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An intervention to reduce care‐resistant behavior in persons with dementia during oral hygiene: a pilot study
dc.contributor.authorJablonski, Rita A.en_US
dc.contributor.authorTherrien, Barbaraen_US
dc.contributor.authorMahoney, Ellen K.en_US
dc.contributor.authorKolanowski, Annen_US
dc.contributor.authorGabello, Miaen_US
dc.contributor.authorBrock, Alexandraen_US
dc.date.accessioned2015-02-19T15:41:05Z
dc.date.available2015-02-19T15:41:05Z
dc.date.issued2011-05en_US
dc.identifier.citationJablonski, Rita A.; Therrien, Barbara; Mahoney, Ellen K.; Kolanowski, Ann; Gabello, Mia; Brock, Alexandra (2011). "An intervention to reduce care‐resistant behavior in persons with dementia during oral hygiene: a pilot study." Special Care in Dentistry 31(3).en_US
dc.identifier.issn0275-1879en_US
dc.identifier.issn1754-4505en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/110640
dc.description.abstractThe primary purpose of this pilot study was to test the feasibility of an intervention designed to reduce care‐resistant behaviors (CRBs) in persons with moderate‐to‐severe dementia during oral hygiene activities.The intervention, Managing Oral Hygiene Using Threat Reduction (MOUTh), combined best oral hygiene practices with CRB reduction techniques. Oral health was operationalized as the total score obtained from the Oral Health Assessment Tool (OHAT). CRB was measured using a refinement of the Resistiveness to Care Scale. Seven nursing home residents with dementia received twice daily mouth care for 14 days. The baseline OHAT mean score of 7.29 (SD = 1.25) improved to 1.00 (SD = 1.26, p < .001); CRB improved from 2.43 CRBs/minute (SD = 4.26) to 1.09 CRBs/minute (SD = 1.56, t = 1.97, df 41, p= .06).The findings from this pilot study suggest that the MOUTh intervention is feasible and reduced CRBs, thus allowing more effective oral care.en_US
dc.publisherWiley Periodicals, Inc.en_US
dc.publisherBlackwell Publishing Incen_US
dc.subject.otherdementiaen_US
dc.subject.othercare‐resistant behaviorsen_US
dc.subject.othernursing home residentsen_US
dc.subject.otheroral hygieneen_US
dc.titleAn intervention to reduce care‐resistant behavior in persons with dementia during oral hygiene: a pilot studyen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelDentistryen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumAssociate Professor, University of Michigan School of Nursing, Ann Arbor, Michiganen_US
dc.contributor.affiliationotherGraduate Student, School of Nursing, Penn State University, Pennsylvania.en_US
dc.contributor.affiliationotherElouise Ross Eberly Professor, School of Nursing, Penn State University, University Park, Pennsylvaniaen_US
dc.contributor.affiliationotherAssociate Professor, Department Chair, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusettsen_US
dc.contributor.affiliationotherAssistant Professor, School of Nursing, Penn State University, University Park, Pennsylvaniaen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/110640/1/j.1754-4505.2011.00190.x.pdf
dc.identifier.doi10.1111/j.1754-4505.2011.00190.xen_US
dc.identifier.sourceSpecial Care in Dentistryen_US
dc.identifier.citedreferenceChalmers J, Johnson V, Tang JH, Titler MG. Evidence‐based protocol: oral hygiene care for functionally dependent and cognitively impaired older adults. J Gerontol Nurs 2004; 30: 5 ‐ 12.en_US
dc.identifier.citedreferenceBeck C, Heacock P, Mercer SO, Walls RC, Rapp CG, Vogelpohl TS. Improving dressing behavior in cognitively impaired nursing home residents. Nurs Res 1997; 46: 126 ‐ 32.en_US
dc.identifier.citedreferencePyle MA, Massie M, Nelson S. A pilot study on improving oral care in long‐term care settings. Part II: procedures and outcomes. J Gerontol Nurs 1998; 24: 35 ‐ 8.en_US
dc.identifier.citedreferenceNicol R, Petrina Sweeney M, McHugh S, Bagg J. Effectiveness of health care worker training on the oral health of elderly residents of nursing homes. Community Dent Oral Epidemiol 2005; 33: 115 ‐ 24.en_US
dc.identifier.citedreferencePeltola P, Vehkalahti MM, Simoila R. Effects of 11‐month interventions on oral cleanliness among the long‐term hospitalised elderly. Gerodontology 2007; 24: 14 ‐ 21.en_US
dc.identifier.citedreferenceMacEntee MI, Wyatt CC, Beattie BL, et al. Provision of mouth‐care in long‐term care facilities: an educational trial. Community Dent Oral Epidemiol 2007; 35: 25 ‐ 34.en_US
dc.identifier.citedreferenceHenry JD, Thompson C, Ruffman T, et al. Threat perception in mild cognitive impairment and early dementia. J Gerontol B Psychol Sci Soc Sci 2009; 64: 603 ‐ 7.en_US
dc.identifier.citedreferenceLeDoux J. The emotional brain, fear, and the amygdala. Cell Mol Neurobiol 2003; 23: 727 ‐ 38.en_US
dc.identifier.citedreferenceMaren S. Building and burying fear memories in the brain. Neuroscientist 2005; 11: 89 ‐ 99.en_US
dc.identifier.citedreferenceLaBar KS, Torpey DC, Cook CA, et al. Emotional enhancement of perceptual priming is preserved in aging and early‐stage Alzheimer’s disease. Neuropsycologia 2005; 43: 1824 ‐ 37.en_US
dc.identifier.citedreferenceCorcoran KA, Desmond TJ, Frey KA, Maren S. Hippocampal inactivation disrupts the acquisition and contextual encoding of fear extinction. J Neurosci 2005; 25: 8978 ‐ 87.en_US
dc.identifier.citedreferenceAmerican Dental Association. Oral Health Topics: Dentures; 2010. Available at: http://www.ada.org/2996.aspx [Accessed March 13, 2010.en_US
dc.identifier.citedreferenceAmerican Dental Association. Oral Health Topics: Cleaning Your Teeth & Gums. Available at: http://www.ada.org/2624.aspx [Accessed March 13, 2010.en_US
dc.identifier.citedreferenceGil‐Montoya JA, de Mello AL, Cardenas CB, Lopez IG. Oral health protocol for the dependent institutionalized elderly. Geriatr Nurs 2006; 27: 95 ‐ 101.en_US
dc.identifier.citedreferenceChalmers J, Pearson A. Oral hygiene care for residents with dementia: a literature review. J Adv Nurs 2005; 52: 410 ‐ 9.en_US
dc.identifier.citedreferenceChalmers JM. Behavior management and communication strategies for dental professionals when caring for patients with dementia. Spec Care Dent 2000; 20: 147 ‐ 54.en_US
dc.identifier.citedreferenceWilliams KN, Herman R, Gajewski B, Wilson K. Elderspeak communication: impact on dementia care. Am J Alzheimers Dis Other Demen 2009; 24: 11 ‐ 20.en_US
dc.identifier.citedreferenceHerman RE, Williams KN. Elderspeak’s influence on resistiveness to care: focus on behavioral events. Am J Alzheimers Dis Other Demen 2009; 24: 417 ‐ 23.en_US
dc.identifier.citedreferenceKayser‐Jones J, Bird WF, Redford M, Schell ES, Einhorn SH. Strategies for conducting dental examinations among cognitively impaired nursing home residents. Spec Care Dentist 1996; 16: 46 ‐ 52.en_US
dc.identifier.citedreferenceKatz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA 1963; 185: 914 ‐ 9.en_US
dc.identifier.citedreferenceReisberg B, Ferris SH, de Leon M, Crook T. The Global Deterioration Scale for assessment of primary degenerative dementia. Am J Psychiatry 1982; 139: 1136 ‐ 9.en_US
dc.identifier.citedreferenceKayser‐Jones J, Bird WF, Paul SM, Long L, Schell ES. An instrument to assess the oral health status of nursing home residents. Gerontologist 1995; 35: 814 ‐ 24.en_US
dc.identifier.citedreferenceChalmers JM, King PL, Spencer AJ, Wright FA, Carter KD. The oral health assessment tool‐validity and reliability. Aust Dent J 2005; 50: 191 ‐ 9.en_US
dc.identifier.citedreferenceChalmers JM, Levy SM, Buckwalter KC, Ettinger RL, Kambhu PP. Factors influencing nurses' aides' provision of oral care for nursing facility residents. Spec Care Dent 1996; 16: 71 ‐ 9.en_US
dc.identifier.citedreferenceFrenkel HF. Behind the screens: care staff observations on delivery of oral health care in nursing homes. Gerodontology 1999; 16: 75 ‐ 80.en_US
dc.identifier.citedreferenceColeman P, Watson NM. Oral care provided by certified nursing assistants in nursing homes. J Am Geriatr Soc 2006; 54: 138 ‐ 43.en_US
dc.identifier.citedreferenceAdam H, Preston AJ. The oral health of individuals with dementia in nursing homes. Gerodontology 2006; 23: 99 ‐ 105.en_US
dc.identifier.citedreferenceMontal S, Tramini P, Triay JA, Valcarcel J. Oral hygiene and the need for treatment of the dependent institutionalised elderly. Gerodontology 2006; 23: 67 ‐ 72.en_US
dc.identifier.citedreferenceSamson H, Berven L, Strand GV. Long‐term effect of an oral healthcare programme on oral hygiene in a nursing home. Eur J Oral Sci 2009; 117: 575 ‐ 9.en_US
dc.identifier.citedreferenceBagramian RA, Heller RP. Dental health assessment of a population of nursing home residents. J Gerontol 1977; 32: 168 ‐ 74.en_US
dc.identifier.citedreferenceKiyak HA, Grayston MN, Crinean CL. Oral health problems and needs of nursing home residents. Community Dent Oral Epidemiol 1993; 21: 49 ‐ 52.en_US
dc.identifier.citedreferenceFrenkel H, Harvey I, Newcombe RG. Improving oral health in institutionalised elderly people by educating caregivers: a randomised controlled trial. Community Dent Oral Epidemiol 2001; 29: 289 ‐ 97.en_US
dc.identifier.citedreferenceMurray PE, Ede‐Nichols D, Garcia‐Godoy F. Oral health in Florida nursing homes. Int J Dent Hyg 2006; 4: 198 ‐ 203.en_US
dc.identifier.citedreferenceAN Dey. Characteristics of elderly nursing home residents: data from the 1995 National Nursing Home Survey. Adv Data 1997; 289: 1 ‐ 8.en_US
dc.identifier.citedreferenceJablonski RA, Munro CL, Grap MJ, Elswick RK. The role of biobehavioral, environmental, and social forces on oral health disparities in frail and functionally dependent nursing home elders. Biol Res Nurs 2005; 7: 75 ‐ 82.en_US
dc.identifier.citedreferenceJones AL, Dwyer LL, Bercovitz AR, Strahan GW. The National Nursing Home Survey: 2004 overview. Vital Health Stat 2009; 13; 1 ‐ 155.en_US
dc.identifier.citedreferenceMahoney EK, Hurley AC, Volicer L, et al. Development and testing of the Resistiveness to Care Scale. Res Nurs Health 1999; 22: 27 ‐ 38.en_US
dc.identifier.citedreferenceKambhu PP, Levy SM. Oral hygiene care levels in Iowa intermediate care facilities. Spec Care Dentist 1993; 13: 209 ‐ 14.en_US
dc.identifier.citedreferenceAdams R. Qualified nurses lack adequate knowledge related to oral health, resulting in inadequate oral care of patients on medical wards. J Adv Nurs 1996; 24: 552 ‐ 60.en_US
dc.identifier.citedreferencePyle MA, Jasinevicius TR, Sawyer DR, Madsen J. Nursing home executive directors’ perception of oral care in long‐term care facilities. Spec Care Dentist 2005; 25: 111 ‐ 7.en_US
dc.identifier.citedreferenceAlgase DL, Beck C, Kolanowski A, et al. Need‐driven dementia‐compromised behavior: an alternative view of disruptive behavior. Am J Alzheimer’s Dis Other Demen 1996; 11: 10 ‐ 9.en_US
dc.identifier.citedreferenceKolanowski AM, Whall AL. Toward holistic theory‐based intervention for dementia behavior. Holist Nurs Pract 2000; 14: 67 ‐ 76.en_US
dc.identifier.citedreferenceWhall A. Developing needed interventions from the need‐driven dementia‐compromised behavior model. J Gerontol Nurs 2002; 28: 5.en_US
dc.identifier.citedreferenceVolicer L, Bass EA, Luther SL. Agitation and Resistiveness to Care are two separate behavioral syndromes of dementia. J Am Med Dir Assoc 2007; 8: 527 ‐ 32.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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