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Grönbeck-Lindén, I., Hägglin, I., Gahnberg, L. & Andersson, P. (2017). Factors affecting older persons’ ability to manage oral hygiene: a qualitative study. JDR Clinical & Translational Research, 2(3), 223-231
Open this publication in new window or tab >>Factors affecting older persons’ ability to manage oral hygiene: a qualitative study
2017 (English)In: JDR Clinical & Translational Research, ISSN 2380-0844, Vol. 2, no 3, p. 223-231Article in journal (Refereed) Published
Abstract [en]

A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working with elderly persons. The fourth group was made up of elderly people (72–89 years). Content analysis was used to analyze the data. The latent content was formulated into the core category, “oral hygiene—a complex activity.” Three categories emerged: “psychological,” “environmental,” and “functional” dimensions. The psychological dimension described attitude/motivation, emotions, and cognitive factors. The environmental dimension included practical conditions and social context. The functional dimension dealt with bodily and oral function as well as the senses. In conclusion, self-care with respect to oral hygiene is a complex activity for elderly persons and includes a large number of factors. These factors should be taken into consideration when developing a future oral hygiene ability index.

Knowledge Transfer Statement: Various factors may affect the ability to manage oral hygiene self-care. Impaired ability to manage oral hygiene, in combination with an increased number of risk factors, often results in deteriorating oral health and impaired quality of life in older persons. Factors necessary to manage oral hygiene were identified in a qualitative study of dental hygienists, occupational therapists, and assistant nurses, all working with elderly patients, and a group of elderly persons. The results of this study may be important for clinical oral health work with older patients and for the planning of oral health and social care interventions for the growing group of older people.

Keywords
Aged, oral health, ability for self-care, risk, qualitative research, focus groups
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-16828 (URN)10.1177/2380084417709267 (DOI)
Available from: 2017-06-01 Created: 2017-06-01 Last updated: 2018-01-30Bibliographically approved
Andersson, P., Kavakure, J. & Lingström, P. (2017). The impact of oral health on daily performances and its association with clinical variables in a population in Zambia. International Journal of Dental Hygiene, 15(2), 128-134
Open this publication in new window or tab >>The impact of oral health on daily performances and its association with clinical variables in a population in Zambia
2017 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 15, no 2, p. 128-134Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to investigate oral impacts on daily performance and to relate these data to oral clinical variables.

Material and methods: The study was performed at a dental clinic in Livingstone, Zambia, and included 78 subjects (mean age 28, range 15–48 years) consecutively recruited in connection witha dental care visit. Data were collected through a structured interview using the Oral Impacts on Daily Performances (OIDP) index measuring oral health-related quality of life followed by a clinical examination.

Results: Oral health affected one or more daily performances during the last 6 months for 61.5% of the subjects. ‘Difficulty of eating and enjoying food’ was the performance reported most frequently (42.3%), and ‘speaking and pronouncing clearly’ was least often reported (10.3%). DMFT was 3.8, 3.6 (mean  SD; range0–15). A majority of the individuals had periodontal pockets ≥4mm (mean 4.3, 2.6) (94.9%) and gingival bleeding on probing >20%(88.5%). Two or more decayed teeth were shown to be significantly associated (OR 4.6, CI 1.2–17.1) with one or more oral impacts on daily performances in a multivariate logistic regression analysis.

Conclusions: This study shown that there is a significant association between decayed teeth and oral impacts on daily performances. More research is needed, however, for deeper understanding of oral health problems and their impacts on daily life in Zambia.

Keywords
Oral health, oral health-related quality of life, caries, dental status, Oral hälsa, oral hälsorelaterad livskvalitet, karies, tandstatus
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hkr:diva-14475 (URN)10.1111/idh.12171 (DOI)000400596100007 ()26283168 (PubMedID)
Available from: 2015-08-20 Created: 2015-08-20 Last updated: 2017-06-01Bibliographically approved
Andersson, P. & Johannsen, A. (2016). Dental patients' perceptions and motivation in smoking cessation activities. Acta Odontologica Scandinavica, 74(4), 285-290
Open this publication in new window or tab >>Dental patients' perceptions and motivation in smoking cessation activities
2016 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 4, p. 285-290Article in journal (Refereed) Published
Abstract [en]

Objective

The aim of the present study was to investigate smokers' perceptions of and motivation for smoking cessation activities in dentistry.

Materials and methods

Patients who smoked were consecutively recruited from general as well as specialist dental care clinics in Sweden. After a dental visit the patients completed a questionnaire about self-perceived oral health, smoking habits, motivation, reasons to quit and not to quit smoking, support to quit, smoking cessation activities and questions about smoking asked by dentists and dental hygienists.

Results

The sample consisted of 167 adult patients (≥ 20 years) who smoked daily. During the last 6 months, 81% of the patients had experienced oral health problems. The most common complaints were discolourations of the teeth, periodontal problems and dry mouth (38%, 36% and 33%, respectively). Improved general health was a major reason to quit smoking (89%). It was also stated that it was important to avoid oral health problems. 71% of the patients preferred to quit by themselves and 16% wanted support from dentistry. High motivation to quit smoking was reported by 20%. Occurrence of periodontitis during the last 6 months was significantly associated with being highly motivated to stop smoking (OR = 3.0, 95% CI = 1.03-8.55).

Conclusions

This study revealed that, although it was important to quit smoking to avoid oral health problems, the patients were not aware that tobacco cessation activities can be performed in dentistry. Periodontal problems seem to be the most motivating factor among the patients who were highly motivated to stop smoking.

Keywords
Oral health complaints, periodontitis, smoking
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-15360 (URN)10.3109/00016357.2015.1114669 (DOI)26609892 (PubMedID)
Available from: 2016-04-01 Created: 2016-04-01 Last updated: 2017-11-30Bibliographically approved
Andersson, P. (2014). Munhälsa (2ed.). In: Anna-Karin Edberg, Helle Wijk (Ed.), Omvårdnadens grunder: hälsa och ohälsa (pp. 301-331). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Munhälsa
2014 (Swedish)In: Omvårdnadens grunder: hälsa och ohälsa / [ed] Anna-Karin Edberg, Helle Wijk, Lund: Studentlitteratur AB, 2014, 2, p. 301-331Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2014 Edition: 2
Keywords
Munhälsa, munvård, oral hälsa, tandhälsa, oral hälsorelaterad livskvalitet
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-12862 (URN)978-91-44-08355-1 (ISBN)
Available from: 2014-09-10 Created: 2014-09-10 Last updated: 2016-04-01Bibliographically approved
Mårtensson, C., Söderfeldt, B., Axtelius, B. & Andersson, P. (2013). Expectations and satisfaction with care for periodontal specialist patients. Acta Odontologica Scandinavica, 71(3-4), 799-806
Open this publication in new window or tab >>Expectations and satisfaction with care for periodontal specialist patients
2013 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, p. 799-806Article in journal (Refereed) Published
Abstract [en]

Objective. The aim of this study was to investigate expectations on and satisfaction with treatment among patients referred for comprehensive treatment to specialist clinics in periodontology and to explore factors associated with satisfaction in regression analysis.

Materials and methods. Patients referred for comprehensive periodontal treatment were sampled for the study. The study was based on a questionnaire in a before-and-after design. The first questionnaire was sent to the patients before their first appointment at the specialist clinic. The second questionnaire was sent after  6 months. Three questions were used to measure expectations and four questions to measure satisfaction. The first questionnaire was sent to 273 patients with a response rate of 31% and the second questionnaire was sent to 85 patients with a response rate of 73%. In non-response analysis, no difference between respondents and non-respondents were detected as to age and gender.

Results. Many of the patients viewed it as important or very important to have healthy teeth (98%) and improved well-being (93%) after periodontal treatment. More than 50% of the patients were satisfied with the relation to the caregiver. When measuring the satisfaction in general, 42% indicated the highest score on the summarized Dental Visit Satisfaction Scale. Having confidence (p ≤ 0.001) and a good relation (p = 0.001) to the caregiver indicated higher satisfaction.

Conclusion. Having a good relation to the caregiver and having confidence in the caregiver seems to indicate satisfied patients receiving periodontal treatment at periodontal clinics.

Keywords
expectation, oral health, periodontitis, satisfaction
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-9878 (URN)10.3109/00016357.2012.734402 (DOI)000322832200063 ()23140519 (PubMedID)
Available from: 2012-11-28 Created: 2012-11-28 Last updated: 2017-12-07Bibliographically approved
Mårtensson, C., Söderfeldt, C., Axtelius, B. & Andersson, P. (2013). Knowledge of periodontitis and self-perceived oral health: a survey of periodontal specialist patients. Swedish Dental Journal, 37(1), 49-58
Open this publication in new window or tab >>Knowledge of periodontitis and self-perceived oral health: a survey of periodontal specialist patients
2013 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 37, no 1, p. 49-58Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling (p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.

Keywords
Periodontitis, knowledge, self- perceived oral health
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-9903 (URN)000319787700006 ()23721037 (PubMedID)
Available from: 2012-12-10 Created: 2012-12-10 Last updated: 2017-12-07Bibliographically approved
Andersson, P. (2013). Kvalitatsindikatorer för munhälsa (6ed.). In: Ewa Idvall (Ed.), Kvalitatsindikatorer inom omvårdnad: Svensk sjuksköterskeförening (pp. 30-37). Stockholm: Gothia Förlag AB
Open this publication in new window or tab >>Kvalitatsindikatorer för munhälsa
2013 (Swedish)In: Kvalitatsindikatorer inom omvårdnad: Svensk sjuksköterskeförening / [ed] Ewa Idvall, Stockholm: Gothia Förlag AB, 2013, 6, p. 30-37Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Gothia Förlag AB, 2013 Edition: 6
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-10180 (URN)978-91-7205-857-6 (ISBN)
Available from: 2013-02-12 Created: 2013-02-12 Last updated: 2014-06-17Bibliographically approved
Andersson, P. (2013). Munhälsa. In: Ami Hommel, Carina Bååth (Ed.), Ortopedisk vård och rehabilitering: (pp. 113-125). Lund: Studentlitteratur
Open this publication in new window or tab >>Munhälsa
2013 (Swedish)In: Ortopedisk vård och rehabilitering / [ed] Ami Hommel, Carina Bååth, Lund: Studentlitteratur, 2013, p. 113-125Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2013
Keywords
Munhälsa, oral hälsa, munvård, ortopedisk vård, ortopedisk rehabilitering
National Category
Health Sciences
Identifiers
urn:nbn:se:hkr:diva-10181 (URN)978-91-44-06059-0 (ISBN)
Available from: 2013-02-12 Created: 2013-02-12 Last updated: 2014-06-17Bibliographically approved
Pajalic, Z., Skog, T., Palmquist, E.-L., Arvidsson, A. & Andersson, P. (2013). ”Munhälsa”: till dig som har matdistribution.
Open this publication in new window or tab >>”Munhälsa”: till dig som har matdistribution
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2013 (Swedish)Other (Other (popular science, discussion, etc.))
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hkr:diva-11182 (URN)
Available from: 2013-10-21 Created: 2013-10-21 Last updated: 2014-10-14Bibliographically approved
Andersson, P., Hakeberg, M. & Abrahamsson, K. H. (2013). Psychometric properties of the Dental Hygienist Anxiety Scale in a group of general dental patients. Acta Odontologica Scandinavica, 71(3-4), 877-882
Open this publication in new window or tab >>Psychometric properties of the Dental Hygienist Anxiety Scale in a group of general dental patients
2013 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, p. 877-882Article in journal (Refereed) Published
Abstract [en]

Objective.  The aim of the present study was to evaluate the psychometric properties of the Dental Hygienist Anxiety Scale (DHAS) in a sample of adult general dental patients.  Materials and methods.  The DHAS is a questionnaire adapted to assess fear and anxiety of dental hygienist (DH) treatment. The DHAS contains four items and the sum of scores range from 4 (no anxiety) to 20 (extreme fear). A convenient sample of 80 patients in treatment at two DH programs in Sweden were consecutively included in the study. The DHAS was distributed together with questions regarding self-perceived oral health and experience of dental care at the first visit after a clinical examination performed by a DH. Re-test assessments of DHAS were conducted ∼ 2 weeks later in conjunction with the next visit to the DH before treatment (scaling session).  Results.  The results verified a significant positive correlation between the average DHAS sum of scores and global fear of DH and dentist treatment, perceived pain during the last DH treatment and female gender. The DHAS sum of scores had a high internal consistency, Cronbach's  coefficient of 0.89 and 0.87 at the first and at the second assessment, respectively. The test-re-test reliability of the DHAS sum of scores was acceptable, with an intra-class coefficient of 0.82 and Kappa coefficients between 0.49-0.78 for the four single items in the DHAS. Conclusions.  These results suggest that the DHAS has acceptable psychometric proprieties and is a valid and reliable scale to assess anxiety in DH treatment.

Keywords
Oral health, dental hygienist, dental treatment, dental anxiety
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-9866 (URN)10.3109/00016357.2012.734413 (DOI)000322832200074 ()23088659 (PubMedID)
Available from: 2012-11-26 Created: 2012-11-26 Last updated: 2017-12-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0269-730X

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