Community dentistry and oral epidemiology最新文献

{"title":"Oral Health of Rohingya Refugees Accessing Emergency Dental Care in the Refugee Camp in Cox's Bazar, Bangladesh.","authors":"Khaleda Zaheer, Mohammad Jonayed Hossain, Kala Chand Debnath, James Coughlan","doi":"10.1111/cdoe.13050","DOIUrl":"https://doi.org/10.1111/cdoe.13050","url":null,"abstract":"<p><strong>Objective: </strong>Oral health (OH) of refugees is under-researched and most publications are from developed countries despite the majority of refugees hosted in low-middle income countries. Most of the Rohingya refugees in the camps in Bangladesh have no access to dental care. The objective of this study was to report on the OH behaviours and utilisation of an emergency dental service in the camp in Cox's Bazar, Bangladesh.</p><p><strong>Methods: </strong>This study utilised the data from clinical records of Rohingya refugees attending an emergency dental clinic in camp four in Cox's Bazar, Bangladesh from February 2019 to March 2020. Data included education levels, OH practices, tobacco consumption, diagnosis and treatment provided. Descriptive analysis of the data was undertaken.</p><p><strong>Results: </strong>A total of 4111 patients were included, of which 50.1% were female. Education levels were very low, with 75.8% reporting no formal education. Although daily toothbrushing was reported by 64.4%, there was significant variation in the materials used for a dentifrice, with 78.1% using abrasive substances. Tobacco use was high, with 65.7% reporting its use, and of those, 95.4% chewed paan. Pain was the commonly reported symptom (87.1%) and nearly half, 46.9%, reported poor OH. Functional difficulties and problems sleeping were highly prevalent, at 85.3% and 51.6% respectively. A high prevalence of caries was reported, at 79.8%, and a mean number of 2.8 teeth affected. Extraction and temporary restorations were the common treatment modalities, at 52.1% and 23.1% respectively.</p><p><strong>Conclusions: </strong>The Rohingya refugees in the camps in Bangladesh have low education levels, unhealthy oral health practices, high consumption of tobacco and a high prevalence of oral disease. Further research is required to inform the design and delivery of community-based oral health intervention strategies suitable for refugee camps to improve oral health literacy, knowledge and practices.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the Oral Health of Older People in Care Homes: Results From a Randomised Feasibility Study","authors":"Georgios Tsakos,&nbsp;Paul R. Brocklehurst,&nbsp;Saif Syed,&nbsp;Michelle Harvey,&nbsp;Sana Daniyal,&nbsp;Sinead Watson,&nbsp;Nia Goulden,&nbsp;Anna Verey,&nbsp;Peter Cairns,&nbsp;Anja Heilmann,&nbsp;Zoe Hoare,&nbsp;Frank Kee,&nbsp;Joe Langley,&nbsp;Nat Lievesley,&nbsp;Ciaran O'Neill,&nbsp;Andrea Sherriff,&nbsp;Craig J. Smith,&nbsp;Rebecca R. Wassall,&nbsp;Richard G. Watt,&nbsp;Gerald McKenna","doi":"10.1111/cdoe.13043","DOIUrl":"10.1111/cdoe.13043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Poor oral health is a considerable burden for older adults in care homes. The National Institute for Health and Care Excellence (NICE) issued guideline NG48 on “Improving oral health in care homes”. However, empirical evidence for oral health interventions among care home residents is weak, and the feasibility of the NG48 recommended interventions is not established. This study aimed to determine the feasibility of delivering a co-designed oral health intervention, based on NG48 recommendations, in care homes in two sites in the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a pragmatic cluster randomised controlled feasibility study with a 12-month follow-up, undertaken in 22 care homes across two sites (11 each in London and Northern Ireland). Care homes were randomised to an intervention arm (<i>n</i> = 11), and a control arm (<i>n</i> = 11) that continued with usual routine practice. The complex intervention contained materials were co-designed with care home staff and consisted of: care home staff training package; Oral Health Assessment Tool (OHAT) administered by trained care home staff; and a support worker assisted twice daily tooth-brushing regimen with 1500 ppm fluoride toothpaste. Rates of recruitment and retention, data completion, and intervention fidelity were recorded to determine feasibility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One-hundred-and-nineteen residents from 22 care homes were recruited and 82 residents from 19 care homes completed the study (retention: 86% for care homes and 69% for residents). Twenty residents were lost to follow-up and another 17 withdrew throughout the study. Data completion rates ranged between 88% and 97% at baseline and between 91% and 96% at the 12-month follow-up. Intervention fidelity records showed high completion rates for oral care plans (90%), and lower rates for weekly oral hygiene records (73%) and the OHAT (61%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study documented the feasibility of an oral health intervention in care homes, while also highlighting issues to consider for a definitive trial to assess the effectiveness of the co-designed intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>Clinical Trial Registration: ISRCTN10276613</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 4","pages":"413-423"},"PeriodicalIF":1.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Life Trajectories of Household Poverty and Area-Level Deprivation and Childhood Dental Caries: A Longitudinal Data Linkage Cohort Study","authors":"Kyle Cousins,&nbsp;Conway David I,&nbsp;Paul Bradshaw,&nbsp;Andrea Sherriff","doi":"10.1111/cdoe.13051","DOIUrl":"10.1111/cdoe.13051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to explore the longitudinal impact of changes in household income poverty and area-based socioeconomic deprivation on dental caries prevalence in early childhood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from the Growing Up in Scotland (GUS) longitudinal study (2005/6-2009/10) were linked to dental caries experience data at age 5 from Scotland's National Dental Inspection Programme. Latent Class Analysis identified trajectories of household poverty (income below 60% of the national median) and area-based deprivation across multiple time points between birth and age 5. Cumulative exposure scores were also calculated, and modified Poisson regression assessed associations between socioeconomic pathways and caries experience in 2893 children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children living in persistent household poverty or in socioeconomically deprived areas had the highest caries experience risk compared to children never in poverty or deprivation. Elevated caries risk was also observed in children falling into poverty (aRR = 1.4; 95% CI = [1.1–1.8]) and escaping poverty (aRR = 1.6; 95% CI = [1.3–2.1]). Children moving into more deprived areas had higher caries risk (aRR = 1.6; 95% CI = [1.2–2.2]), while moving out of deprived areas did not increase risk (aRR = 1.1; 95% CI = [0.8–1.7]). Caries risk increased with years spent in household poverty and in deprived areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Unstable poverty and downward socioeconomic deprivation mobility were associated with greater caries risk in early childhood, underscoring the importance of considering the duration and persistence of socioeconomic disadvantage in relation to oral health outcomes and should inform early-years focused policies to address these. Longitudinal data linkage combining representative surveys and routine data is a powerful way to uncover these issues.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 5","pages":"556-563"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy Smiles: Promoting Good Oral Health for Youth With Serious Mental Illness","authors":"Caroline V. Robertson,&nbsp;Bonnie Clough,&nbsp;Victoria Stewart,&nbsp;Santosh Tadakmadla,&nbsp;Steve Kisely,&nbsp;Robert S. Ware,&nbsp;Tan M. Nguyen,&nbsp;Ruby-Jane Barry,&nbsp;Sanjeewa Kularatna,&nbsp;Alison R. Yung,&nbsp;John Cooper,&nbsp;Neeraj Gill,&nbsp;Amanda J. Wheeler","doi":"10.1111/cdoe.13052","DOIUrl":"10.1111/cdoe.13052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with serious mental illness (SMI) are disproportionally affected by oral diseases, contributing to already poor physical health outcomes. Young adults are particularly vulnerable, with high psychological distress and greater health service engagement barriers. Early adulthood is a key opportunity to change the trajectory of poor oral health among youth with SMI (YSMI) by supporting oral hygiene self-care routines and timely access to oral healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore factors that promote or inhibit <i>Healthy Smiles</i>: engagement in oral healthcare among Australian YSMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Exploratory interviews and a focus group were conducted. Purposeful sampling recruited 11 YSMI, a carer, peer support workers (<i>n</i> = 2) and oral and mental health practitioners (<i>n</i> = 3) providing health for YSMI (total = 17).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key strategies to improve oral health and access to services for YSMI were outlined: ensuring oral health practitioners had the mental health literacy, confidence and skills to work with this population and mental health practitioners had the oral health literacy and skills to support YSMI to practice oral hygiene self-care and access services; developing a range of youth-friendly promotional resources and communication channels to improve prevention awareness and reduce dental fear. A crucial element was the need for trusted relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To prevent negative and life-impacting consequences of untimely oral healthcare access in early adulthood, systematic and targeted strategies for YSMI that focus on co-designed innovative models of care are urgently required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 5","pages":"564-570"},"PeriodicalIF":2.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Validation of the FACE-Q Dental Module in Patients With Malocclusions","authors":"Ali Tassi,&nbsp;Anne F. Klassen,&nbsp;Jessica Li,&nbsp;Karen W. Y. Wong Riff,&nbsp;Charlene Rae","doi":"10.1111/cdoe.13045","DOIUrl":"10.1111/cdoe.13045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The FACE-Q Craniofacial Module is a patient-reported outcome measure (PROM) developed for children and young adults with craniofacial conditions. We hypothesised that some of its scales may be applicable to other populations. The aim of this study was to assess the validity and reliability of FACE-Q scales for patients with dental malocclusions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The FACE-Q Dental Module includes 5 scales from the Craniofacial Module that measure appearance (Face, Jaws, Smile and Teeth) and function (Eating/Drinking). Data were collected from patients aged 8–29 years who presented with a dental malocclusion (pre-treatment) or 1–2 years after orthodontic treatment (post-treatment) at a large university-based orthodontic specialty clinic in Canada between September 2018 and March 2020. Patients completed a paper questionnaire booklet, and data were entered into a Research Electronic Data Capture (REDCap) survey. The psychometric analysis was performed using Rasch Measurement Theory (RMT) analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The sample of 434 patients was aged 9 to 29 years, with 249 female and 185 male participants. The sample included 252 pre-treatment and 182 post-treatment patients. The 4 appearance scales evidenced strong psychometric performance; all 37 items had ordered thresholds with good item fit to the Rasch model. Reliability was high, with person separation index and Cronbach alpha values, with and without extremes ≥ 0.86. As hypothesised, those participants who had a major difference in appearance, and those who reported liking their appearance less, scored lower on the appearance scales (<i>p</i> &lt; 0.001). In the RMT analysis, the Eating/Drinking scale evidenced low reliability and poor targeting with close to 40% of particpants scoring at the ceiling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The FACE-Q Dental Module provides a means to collect evidence-based outcomes data from children and young adults who undergo orthodontic care for dental malocclusions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 4","pages":"442-451"},"PeriodicalIF":1.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practice-Level Variation in the Provision of Subsidised Dental Services to Adult Danes in 2019: A Register-Based Study","authors":"Eero Raittio,&nbsp;Vibeke Baelum","doi":"10.1111/cdoe.13048","DOIUrl":"10.1111/cdoe.13048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim was to investigate practice-level variation in common dental diagnostic, preventive, and care services provided for Danish adults who underwent a dental examination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a nationwide register-based study. Subsidised dental services delivered during the 13-week period subsequent to the provision of one of three eligible dental examinations (extended, basic, or recall examination) during the first 9 months of 2019 were investigated. Bayesian multilevel regression models were used to estimate the practice-level average predicted probability of supragingival care, subgingival care, individual prevention, bitewing radiographs, and endodontic treatment, and the average predicted count of extractions and direct restorations while adjusting for individual sociodemographics and dental treatments received during the previous 10 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final sample included 445 516 examinations conducted in 1593 dental practices. Supragingival care after basic or recall examinations showed the lowest practice-level variation, with around two-fold difference between top and bottom 2.5%. Individual preventive services after recall examinations showed the highest variation with over 30-fold difference between top and bottom 2.5%. All other outcomes showed around 3- to 8-fold differences between practices at top and bottom 2.5% across all examination types. The differences across practices were smaller—1.2- to 3.0-fold—when the top 25% and bottom 25% were compared instead.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study found considerable variation in diagnostic, preventive, and treatment services provided for Danish adults who underwent a dental examination. The findings highlight the need for research that can inform evidence-based practice through the development of quality clinical practice guidelines, continuing education programmes, and closer surveillance of care delivery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 4","pages":"452-464"},"PeriodicalIF":1.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Barriers and Facilitators to Dietary Assessment and Advice in the Paediatric Population Attending Dental Clinics: A Scoping Review","authors":"Lauren Hallewell,&nbsp;Raul Bescos,&nbsp;Zoe Brookes,&nbsp;Robert Witton,&nbsp;Patricia Casas-Agustench","doi":"10.1111/cdoe.13046","DOIUrl":"10.1111/cdoe.13046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This scoping review aimed to identify barriers and facilitators, from both dental clinic staff and caregivers, to effectively providing and implementing dietary assessment and advice (for both oral and/or systemic health) in dental clinics managing paediatric patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A protocol was developed a priori (Open Science Framework- https://osf.io/bp4ts.) and followed the PRISMA-ScR guidelines. Studies published in English from 1990 to December 2024 in MEDLINE, Cochrane Library, Embase and CINAHL databases were searched. Additional journal searches targeted articles on dietary assessment or advice in dental clinics treating paediatric patients (aged ≤ 18 years), exploring barriers and facilitators for caregivers and dental clinic staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 4736 studies identified, 32 were included, with 5 additional studies included from manual searching. Sixteen studies were quantitative, 13 were qualitative, and 8 mixed methods. Across studies, 77 barriers and 45 facilitators were identified in providing and implementing dietary assessment and advice in the paediatric population attending dental clinics. Results were mapped to the Theoretical Domains Framework. Common barriers for dental staff included time constraints and financial compensation, while caregivers cited controlling children's dietary habits as a major barrier.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Understanding the main barriers and facilitators in providing and implementing dietary assessment and advice in dental clinics treating paediatric patients is crucial to improving preventive healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 5","pages":"500-513"},"PeriodicalIF":2.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing Dental Anxiety and Self-Care Behaviours as Mediators of the Association Between Executive Functioning and Oral Health Among Young Adults","authors":"Adam A. Rogers,&nbsp;Anne E. M. Halvari,&nbsp;Anne-Kristin Solbakk,&nbsp;Jan-Are K. Johnsen","doi":"10.1111/cdoe.13047","DOIUrl":"10.1111/cdoe.13047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Increased support for oral health during young adulthood is needed to address trends in oral disease over the life course. Executive functioning (EF) may play a role in supporting oral health but has received little attention. EF represents the capacity to control cognitive information, feelings and behaviour. The current study aimed to explore the association between EF and oral health among young adults and investigate potential mediators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Young adults aged 18–30 years were recruited from five universities within Norway to take part in a cross-sectional digital survey. Participants self-reported EF, toothbrushing, flossing, dental fear and anxiety (DFA), and provided ratings on two measures of oral health: self-rated oral health (SROH) and self-reported oral health-related quality of life (OHRQoL). Separate analyses were conducted for each outcome. Linear regression was used to test the association between EF and oral health, and whether toothbrushing, flossing, or DFA mediated this effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 344 participants were analysed. Average SROH was <i>quite good</i> (<i>M</i> = 4.13), several participants (60.5%) reported some impact on OHRQoL. In the SROH model, EF difficulties directly predicted oral health (<i>β</i> = −0.26), and DFA mediated the relationship (<i>ab</i> = −0.03, <i>p</i> &lt; 0.05). In the OHRQoL model, EF difficulties again predicted performances impacted (<i>β</i> = 0.27), and DFA mediated the relationship (<i>ab</i> = 0.04, <i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>EF is related to oral health outcomes among young adults and the relationship is mediated by DFA. Studies are encouraged to continue exploring these relationships, with longitudinal studies needed to provide more insight into the potential role of EF as a protective factor for the development of DFA and oral health problems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 5","pages":"533-542"},"PeriodicalIF":2.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stakeholder Attitudes, Experiences and Perceptions of the New South Wales Primary School Mobile Dental Program","authors":"Kanchan Marcus,&nbsp;Carmen Huckel-Schneider,&nbsp;Anagha Killedar,&nbsp;Madhan Balasubramanian,&nbsp;Arash Rudman,&nbsp;Woosung Sohn,&nbsp;Prithivi Sivaprakash,&nbsp;Sarah Norris,&nbsp;Graeme Liston,&nbsp;Naomi Wilson,&nbsp;Kara Clarke,&nbsp;Andrew Wilson","doi":"10.1111/cdoe.13044","DOIUrl":"10.1111/cdoe.13044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Tooth decay is a leading cause of total disease burden among Australian children. In 2019, the state government of New South Wales, Australia implemented the Primary School Mobile Dental Program (PSMDP) across five local health districts. Understanding stakeholder satisfaction of the PSMDP is an important measure of quality, to determine appropriateness as relevant to the needs of populations. The aim of the study was to explore parent/caregiver and provider attitudes, experiences, and perceptions of the PSMDP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study reports on the qualitative component of a mixed methods study examining parent/caregiver and provider (oral health staff) experiences of the program. Two of the five local health districts were selected for study sampling. Parents/caregivers were recruited using flyers administered via schools and oral health teams. Interviews were conducted between 2022 and 2023. The interviews lasted 20–60 min, were recorded, and transcribed verbatim. A critical realist lens was applied, and thematic analysis was conducted. Data saturation was achieved, and bias was reduced through member checking, researcher reflexivity, and team triangulation of the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 79 individuals (58 parents/caregivers and 21 providers) were interviewed. Analysis revealed six key themes: (1) oral healthcare access, (2) informed consent, (3) parental attendance, (4) rewarding experiences, (5) operational barriers, and (6) communication clarity. The PSMDP promoted oral healthcare access while some parents/caregivers reported informed consent challenges. Providers cited rewarding experiences but face operational barriers including time constraints. Stakeholders diverged on parental attendance at school dental appointments, and most importantly, parents/caregivers requested follow-up communication clarity and coordination, particularly in feedback letters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Qualitative findings identified generally positive attitudes and experiences with the PSMDP, and implications have been identified that would support the scale-up and sustainability of the PSMDP across the state. Study insights could be useful for similar programs, such as extending the attendance time per child, giving greater consideration to parental involvement, and improving communication and follow-up coordination.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 4","pages":"424-441"},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health Promotion Interventions in Residential Aged Care Facilities – A Systematic Review of Behaviour Change Techniques Used in Interventions","authors":"Nesa Aurlene,&nbsp;Sindhu Ravichandran,&nbsp;Melanie Bish,&nbsp;Santosh Kumar Tadakamadla","doi":"10.1111/cdoe.13042","DOIUrl":"10.1111/cdoe.13042","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;&lt;b&gt;T&lt;/b&gt;he oral health status of older people living in residential aged care facilities (RACFs) is found to be very poor. Many oral health promotion interventions have been tested in RACF settings around the world with varying degrees of success.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The aim of this systematic review is to analyse the health promotion strategies used in oral health promotion interventions in RACF settings and map the behaviour change techniques (BCTs) used in interventions to the Behaviour Change Techniques Taxonomy Version 1 (BCTTV1). This will help us identify the BCTs that are used and how effective they are in improving oral health outcomes for residents and the knowledge, attitudes and skills of caregivers in providing mouth care assistance to residents of RACFs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A database search was conducted in MEDLINE, Cochrane CENTRAL, Cochrane Database of Systematic Reviews (CDSR), EMBASE, PsycINFO, CINAHL and Web of Sciences databases to screen for articles relevant to the topic of the review; after full-text review a total of 31 articles comprising both randomised controlled trials and non-randomised intervention studies were included in this review. Risks of bias in randomised studies were assessed using the ROB2 tool and ROBINS-I was used to evaluate non-randomised studies. The description of intervention content in each study was coded for the presence of BCTs by two independent review authors trained in coding BCTs according to BCTTv1.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The most commonly used BCTs were ‘demonstration of behaviour’, ‘instruction on how to perform behaviour’ and ‘credible source’. These BCTs were effective in improving oral health outcomes and knowledge of caregivers on short-term follow-up. A higher number of BCTs were coded in studies that showed significant improvement in oral health outcomes of residents on long-term follow-up with rarely used BCTs related to ‘monitoring and feedback’ being coded in majority of studies that showed consistent improvement in oral health outcomes of residents.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review identified the most commonly used BCTs used in health promotion interventions to improve oral health among older people in RACFs and found that majority of interventions were targeted towards ‘knowledge transfer’ and were inconsistent in improving oral health outcome","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 5","pages":"465-499"},"PeriodicalIF":2.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.13042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}