Jasper Palmier-Claus, Abigail Morris, Paul French, Robert Griffiths, Vishal R. Aggarwal, Katherine Berry, Efstathia Gkioni, Rebecca Harris, Louise Laverty, Fiona Lobban, Sarah Procter, Eirian Kerry, Connie Newens, Pauline Mupinga, Rebecca Golby, Kyriakos Valemis, Lucy Oakes, Fanni Fazekas, Antonia Perry, David Shiers, Christopher Lodge, Claire Hilton, Alison Dawber, Emma Elliott, Farah Lunat, Girvan Burnside
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This randomised controlled trial evaluated the acceptability and feasibility of a link work intervention to support people with severe mental illness to access a routine dental appointment.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This was a feasibility randomised controlled trial across three sites with 1:1 allocation to Treatment as usual (TAU) or TAU plus a link work intervention (ISRCTN13650779). Participants were adults accessing mental health services who had not attended a routine dental appointment in the past 3 years. The intervention comprised up to six sessions with a link worker. Participants completed self-report assessments and an optional dental examination at baseline and after nine months. Dental visiting data were obtained through self-report and the NHS Business Services Authority (BSA).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>One hundred and sixty-one participants were referred into the trial, resulting in 79 out of the target 84 randomisations (94.0%) over 7 months. There were high levels of engagement with the intervention. Dental visiting data were available for 84.8% of participants (95% CI: 75.3%, 91.1%). Uptake of the optional dental examination within the research assessment battery was low (follow-up: 12.7%; 95% CI: 7.0%, 21.8%). There were no serious adverse events attributable to the intervention or trial procedures. There were substantially higher rates of dental attendance after nine months in the link work intervention arm, compared to TAU, in both the self-report (91.7% vs. 26.7%) and NHS BSA (55.3% vs. 12.1%) data. There was also a signal of improved self-reported oral health-related quality of life favouring the link work intervention arm.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The trial procedures and link work intervention were found to be feasible, acceptable and safe. The intervention showed promise in terms of clinical outcomes. The effectiveness of the intervention requires evaluation in a larger trial.</p>\n </section>\n \n <section>\n \n <h3> Trial Registration</h3>\n \n <p>NCT05545228</p>\n </section>\n </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":"53 5","pages":"580-586"},"PeriodicalIF":2.1000,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.70002","citationCount":"0","resultStr":"{\"title\":\"A Link Work Intervention to Facilitate Dental Visiting in People With Severe Mental Illness: A Two-Arm, Multi-Site, Assessor Blind, Randomised Feasibility Trial With Dental Record Linkage\",\"authors\":\"Jasper Palmier-Claus, Abigail Morris, Paul French, Robert Griffiths, Vishal R. 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引用次数: 0
摘要
目的：与一般人群相比，患有严重精神疾病的人口腔健康状况较差。他们在获得牙科服务方面经历了不平等。这项随机对照试验评估了链接工作干预的可接受性和可行性，以支持患有严重精神疾病的人获得常规牙科预约。方法：这是一项可行性随机对照试验，在三个地点进行1:1分配，按常规治疗（TAU）或TAU加链接工作干预（ISRCTN13650779）。参与者是在过去3年中没有参加常规牙科预约的获得精神卫生服务的成年人。干预包括多达六次与链接工作者的会议。参与者在基线和9个月后完成了自我报告评估和可选的牙科检查。牙科就诊数据通过自我报告和NHS商业服务管理局（BSA）获得。结果：161名参与者被纳入试验，结果在7个月内，84个目标随机分组中有79个（94.0%）。参与干预的程度很高。84.8%的参与者有牙科就诊资料（95% CI: 75.3%, 91.1%）。可选牙科检查在研究评估组中的使用率很低(随访：12.7%；95% ci: 7.0%, 21.8%)。没有严重的不良事件可归因于干预或试验程序。在自我报告（91.7% vs. 26.7%）和NHS BSA （55.3% vs. 12.1%）数据中，与TAU相比，链接工作干预组9个月后的牙科出勤率明显更高。还有一个信号表明，自我报告的口腔健康相关生活质量的改善有利于链接工作干预组。结论：试验流程和环节工作干预是可行的、可接受的、安全的。干预在临床结果方面显示出希望。干预措施的有效性需要在更大的试验中进行评估。试验注册：NCT05545228。
A Link Work Intervention to Facilitate Dental Visiting in People With Severe Mental Illness: A Two-Arm, Multi-Site, Assessor Blind, Randomised Feasibility Trial With Dental Record Linkage
Objectives
People with severe mental illness experience poor oral health, compared to the general population. They experience inequity in accessing dental services. This randomised controlled trial evaluated the acceptability and feasibility of a link work intervention to support people with severe mental illness to access a routine dental appointment.
Methods
This was a feasibility randomised controlled trial across three sites with 1:1 allocation to Treatment as usual (TAU) or TAU plus a link work intervention (ISRCTN13650779). Participants were adults accessing mental health services who had not attended a routine dental appointment in the past 3 years. The intervention comprised up to six sessions with a link worker. Participants completed self-report assessments and an optional dental examination at baseline and after nine months. Dental visiting data were obtained through self-report and the NHS Business Services Authority (BSA).
Results
One hundred and sixty-one participants were referred into the trial, resulting in 79 out of the target 84 randomisations (94.0%) over 7 months. There were high levels of engagement with the intervention. Dental visiting data were available for 84.8% of participants (95% CI: 75.3%, 91.1%). Uptake of the optional dental examination within the research assessment battery was low (follow-up: 12.7%; 95% CI: 7.0%, 21.8%). There were no serious adverse events attributable to the intervention or trial procedures. There were substantially higher rates of dental attendance after nine months in the link work intervention arm, compared to TAU, in both the self-report (91.7% vs. 26.7%) and NHS BSA (55.3% vs. 12.1%) data. There was also a signal of improved self-reported oral health-related quality of life favouring the link work intervention arm.
Conclusions
The trial procedures and link work intervention were found to be feasible, acceptable and safe. The intervention showed promise in terms of clinical outcomes. The effectiveness of the intervention requires evaluation in a larger trial.
期刊介绍：
The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome.
The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry.
The journal is published bimonthly.
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