJHPE.2017.v9i2.800

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Published

2023-07-04

How to Cite

A pre and post-test assessment of oral health intervention: caregivers’ knowledge and attitudes at long-term care facilities in the eThekwini district, KwaZulu-Natal. (2023). South African Dental Journal, 78(04). https://doi.org/10.17159/sadj.v78i04.15177