采用以用户为中心的方法,为缺牙老年人开发饮食教育工具。

IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Gerodontology Pub Date : 2023-06-13 DOI:10.1111/ger.12697
Rena Zelig, Pamela Rothpletz-Puglia, Eileen R. Hoskin, Steven R. Singer, Veronica M. Jones, Laura Byham-Gray, Riva Touger-Decker
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引用次数: 0

摘要

背景:牙齿脱落与营养摄入不足和营养不良的风险增加有关:牙齿缺失与营养摄入不足和营养不良风险增加有关:开发并实地测试一种由利益相关者提供信息的饮食教育工具,以满足不佩戴假牙的缺牙老年人的独特需求:方法:采用以用户为中心的迭代方法。最初的内容是根据以前的研究结果开发的。在两个时间点召开了由 20 颗或更少牙齿的老年人和牙医组成的利益相关者小组会议,以获取对工具的反馈意见,并在每次小组会议后对工具进行修订。该工具在牙科学校诊所进行了实地测试,并使用患者教育材料评估工具进行了评估;根据反馈意见对其进行了进一步修订:结果:开发了名为 "牙齿缺失后饮食更健康 "的饮食教育工具。其中包括水果和蔬菜、谷物、蛋白质等食物类别,以及有关缺牙饮食的社会情感方面的内容。专家组成员提供了建设性的积极反馈意见;对文字、图片、设计和内容的编辑建议也被纳入其中。在牙科诊所对 27 对牙科学生和他们的患者进行了实地测试,结果显示可理解性得分率为 95.7%,可操作性得分率为 96.6%,对每个项目的同意率均超过 85%。根据实地测试反馈对该工具进行了修订:结论:我们采用以用户为中心的方法,将 "患者的声音 "和患者的经验与美国饮食指南相结合,开发出了一款针对缺牙老年人的饮食教育工具。在牙科诊所环境中使用该工具是可行的。未来的研究应探索在更大范围内的使用情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A user-centered approach to the development of a diet education tool for older adults with tooth loss

A user-centered approach to the development of a diet education tool for older adults with tooth loss

Background

Tooth loss is associated with suboptimal nutrient intake and greater risk of malnutrition.

Objective

To develop and field-test a stakeholder-informed diet education tool that addresses the unique needs of older adults with tooth loss who do not wear dentures.

Methods

An iterative user-centered approach was used. Initial content was developed based on findings from previous research. Stakeholder panels of older adults with 20 or fewer teeth, and dentists, were conducted at two time points to obtain feedback on the tool, which was revised following each panel. The tool was field-tested in a dental school clinic and evaluated using the Patient Education Materials Assessment Tool; it was further revised based on feedback.

Results

A diet education tool entitled “Eating Healthier With Tooth Loss” was developed. Sections for fruits and vegetables, grains, and proteins food groups, and one addressing socioemotional aspects of eating with missing teeth were included. Panel members provided constructive, positive feedback; recommendations for editing text, images, design, and content were integrated. Field-testing in the dental clinic with 27 pairs of student dentists and their patients resulted in scores of 95.7% for understandability and 96.6% for actionability, with over 85% agreement with each item. The tool was revised based on field-testing feedback.

Conclusion

A diet education tool for older adults with tooth loss was developed using a user-centered approach, integrating the ‘patient voice’ and patient experiences with US dietary guidelines. Use of this tool is feasible in a dental clinic setting. Future research should explore usage in larger settings.

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来源期刊
Gerodontology
Gerodontology 医学-老年医学
CiteScore
4.10
自引率
10.00%
发文量
50
审稿时长
3-6 weeks
期刊介绍: The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.
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