Abstract
Objectives
The objective of this study was to assess the effectiveness of a supervised implementation of the “Oral health care Guideline for Older people in Long-term care Institutions” (OGOLI) in The Netherlands.
Materials and methods
A sample of 12 care homes in the Netherlands was allocated randomly to an intervention or control group. While the residents in the control group received oral health care as before, the intervention consisted of a supervised implementation of the OGOLI.
Results
At baseline, the overall random sample comprised 342 residents, 52 % in the intervention group and 48 % in the control group. At 6 months, significant differences were observed between the intervention and the control group for mean dental as well as denture plaque, with a beneficial effect for the intervention group. The multilevel mixed-model analyses conducted with the plaque scores at 6 months as outcome variables showed that the reduction by the intervention was only significant for denture plaque.
Conclusions
Supervised implementation of the OGOLI was more effective than non-supervised implementation in terms of reducing mean plaque scores at 6 months. However, the multilevel mixed-model analysis could not exclusively explain the reduction of mean dental plaque scores by the intervention.
Clinical relevance
A supervised implementation of an oral health care guideline improves oral health of care home residents.
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Acknowledgments
This study was funded by The Open Ankh Foundation, Utrecht; The Opbouw Foundation, Utrecht; Birkhoven Care Estate, Amersfoort; ZonMw, The Haque; Vereniging Het Zonnehuis, Amstelveen; Stichting Wetenschapsbevordering Verpleeghuiszorg, Amsterdam; MarkTwo Communications, Leusden and Fonds NutsOhra, Amsterdam, The Netherlands. The authors would like to express their gratitude to GABA International, Johnson & Johnson, and Novia Cura for supplying the oral health care products and materials needed for this study.
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The authors declare that they have no conflict of interest.
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van der Putten, GJ., Mulder, J., de Baat, C. et al. Effectiveness of supervised implementation of an oral health care guideline in care homes; a single-blinded cluster randomized controlled trial. Clin Oral Invest 17, 1143–1153 (2013). https://doi.org/10.1007/s00784-012-0793-2
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DOI: https://doi.org/10.1007/s00784-012-0793-2