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  • 1.
    Abrahamsson H, Kajsa
    et al.
    Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Krok, Lena
    Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg.
    Hakeberg, Magnus
    The Public Dental Service, Västra Götaland.
    Evaluation of the Dental Hygienist Beliefs Survey: test-retest assessment in a group of general dental patients2012In: International Journal of Dental Hygienie, ISSN 1601-5037, Vol. 10, no 1, p. 30-35Article in journal (Refereed)
    Abstract [en]

    Objective:  To evaluate the Dental Hygienist Beliefs Survey (DHBS) and the test–retest reliability of DHBS in a group of general dental patients.

    Material and methods:  The DHBS, which is a questionnaire constructed to assess patients’ specific attitudes towards dental hygienists (DHs), was distributed together with the Dental Anxiety Scale adapted to specifically assess fear of DH treatment (DHAS). It was hypothesized that DHBS would correlate with DHAS and gender. The questionnaires were consecutively distributed to 80 patients at their first visit and after a clinical examination performed by a DH student. Retest assessments of DHBS were conducted approximately two weeks later in conjunction with the next visit at the DH student and before treatment (scaling session). The final study sample included 77 adult general dental patients in treatment at an education clinic for DH students.

    Results:  The results verified a statistically significant correlation between DHBS and DHAS. The DHBS sum of scores showed high internal consistency with Cronbach’s a coefficient of 0.88 and 0.91 at the first and second assessments, respectively, and the test–retest reliability of the DHBS was acceptable with intraclass correlation coefficient of 0.76. No statistically significant association was found between DHBS and gender.

    Conclusion:  The results suggest that the DHBS is a reliable and stable scale to use to assess patients’ specific attitudes towards DHs. Moreover, DH beliefs are associated with fear of DH treatment.

  • 2.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Användning av en munbedömningsguide på inneliggande sjukhuspatienter2003In: Svensk sjukhustandläkartidning, ISSN 0348-0011, Vol. 28, no 1, p. 23-25Article in journal (Other (popular science, discussion, etc.))
  • 3.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Assessments of oral health status in frail patients in hospital2004Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The general aims of this thesis were to evaluate the usefulness of an oral assess¬ment guide and to determine the oral health status among frail patients in hospital settings. A further aim was to analyze possible factors that may be associated with oral health status, with special focus on the relationship between oral health and nutritional status among elderly rehabilitation patients. The Oral Assessment Guide (OAG) was used in patients with haematological malignancies undergoing chemotherapy. In further studies a Revised Oral Assessment Guide (ROAG) was used among geriatric rehabilitation patients. The inter-rater reliability of the OAG between registered nurses at the ward and a dental hygienist (DH) was good, as well as between a registered nurse and a DH using ROAG. Problems in the oral cavity were detected in all patients with haematological malignancies undergoing chemotherapy. Problems related to mucous membranes, teeth and/or dentures were most frequent. Oral health problems were also a frequent finding among the geriatric rehabilitation patients. The frequency of oral health problems was significantly lower at discharge compared to admission. Oral health problems were more often found among patients that stayed for longer periods at the hospital, were more dependent on help with daily activities and suffered for dysphagia, than among the healthier patients. Oral health problems were more common among the patients being at risk of undernourishment, suspected to be or severely undernourished (UN), than among the well-nourished patients. Problems in oral health status were significantly associated with the occurrence of respiratory diseases, living in special accommodation, being UN and being a woman. The highest Odds Ratio (OR) was found in problems with gums in relation to the occurrence of respiratory diseases (OR 8.9; 95 % CI 2.8-27.8). OAG as well as ROAG were found to be useful for assessing oral health status in frail patients at hospital. Oral health problems were a frequent finding among the patients. The use of an oral assessment tool on a routine basis may facilitate the detection of problems which otherwise can be hidden, and can serve as a guide for initiating individualised oral health procedures.

  • 4.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Att åldras - ökad risk för sämre tandhälsa?2012In: Ä. En tidning för Riksföreningen sjuksköterskan inom äldrevård, ISSN 2001-1164, Vol. 2, p. 70-72Article in journal (Other academic)
  • 5.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Bedömning av munstatus2006In: Munvård inom vård och omsorg / [ed] Öhrn, Kerstin, Andersson Pia, Lund: Studentlitteratur , 2006, p. 23-40Chapter in book (Other (popular science, discussion, etc.))
  • 6.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Evaluation of oral health status using an oral assessment guide in geriatric rehabilitation patients and in patients with haematological malignancies2002Licentiate thesis, comprehensive summary (Other academic)
  • 7.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Evaluation of oral health status using an oral assessment guide on geriatric rehabilitation patients and in patients with haematological malignancies2003In: The first national conference on dental hygiene research in Sweden / [ed] Hovius, Marjolin, 2003, p. 180-Conference paper (Refereed)
  • 8.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Implementering av en munbedömningsguide på äldre patienter inneliggande på sjukhus2004In: Tandläkartidningen, ISSN 0039-6982, Vol. 24, p. 25-27Article in journal (Other academic)
  • 9.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Kvalitatsindikatorer för munhälsa2013In: Kvalitatsindikatorer inom omvårdnad: Svensk sjuksköterskeförening / [ed] Ewa Idvall, Stockholm: Gothia Förlag AB, 2013, 6, p. 30-37Chapter in book (Other academic)
  • 10.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap III. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Munhälsa2014In: Omvårdnadens grunder: hälsa och ohälsa / [ed] Anna-Karin Edberg, Helle Wijk, Lund: Studentlitteratur AB, 2014, 2, p. 301-331Chapter in book (Other academic)
  • 11.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Munhälsa2013In: Ortopedisk vård och rehabilitering / [ed] Ami Hommel, Carina Bååth, Lund: Studentlitteratur, 2013, p. 113-125Chapter in book (Other academic)
  • 12.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Munhälsa2009In: Omvårdnadens grunder: hälsa och ohälsa / [ed] Edberg, Anna-Karin, Wijk, Helle, Lund: Studentlitteratur, 2009, p. 349-380Chapter in book (Other academic)
  • 13.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munhälsa och ätandet2006In: Munvård inom vård och omsorg / [ed] Öhrn Kerstin, Andersson Pia, Lund: Studentlitteratur , 2006, p. 53-66Chapter in book (Other (popular science, discussion, etc.))
  • 14.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munhälsans inverkan på ätandet2003In: Westergren, Albert (red.), Svårigheter att äta, Lund: Studentlitteratur , 2003, p. 55-66Chapter in book (Other (popular science, discussion, etc.))
  • 15.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munhälsostatus hos patienter som vårdas på sjukhus2004In: Tandläkartidningen, ISSN 0039-6982, Vol. 96, no 10, p. 62-65Article in journal (Other academic)
    Abstract [sv]

    Den 23 april 2004 försvarade tandhygienist Pia Andersson avhandlingen ”Assessments of oral health status in frail patients in hospital” vid odontologiska fakulteten, Malmö högskola. Fakultetsopponent var professor Tony Axéll, Specialisttandvården, Halmstad. Handledare under avhandlingsarbetet har varit professor Stefan Renvert, Högskolan Kristianstad och professor Ingalill Rahm Hallberg, Vårdalinstitutet, Lund. Det övergripande syftet med avhandlingen var att utvärdera ett formulär för att bedöma munhälsan på patienter som låg inne på sjukhus och att undersöka förekomsten av problem i munnen. På äldre patienter inom rehabilitering undersöktes dessutom om det fanns samband mellan munhälsostatus och relaterade faktorer som ålder, kön, boendeform, civilstånd, sjukdomsorsak vid inskrivning till avdelningen, läkemedelsintag, funktionsstatus och nutritionsstatus med fokus på sambandet mellan munhälsostatus och nutritionsstatus.

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  • 16.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Munvård hos äldre vid olika sjukdomstillstånd2006In: Munvård inom vård och omsorg / [ed] Öhrn Kerstin, Andersson Pia, Lund: Studentlitteratur , 2006, p. 83-100Chapter in book (Other (popular science, discussion, etc.))
  • 17.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Oral health status in geriatric rehabilitation patients2004In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 2, no 1, p. 45-45Article in journal (Other academic)
  • 18.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Utvärdering av munhälsostatus med användning av en munbedömningsguide på geriatriska patienter och på patienter med maligna blodsjukdomar2003In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 23, no 1, p. 23-25Article in journal (Other (popular science, discussion, etc.))
  • 19.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Varför behövs en treårig tandhygienistutbildning?2011In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 31, no 1, p. 30-32Article in journal (Other (popular science, discussion, etc.))
  • 20.
    Andersson, Pia
    Kristianstad University, Department of Health Sciences.
    Vidgade perspektiv inom oral hälsa2011In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 31, no 2, p. 52-53Article, review/survey (Other academic)
  • 21.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Bjurbrant Birgersson, Ann-Marie
    Kristianstad University, Department of Health Sciences.
    Wårdh, Inger
    Institutionen för odontologi, avdelningen för gerodonti, Karolinska Institutet.
    Kvalitetsindikatorer för munhälsa2007In: Idvall, E. (red), Kvalitetsindikatorer inom omvårdnad, Stockholm: Gothia , 2007, p. 45-56Chapter in book (Other academic)
  • 22.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Friman, Göran
    Nordling, Monica
    Folktandvården Jönköpings län.
    Externt munhälsoarbete för personer med funktionsnedsättning i alla åldrar2011In: Att förbättra munhälsan hos personer med funktionsnedsättning - barn, vuxna och äldre: konsensusarbete för effektivare munhälsofrämjande arbete för personer med funktionsnedsättning / [ed] Pia Grabe och Inger Wårdh, Göteborg: Mun-H-Center förlag , 2011, , p. 106-125p. 106-125Chapter in book (Other academic)
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  • 23.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Hakeberg, Magnus
    Research Center, Public Dental Service, Region Västra Götaland.
    Abrahamsson, Kajsa H.
    Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg.
    Psychometric properties of the Dental Hygienist Anxiety Scale in a group of general dental patients2013In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, p. 877-882Article in journal (Refereed)
    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.

  • 24.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Hakeberg, Magnus
    University of Gothenburg.
    Karlberg, Gunn
    Karlstad University.
    Östberg, Anna-Lena
    Karlstad University.
    Clinical correlates of oral impacts on daily performances2010In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 8, no 3, p. 219-226Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim of this study was to investigate the associations between oral health measures and oral health-related quality of life as captured by OIDP (oral impacts on daily performances).

    METHODS: The study was performed in three dental clinics in Sweden and included 204 patients, 43.8% men and 56.2% women (aged 20-86 years), consecutively recruited in connection with their routine dental examination. The patients were interviewed using the OIDP followed by a clinical examination. Four bite-wing radiographs were taken in two of the clinics (n = 154). A self-administered questionnaire provided information about socio-economic data.

    RESULTS: Subjects >or=60 years had significantly more missing teeth, lesser maximal jaw opening, higher number of sites with alveolar bone loss and proportionally more filled teeth than younger individuals. Impacts related to the oral health that affected their daily life were reported in 39.7%. Multivariate logistic regressions analysis showed that missing teeth (>or=10) and a limited jaw opening (<40 mm) were significantly associated with having one or more impact as measured with the OIDP [odds ratio (OR) 6.50, 95% CI 1.48-28.43 and OR 2.87, 95% CI 1.03-7.96, respectively].

    CONCLUSIONS: Individuals with diminished functional oral health status (missing teeth and limited jaw opening) had significantly more often one or more oral impacts on daily life than those with fewer than 10 missing teeth and a jaw opening >or=40 mm. The OIDP instrument may be valuable for use in routine dental check-ups in patients with related problems to determine possible oral impacts on daily life.

  • 25.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Johannsen, Annsofi
    Arbete mot tobaksbruk kartläggs2009In: Tandläkartidningen, ISSN 0039-6982, Vol. 101, no 7, p. 62-63Article in journal (Other academic)
    Abstract [sv]

    Forskning visar att tandvårdspersonal har bristande kunskaper i hur man hjälper patienter att sluta röka och snusa. En studie pågår därför för att öka kunskapen om metoder för tobaksavvänjning.

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  • 26.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och Folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life.
    Johannsen, Annsofi
    Karolinska Institutet.
    Dental patients' perceptions and motivation in smoking cessation activities2016In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 4, p. 285-290Article in journal (Refereed)
    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.

  • 27.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Johannsen, Annsofi
    Karolinska institutet.
    Tandhygienisters arbete med tobaksavvänjning2010Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Projektets syfte var att kartlägga tandhygienisters utövande av tobaksavvänjning i behandling av patienter som röker och/eller snusar, samt att undersöka deras inställning till tobaksavvänjning i förhållande till olika tillstånd i munhålan. Syftet var också att genom intervjuer beskriva yrkesgruppens uppfattningar om och erfarenheter av arbetet med tobaksavvänjning i patientbehandling. Målet med projektet har varit att implementera kunskaper om tobaksavvänjning i utbildningen till tandhygienist utifrån exempel från tandhygienistens verksamhet.

    Projektet har genomförts vid tandhygienistutbildningarna Högskolan Kristianstad och Karolinska institutet i Stockholm från hösten 2008 till och med 2010. En enkät som innehöll 25 frågor skickades till 400 tandhygienister som slumpmässigt valdes ut från medlemsregistret i Sveriges tandhygienistförening. Enkäten besvarades av 232 tandhygienister (58%). Tolv tandhygienister intervjuades och kvalitativ innehållsanalys användes som analysmetod. Dessutom har kursplaner granskats och innehållet av undervisningen om tobak utvärderats vid de båda lärosätena.

    Resultatet av enkäten visade att 45% av tandhygienisterna hade utbildning i tobaksavvänjning. I stort sett samtliga av dem tillfrågade patienter som rökte eller snusade om deras tobaksbruk, de informerade om tobakens skadliga effekter och frågade om motivationen till att sluta använda tobak. Sextiofyra procent av tandhygienisterna uppgav att de arbetade aktivt för att få patienterna att sluta röka eller snusa. Avsaknad av tid, otillräcklig kompetens och erfarenhet uppgavs vara hinder till att bedriva tobaksavvänjning. Skrivna riktlinjer för tobaksavvänjning och utbildning i detta område efterfrågades av 53% respektive 37%. Samtliga tandhygienister tyckte att det var viktigt att bedriva rökavvänjning på patienter som har tandlossning och tandimplantat, 58% uppgav att de utförde rökavvänjning på patienter som har tandlossning och 31% att de utförde det på patienter med tandimplantat.

    Resultatet av intervjuerna visade att tobaksavvänjning kan beskrivas som osynligt i munhälsoarbetet. Det integrerades i andra behandlingsåtgärder, eftersom det saknas debiteringskod i tandvårdens ekonomiska system för åtgärder mot tobaksbruk. Tandhygienisterna frågade sina patienter om deras tobaksbruk vid varje behandlingstillfälle och försökte få dem motiverade till att sluta. Deras förhållningssätt för att få sina patienter att upphöra med att röka eller snusa präglades av en helhetssyn. De hade fokus på etiska aspekter, som patientens självbestämmande och att deras egna handlingar skulle ha ett gott syfte för såväl patienten som för samhället. Flera av dem som intervjuades betonade att de var aktsamma för att inte förstöra sin goda relation till patienten. De tolkade patienterna utifrån hur motiverade de var till att sluta röka eller snusa och utgick från detta i sitt arbete. Kunskap om olika metoder för att få patienter att upphöra med sitt tobaksbruk upplevdes vara betydelsefullt för att bedriva ett bra arbete med tobaksavvänjning.

    Granskning av kursplaner och utvärderingar vid de båda lärosätena visade att utbildningens innehåll om tobaksavvänjning hade brister. Det framkom att det framförallt fanns brister i den praktiska tillämpningen och att denna del behövde få utökat utrymme i utbildningen.

    Projektet har lett till förändringar av tobaksinnehållet i kursplaner vid tandhygienistutbildningarna på respektive lärosätet för att förbättra undervisningen. Projektet har också resulterat i att de studerande kommer att få utbildning som kan erbjuda dem diplomering i tobaksavvänjning enligt standard hos Yrkesföreningar mot tobak. Därigenom stärks de för att i sin framtida yrkesroll kunna arbeta med att avvänja patienter från tobaksbruk. Ett hinder för att tandhygienister ska kunna utföra tobaksavvänjning är debiteringen, eftersom patienter får betala en högre avgift om avvänjningen sker inom tandvården, jämfört med inom hälso- och sjukvården för samma åtgärd. Detta kan innebära att patienter avböjer erbjudande som ges av tandhygienister. Det är därför angeläget att ekonomiska och organisatoriska förutsättningar ges, så att tobaksavvänjning kan bedrivas inom tandvården. Denna arena är betydelsefull för främjande av folkhälsan och åtgärden når en stor grupp människor eftersom en hög andel av befolkningen besöker tandvården regelbundet.

  • 28.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap III. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Kavakure, Jules
    Region Skåne.
    Lingström, Peter
    Sahlgrenska akademin, Göteborg.
    The impact of oral health on daily performances and its association with clinical variables in a population in Zambia2017In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 15, no 2, p. 128-134Article in journal (Refereed)
    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.

  • 29.
    Andersson, Pia
    et al.
    Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Department of Oral Health.
    Kragh Ekstam, Annika
    Region Skåne Koncernkontoret - Regionhuset.
    Impaired oral health in older orthopaedic in-care patients: The influence of medication and morbidity2021In: Clinical Interventions in Aging, ISSN 1176-9092, E-ISSN 1178-1998, Vol. 16, p. 1691-1702Article in journal (Refereed)
    Abstract [en]

    Introduction: Fall-related injuries are prevalent in older patients and often lead to increased morbidity, medication, and impaired functions. We studied older trauma patients with the aim to describe their oral health in comparison to morbidity and medication.

    Material and Methods: The study included 198 patients, ≥65 years, admitted with an orthopedic trauma. Oral examinations included number of natural teeth, dental implants, missing, decayed and restored teeth, root remnants, and pocket depth. Data on comorbidities and medication were assembled. Statistical analyses were carried out with logistic regression models, adjusted for age, gender, comorbidity, and polypharmacy.

    Results: Overall, 198 patients participated, 71% women, mean age 81 years (±7.9), 85% resided in their own homes, 86% had hip fractures. Chronic diseases and drug use were present in 98.9%, a mean of 6.67 in Charlson comorbidity index (CCI), 40% heart diseases, 17% diabetes, and 14% dementia. Ninety-one percent were dentate (181), mean number of teeth 19.2 (±6.5), 24% had decayed teeth, 97% filled teeth, 44% <20 teeth, and 26% oral dryness. DFT (decayed, filled teeth) over mean were identified in patients with diabetes (p=0.037), COPD (p=0.048), polypharmacy (p=0.011), diuretics (p=0.007), and inhalation drugs (p=0.032). Use of ≥2 strong anticholinergic drugs were observed in patients with <20 teeth and DFT over mean (p=0.004, 0.003). Adjusted for age, gender, CCI, and polypharmacy.

    Conclusion: The study showed that impaired oral health was prevalent in older trauma patients and that negative effects on oral health were significantly associated with chronic diseases and drug use. The results emphasize the importance of identifying orthogeriatric patients with oral health problems and to stress the necessity to uphold good oral care during a period when functional decline can be expected.

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  • 30.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Lingström, Peter
    Kristianstad University, School of Health and Society.
    Att åldras - ökad risk för karies?2008In: Dentalmagazinet, ISSN 2000-0073, no 1, p. 33-36Article in journal (Other academic)
  • 31.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Mårtensson, Carina
    Kristianstad University, School of Health and Society.
    Rolandsson, Margot
    Karlstads universitet.
    Sundberg, Nina
    Karlstads universitet.
    Olsson, Margaretha
    Karlstads universitet.
    Larsson, Anna-Britta
    Högskolan Dalarna.
    Müller, Görel
    Högskolan Dalarna.
    Jakobsson, Brittmarie
    Högskolan Jönköping.
    Lindmark, Ulrika
    Högskolan Jönköping.
    Klinisk slutexamination i tandhygienistutbildningen2010In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 30, no 5, p. 42-Article in journal (Other academic)
  • 32.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Persson, Lena
    Centre for Caring Sciences, Lund University.
    Hallberg, Ingalill
    Centre for Caring Sciences, Lund University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Testing an oral assessment guide during chemotherapy treatmen in a Swedish care setting: a pilot study1999In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 8, no 2, p. 150-158Article in journal (Refereed)
    Abstract [en]

    Oral complications are common in patients with haematological malignancies who undergo chemotherapy treatment. A pilot study including 16 haematological patients was carried out to evaluate the oral status using an Oral Assessment Guide (OAG) and to test the reliability of the OAG. The oral assessments were made daily by registered nurses at a Department of Internal Medicine in Sweden. Once a week a dental hygienist made the oral assessments independent of the registered nurses in order to provide data for calculations of inter-rater reliability. All patients had varying degrees of alterations in the oral cavity, especially in the mucous membranes, teeth/dentures and gums. The inter-rater agreement between the nurses and the dental hygienist was good for saliva and swallow, and moderate for voice and gums. Assessments to detect alterations in the oral cavity afford the opportunity for early and individualized interventions and may decrease the risk of oral infections. It is necessary to train the nurses to ensure high levels of reliability in the oral assessments. The OAG seems to be a reliable and clinical useful tool for assessing the oral cavity status and determining changes.

  • 33.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rahm Hallberg, Ingalill
    Lorefält, B.
    Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University.
    Unosson, M.
    Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Oral health problems in elderly rehabilitation patients2004In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 2, no 2, p. 70-77Article in journal (Refereed)
    Abstract [en]

    A combination of poor oral hygiene and dry mouth may be hazardous to the oral health status. However, systematic assessments in order to detect oral health problems are seldom performed in the nursing care of the elderly. The aims of this study were to investigate the occurrence of oral health problems measured using the Revised Oral Assessment Guide (ROAG) and to analyse associations between oral health problems and age, gender, living conditions, cohabitation, reason for admission, number of drugs, and functional and nutritional status. One registered nurse performed oral health assessments using ROAG in 161 newly admitted elderly patients in rehabilitation care. Oral health problems were found in 71% of the patients. Thirty per cent of these patients had between four and eight problems. Low saliva flow and problems related to lips were the most frequent oral health problems. Problems in oral health status were significantly associated with presence of respiratory diseases (problems with gums, lips, alterations on the tongue and mucous membranes), living in special accommodation (low saliva flow, problems with teeth/dentures and alterations on the tongue), being undernourished (alterations on the tongue and low saliva flow) and being a woman (low saliva flow). The highest Odds ratio (OR) was found in problems with gums in relation with prevalence of respiratory diseases (OR 8.9; confidence interval (CI) 2.8–27.8; P < 0.0005). This study indicates the importance of standardised oral health assessments in order to detect oral health problems which can otherwise be hidden when the patients are admitted to the hospital ward.

  • 34.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rahm Hallberg, Ingalill
    Kristianstad University, Department of Health Sciences.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Comparison of oral health status on admission and discharge in a group of geriatric rehabilitation patients2003In: Oral Health and Preventive Dentistry, Vol. 1, no 3, p. 221-228Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to compare oral health status on a geriatric rehabilitation ward among patients who were assessed using the Revised Oral Assessment Guide (ROAG) on admission and at discharge; and to investigate in what respect the oral health procedures (OHP) suggested in ROAG were applied when oral health problems were detected. MATERIALS AND METHODS: Registered nurses on the ward performed oral health assessments using ROAG with 107 patients on admission and at discharge. When oral health problems were detected measures to be taken were suggested using ROAG. RESULTS: Oral health problems were common among the patients on admission (86%), as well as at discharge (51%). The frequency of the problems was significantly lower at discharge compared to admission. The OHP that were recommended in ROAG were completely followed when saliva flow-related problems were detected. Regarding other oral health problems, measures other than the recommended ones were often performed. CONCLUSION: This study demonstrated that the oral health was better at the end of the hospital stay compared to admission.

  • 35.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rahm Hallberg, Ingalill
    Department of Nursing, Medical Faculty, Lund University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Inter-rater reliability of an oral assessment guide för elderly patients residing in a rehabilitation ward2002In: Special Care in Dentistry, ISSN 0275-1879, Vol. 22, no 5, p. 181-186Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to test the inter-rater reliability of a revised oral assessment guide (ROAG) for patients residing in a geriatric rehabilitation ward. A consecutive sample of 140 patients was recruited for the study. Oral assessments were performed for 133 newly admitted patients by one registered nurse (RN) during a period of six months. A dental hygienist (DH) carried out 103 oral assessments during the same half-year. For 66 patients, the RN and the DH performed independent assessments. There was an agreement between the RN and the DH in the majority of the independent assessments, except for tongue and teeth/dentures. The percentage agreement exceeded 80 percent. Inter-rater agreement measured by Cohen's Kappa coefficient ranged from moderate to very good and percentage agreement had a range of 58 to 91 percent. The agreement was highest in assessment of voice and swallowing (91%). Assessments of teeth and dentures seemed to be most difficult for the RN to evaluate. ROAG was found to be a clinically useful assessment tool. Additional education and training is needed to improve the reliability of the oral assessments and should include continuous support from a dental hygienist as well as a pictorial manual on how to use the ROAG.

  • 36.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Rejnefelt, Ingrid
    Kristianstad University, Department of Health Sciences.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Munhälsa hos äldre med demenssjukdom2005In: Tandhygienisttidningen. 25(3), 2005, Vol. 25, p. 64-Conference paper (Other academic)
  • 37.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Renvert, Stefan
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Blekinge Institute of Thechology & Trinity College, Dublin.
    Sjögren, P
    Oral Care.
    Zimmerman, M
    Karolinska Institutet.
    Dental status in nursing home residents with domiciliary dental care in Sweden2017In: Community Dental Health, ISSN 0265-539X, Vol. 34, no 4, p. 203-207Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To describe the dental health status of elderly people in nursing homes receiving domiciliary dental care.

    DESIGN: Case note review.

    CLINICAL SETTING: Nursing homes in 8 Swedish counties.

    PARTICIPANTS: Care dependent elderly people (≥65 years).

    METHODS: Clinical data, including the number of remaining natural teeth, missing and decayed teeth (manifest dental caries) and root remnants, recorded by dentists according to standard practices. Medical and dental risk assessments were performed.

    RESULTS: Data were available for 20,664 patients. Most were women (69.1%), with a mean age of 87.1 years (SD 7.42, range 65-109). The mean age for men was 83.5 years (SD 8.12, range 65-105). Two or more medical conditions were present in most of the population. A total of 16,210 individuals had existing teeth of whom 10,974 (67.7%) had manifest caries. The mean number of teeth with caries was 5.0 (SD 5.93) corresponding to 22.8% of existing teeth. One in four individuals were considered to have a very high risk in at least one professional dental risk assessment category.

    CONCLUSIONS: Care dependent elderly in nursing homes have very poor oral health. There is a need to focus on the oral health-related quality of life for this group of frail elderly during their final period of life.

  • 38.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön PRO-CARE.
    Johannsen, A.
    Division of Periodontology and Dental Hygiene, Department of Dental Medicine, Karolinska Institutet, Huddinge.
    The invisible work with tobacco cessation: strategies among dental hygienists2012In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 10, no 1, p. 54-60Article in journal (Refereed)
    Abstract [en]

    Objective:  This study elucidates dental hygienists’ experiences of work with tobacco cessation among patients who smoke or use snuff.

    Methods:  Data were obtained and categorized by interviewing 12 dental hygienists, who worked actively with tobacco cessation interventions. Qualitative content analysis was used for analysis.

    Results:  The latent content was formulated into the core category ‘the invisible oral health promotion work’. The informants thought that they had a responsibility to work with tobacco cessation. They perceived the financial system in which they perform the activity as frustrating, because tobacco cessation has no treatment code in the dental care insurance. This was one of several reasons why they had to integrate it in other treatment procedures. The results identified three categories: ‘balance in the meeting’, ‘possibilities and hindrance’ and ‘procedures’. In the narratives, both positive and negative aspects were displayed.

    Conclusions:  The financial conditions for tobacco cessation interventions need to be reformed and the activity has to be given a higher priority in the organization of dental care. Practical training in performing tobacco cessation interventions is important during the dental hygiene education; otherwise, tobacco cessation interventions will remain invisible in oral health promotion in the future.

  • 39.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Westergren, Albert
    Kristianstad University, School of Health and Society.
    Johannsen, Annsofi
    Karolinska institutet.
    Strategier för tobaksavvänjning: det osynliga munhälsoarbetet2011In: Tandhygienisttidningen, ISSN 1102-6146, no 3, p. 26-27Article in journal (Other academic)
  • 40.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Westergren, Albert
    Department of Nursing, Medical Faculty, Lund University.
    Karlsson, Siv
    North-east Skåne Health Care District, Central Hospital, Kristianstad.
    Rahm Hallberg, Ingalill
    Department of Nursing, Medical Faculty, Lund University.
    Renvert, Stefan
    Kristianstad University, Department of Health Sciences.
    Oral health and nutritional status in a group of geriatric rehabilitation patients2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 3, p. 311-318Article in journal (Refereed)
    Abstract [en]

    The aims of this study were to evaluate the oral health status and nutritional status in a group of geriatric rehabilitation patients, and to analyse the relationship between these two parameters. Nurses at the ward performed structured assessments of oral and nutritional status using the Revised Oral Assessment Guide and the Subjective Global Assessment form in 223 newly admitted patients. Most oral health problems were found among patients who stayed longer at the hospital and were more dependent on help as compared with the healthier patients. Thirty-four per cent of the patients were either severely undernourished, at risk or suspected to be undernourished (UN). Oral health problems were more common among UN patients (p < 0.0005) compared with well-nourished patients. The most frequent oral health problem was found on teeth or dentures (48%). Problems related to the tongue and lips were also common among UN patients (56 and 44%, respectively). Oral health status was correlated (r = 0.32) to nutritional status. Problems with swallowing had the strongest association to the nutritional status (OR 6.05; 95% CI 2.41-15.18). This study demonstrated that poor oral health status was related to undernourishment.

  • 41.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Wickholm, Seppo
    Karolinska Institutet.
    Johannsen, Annsofi
    Karolinska Institutet.
    Svenska tandhygienisters arbete med tobaksavvänjning2010In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 30, no 5, p. 45-Article, review/survey (Other academic)
  • 42.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Wickholm, Seppo
    Karolinska Institutet.
    Johannsen, Annsofi
    Karolinska Institutet.
    Tobacco cessation activities among dental hygienists in Sweden2010In: Abstracts for ISDH 2010, 1-3 July 2010, Glasgow, UK / [ed] Editor-in-chief Marjolijn Hovius, 2010, p. 190-Conference paper (Refereed)
    Abstract [en]

    Objectives: The aim of the present study was to investigate current practice and perceived barriers regarding tobacco cessation activities among Swedish dental hygienists (DHs). A secondary aim was to study knowledge about the importance of tobacco cessation in relation to different oral health conditions.

    Methods: A questionnaire including twenty-five questions was mailed to 400 randomly selected DHs in Sweden asking them about their tobacco cessation routines and perceived barriers. Questions were also included regarding knowledge about the importance of tobacco activities in relation to different conditions: caries, gingivitis, periodontitis, and dental implants. The study was approved by the Ethics Committee at Kristianstad University, Sweden.

    Results: The response rate was 57% n = 229). Forty-five percent n = 103) of these had received courses in tobacco cessation during or after their dental hygienist graduation. Tobacco cessation services were given by 64% n = 146) of the DHs. To improve the work with tobacco cessation 53% n = 121) of the DHs expressed a need for written guidelines and 37% n = 84) wished for courses. Of those DHs (n = 83) who did not provide tobacco cessation advice, 69% (n = 57) reported insufficient competence, while the remaining 31% (n = 26) reported other obstacles to offering the service.

    Conclusions: The present study indicates that to provide tobacco cessation advice in clinical practice, DHs require theoretical knowledge and clinical experience in this topic.

  • 43.
    Andersson, Pia
    et al.
    Kristianstad University, Department of Health Sciences.
    Öhrn, KerstinHögskolan Dalarna.
    Munvård inom vård och omsorg2006Collection (editor) (Other (popular science, discussion, etc.))
    Abstract [sv]

    Munvård är en viktig men ofta eftersatt del av vård och omsorg. Allt fler människor behåller sina naturliga tänder långt upp i åldrarna, vilket medför att behovet av hjälp med munvård ser annorlunda ut idag jämfört med för ett par decennier sedan.

    Boken ger kunskap om den friska munhålan, de vanligaste sjukdomarna samt hur man kan förebygga och behandla dessa. Den beskriver också undersökning av munnen och hur fynden dokumenteras. Andra ämnen som tas upp är munhälsa och nutrition, munvård för patienter med cancer och andra sjukdomstillstånd samt etik och bemötande.

    Munvård ger en god teoretisk grund och lämpar sig särskilt väl för sjuksköterskestudenter och andra inom vård- och omsorgsutbildningarna samt för redan yrkesverksamma inom området.

  • 44.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Östberg, Anna-Lena
    Hakeberg, Magnus
    Association between oral health and oral healthrelated quality of life2009Conference paper (Refereed)
  • 45.
    Bellander, Lisa
    et al.
    Göteborgs universitet, Folktandvården Västra Götaland.
    Andersson, Pia
    Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Department of Oral Health.
    Nordvall, Dennis
    Qulturum, Region Jönköpings län.
    Hägglin, Catharina
    Göteborgs universitet, Folktandvården Västra Götaland.
    Oral health among older adults in nursing homes: a survey in a national quality register, the senior alert2021In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed)
    Abstract [en]

    Aim: To investigate the extent to which the Revised Oral Assessment Guide–Jönköping (ROAG-J) is used by nursing staff routinely in nursing homes in Swedenand to describe oral health status of the residents.

    Design: An observational, retrospective register-based study.

    Methods: Data from different validated health assessments instruments, includingROAG-J, for the period 2011–2016 were obtained from the Web-based nationalquality register Senior Alert. The basis for the analyses was 190,016 assessments.

    Results: About half of all residents had underwent at least one annual ROAG-J assessment (2014–2016). During the period 2011–2016, 42% of the residents (n = 92,827) were registered to have oral health problems. Significantly more oral health problemswere found for men and for those with younger age, poorer physical condition, neurophysiological problems, underweight, impaired mobility and many medications. Inconclusion, poorer oral health was found for more care-dependent individuals, whichshows a need of preventive actions.

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  • 46.
    Grönbeck Lindén, Ingela
    et al.
    Göteborgs universitet.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Faculty of Health Science, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Dahlin-Ivanoff, Synneve
    Göteborgs universitet.
    Gahnberg, Lars
    Karolinska institutet.
    Hägglin, Catharina
    Göteborgs universitet.
    Development of an instrument to assess oral hygiene ability in older adults: the oral hygiene ability instrument2019In: Gerodontology, ISSN 0734-0664, E-ISSN 1741-2358Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To describe the development process of an instrument to assess the ability to manage daily oral hygiene and the cause of impaired oral hygiene. The instrument is initially aimed for use by the dental team in the ageing population.

    BACKGROUND: Oral hygiene is an important component of oral health. Inability to manage oral hygiene combined with other risk factors often results in poor oral health and impaired quality of life.

    METHODS: A guideline for instrument development was used during the construction of the instrument. The method included three phases: I. planning: the purpose and target group of the instrument were determined, and a literature review and qualitative focus-group study were conducted; II. construction: objectives were formulated, and a pool of items was built; and III. evaluation and validation, which included two pilot studies, interviews, item analyses and revision of the instrument.

    RESULTS: The planning and construction phases resulted in an instrument with 47 items comprising three parts: (a) interview, (b) clinical examination and (c) observation of activities of daily living (oral hygiene). After two pilot studies, the instrument was found to have good content validity. Analyses of qualitative and quantitative data resulted in a reduction in the number of items to 33.

    CONCLUSION: OHAI can be a valuable tool as a preventive method to identify older adults at risk of impaired oral health. However, the instrument needs further evaluation before wider use.

  • 47.
    Grönbeck-Lindén, Ingela
    et al.
    University of Gothenburg.
    Hägglin, Ingela
    University of Gothenburg.
    Gahnberg, Lars
    University of Gothenburg.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL). Kristianstad University, Research Platform for Collaboration for Health.
    Factors affecting older persons’ ability to manage oral hygiene: a qualitative study2017In: JDR Clinical & Translational Research, ISSN 2380-0844, Vol. 2, no 3, p. 223-231Article in journal (Refereed)
    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.

  • 48. Hallberg Rahm, Ingalill
    et al.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Oral health and oral health assessment2011In: Pflegebezogene Assessmentinstrumente: internationales Handbuch fur Plegeforschung und -praxis / [ed] Bernd Reuschenbach, Cornelia Mahler, Bern: Hans Huber , 2011, p. 253-267Chapter in book (Other academic)
  • 49.
    Johannsen, Annsofi
    et al.
    Department of Dental Medicine, Division of Periodontology & Dental Hygiene, Karolinska Institutet.
    Wickholm, Seppo
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Tobacco cessation interventions by Swedish dental hygienists: a questionnaire study2012In: Swedish Dental Journal, ISSN 0347-9994, Vol. 36, no 1, p. 45-52Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate tobacco cessation interventions by Swedish dental hygienists and their perception of the importance of tobacco cessation to oral health. A questionnaire was mailed to 400 randomly selected dental hygienists (DH) in Sweden. The questions covered such topics as tobacco cessation interventions, perceived barriers, and their perception of the importance of tobacco cessation in relation to caries, gingivitis, periodontitis and dental implants. The response rate was 57%. Tobacco habits were routinely recorded by 94% of the respondents. 52% of the dental hygienists reported time constraints, 50% reported insufficient competence and 43% answered that they had lack of experience to work with tobacco cessation. All respondents perceived tobacco cessation to be an important determinant of treatment outcomes in patients with dental implants and periodontitis. Bivariate analysis showed an association between training courses in tobacco cessation and tobacco cessation interventions (OR 3.25, CI 95% 1.80-5.85). A logistic multivariate regression model disclosed two other factors significantly correlated with tobacco cessation interventions: competence (OR 2.4, 95% CI 1.16-4.85), and experience (OR 2.1, 95% CI 1.06-4.28). The analyses were adjusted for age, length of undergraduate training course, and dental care organization. The dental hygienists considered tobacco cessation to be very important in patients with periodontitis and in those with dental implants. Most of the DH in this study undertook some tobacco cessation interventions, though not extensive; the main barriers reported were lack of time, competence and experience.

  • 50.
    Larsson, Anna-Britta
    et al.
    Högskolan Dalarna.
    Muller, Görel
    Högskolan Dalarna.
    Jacobsson, Brittmarie
    Högskolan i Jönköping.
    Lindmark, Ulrika
    Högskolan i Jönköping.
    Andersson, Pia
    Kristianstad University, School of Health and Society.
    Mårtensson, Carina
    Kristianstad University, School of Health and Society.
    Olsson, Margaretha
    Karlstads universitet.
    Rolandsson, Margot
    Karlstads universitet.
    Sundberg, Nina
    Karlstads universitet.
    Klinisk slutexamination i tandhygienistprogrammet vid fyra lärosäten2009Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Den legitimerade tandhygienisten har en nyckelroll inom promotion och prevention i svensk tandvård. I arbetet som tandhygienist krävs att kunna arbeta självständigt och ta väl underbyggda beslut för att ge en god och säker vård. Syftet med projektet var att utveckla, pröva och utvärdera en modell för klinisk slutexamination utifrån de krav som ställs för att arbeta som legitimerad tandhygienist. Projektarbetet resulterade i en modell bestående av en teoretisk och en klinisk examination. Den teoretiska examinationen består av ett fiktivt patientfall medan den kliniska examinationen omfattar en realistisk patientsituation där studenten omhändertar och behandlar en patient. Den framtagna modellens styrka är att samtliga studenter vid de olika lärosätena examineras kliniskt efter samma bedömningsgrunder vilket borgar för en god och jämförbar kvalitet.

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