Oral health care intervention for elderly patients with dementia
| ISRCTN | ISRCTN48177484 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN48177484 |
| Secondary identifying numbers | NHRI-107AI-PHCO-03181808 |
- Submission date
- 08/06/2020
- Registration date
- 06/07/2020
- Last edited
- 01/11/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Oral Health
Plain English summary of protocol
Background and study aims
Oral care training for the elderly can help to reduce the rapid deterioration of oral diseases and the incidence of aspiration pneumonia, and further improve their health and quality of life. There is also an association between poor oral health status and cognitive impairment. This study aims to develop and apply a new method of basic oral hygiene care for the elderly with dementia, and evaluate the effectiveness of the intervention.
Who can participate?
Elderly with mild dementia who have at least four pairs of functional teeth
What does the study involve?
Participants will be randomly assigned to the experimental group or the control group. A one-on-one oral health education teaching activity will be conducted with experimental group members and their primary caregivers by a well-trained dental hygienist, including oral hygiene skill, chewing and swallowing practices, safe eating methods, dietary options, methods to reduce the risk of coughing, and oral function rehabilitation training. The participants will be encouraged to do it themselves at home at least once a day. Researchers will call experimental group participants twice a month by phone to check if they have problems with daily oral care. For those participants in the control group, participants are given a leaflet to read which includes general information about oral health. Before and after 3 and 6 months a questionnaire will be used to collect data on oral health care behaviours, oral hygiene, oral hygiene, and body mass index (BMI).
What are the possible benefits and risks of participating?
Participants may benefit from an improvement to their oral health, oral function, and quality of life. Risks of participating in the study are low, participants may feel uncomfortable during the oral examination.
Where is the study run from?
Kaohsiung Medical University Hospital and Kaohsiung Municipal Ta-Tung Hospital (Taiwan)
When is the study starting and how long is it expected to run for?
January 2018 to June 2021
Who is funding the study?
National Health Research Institutes (Taiwan)
Who is the main contact?
Prof. Hsiao-Ling Huang
hhuang@kmu.edu.tw
Contact information
Scientific
No.100
Shin-Chuan 1st Road
Sanmin Dist.
Kaohsiung City
80708
Taiwan
 ORCID ID |
0000-0002-1180-9011 |
|---|---|
| Phone | +886 (0)7 3121101 ext. 2159 |
| hhuang@kmu.edu.tw |
Study information
| Study design | Randomized controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format. |
| Scientific title | Follow-up study of oral health care and oral function intervention for elderly patients with dementia: a randomized controlled trial |
| Study objectives | The basic oral health care and oral function intervention is an effective method for elderly patients with dementia. |
| Ethics approval(s) | Approved 11/05/2018, Institutional review board of Kaohsiung Medical University Chung-Ho Memorial Hospital (No. 100, Tzyou 1st Road, Kaohsiung 807, Taiwan; +886 (0)7 3121101 ext. 6646; irb-training@kmuh.org.tw), ref: KMUHIRB-SV(I)-20180015 |
| Health condition(s) or problem(s) studied | Oral health of elderly patients with mild dementia (Clinical Dementia Rating=1.0) |
| Intervention | In this study, the elderly with mild dementia will be recruited in the Kaohsiung Medical University Hospital and Kaohsiung Municipal Ta-Tung Hospital. The physicians of Neurology Dementia outpatient clinic will recommend 200 suitable participants to the study. Participants will be randomly assigned using paper bags to the experimental group (EG) and control group (CG); each group has 100 participants. A 30 minutes face-to-face teaching activity for EG participants and their caregivers was implemented by a well-trained dental hygienist. It concluded oral function promotion exercise and oral care methods, using a leaflet and dental models as teaching aids. Dental hygienist shared experiences with the participants and their caregivers, and consult immediately to improve the learning effect. The intervention aims to let the participants have sufficient oral care abilities at home, eat safely and effectively, reduce chewing and swallowing problems, obtain adequate nutrition, reduce the incidence of choking. In order to overcome the situation that many participants do not live with their children, or do not have a daily primary caregiver, special aids are designed. They were given to the participants to use at home, including: refrigerator magnets (remind to do oral function promotion exercise), stickers for bathroom mirror (reminder for oral cleaning), and "oral care logbook", provide participants to record their daily oral care activities. Moreover, the EG participants received one reminder phone call every 2 weeks from researcher. For those participants in the CG, participants are given a leaflet to read which includes general information about oral health. Pre-test for two groups will be done before. There are post-tests after 3 months and 6 months. A structured questionnaire will be used to collect data on oral health care behaviors, plaque index (PI), Winkel tongue coating index (WTCI), repetitive saliva swallowing test (RSST), measurement of the oral diadochokinetic (DDK), and body mass index (BMI). T-tests, Chi-square test, Fisher's exact test, and logistic regression will be used for analysis. |
| Intervention type | Behavioural |
| Primary outcome measure | 1. Oral hygiene measured using the Plaque Index (PI) and Winkel tongue coating index (WTCI) at pre-test and after 3 and 6 months 2. Oral function measured using the repetitive saliva swallowing test (RSST), oral diadochokinesis (DDK), perceived xerostomia and dysphagia scales at pre-test and after 3 and 6 months 3. Physical status measured using the Body Mass Index (BMI) at pre-test and after 3 and 6 months |
| Secondary outcome measures | Oral health care behaviors measured using questionnaire at pre-test and after 3 and 6 months |
| Overall study start date | 01/01/2018 |
| Completion date | 30/06/2021 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Senior |
| Sex | Both |
| Target number of participants | 200 |
| Total final enrolment | 136 |
| Key inclusion criteria | 1. Aged over 65 years 2. Diagnosis of mild dementia (Clinical Dementia Rating=1.0) |
| Key exclusion criteria | 1. Patients with post-stroke dementia 2. Smokers or betel quid chewers, or both users who have quit less than 6 months 3. Conditions that cause patients can not receive examination or intervention (such as blind, deaf) 4. Patients who have fewer than 4 pairs of functional teeth |
| Date of first enrolment | 14/06/2018 |
| Date of final enrolment | 30/06/2020 |
Locations
Countries of recruitment
- Taiwan
Study participating centres
Kaohsiung City
80756
Taiwan
Kaohsiung City
80145
Taiwan
Sponsor information
Government
No. 35, Keyan Rd
Zhunan Town
Miaoli County
Miaoli County
35053
Taiwan
| Phone | +886 (0)37 206 166 |
|---|---|
| webmaster@nhri.org.tw | |
| Website | http://english.nhri.org.tw/NHRI_WEB/nhriw001Action.do |
"ROR" |
https://ror.org/02r6fpx29 |
Funders
Funder type
Government
No information available
Results and Publications
| Intention to publish date | 31/12/2022 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Other |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal. Additional documents are not available now. |
| IPD sharing plan | The datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | 24/09/2022 | 01/11/2022 | Yes | No |
Editorial Notes
01/11/2022: Publication reference added.
25/01/2022: The following changes were made to the trial record:
1. The overall end date was changed from 31/12/2020 to 30/06/2021.
2. The intention to publish date was changed from 31/12/2021 to 31/12/2022.
3. The plain English summary was updated to reflect these changes.
4. The total final enrolment was added.
03/07/2020: IPD sharing statement added.
23/06/2020: Trial's existence confirmed by Institutional Review Board (IRB) of Kaohsiung Medical University Chung-Ho Memorial Hospital.
