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Oral health promotion program for fostering self-management of the elderly living in communities



Objectives: A program fostering self-management for the elderly was implemented and the effects of the program and their continuities were assessed. Methods: Subjects consisted of 19 males and 131 females (average age, 73.100A000B100A07.4; range, 6020139400A0years). The intervention program consisted of the collective experience learning and private consultation. The collective experience learnings included; (1) monitoring the oral condition and practicing oral self-care, (2) monitoring the oral function and practicing oral exercises, and (3) group discussion on continuing oral self-care. Outcomes were evaluated at the beginning and the end of the intervention program, and three months after the investigation by the scores in; (1) oral self-care (2) oral condition, i.e., decayed teeth, community periodontal index (CPI), deposits of plaque and dental calculus, (3) oral function such as RSST, oral diadochokinesis, (4) QOL (SF-8 v22122, and GOHAI), and (5) cognitive function (MMSE-J). Informed consent was obtained from all subjects, and this study was approved by the Research Ethics Committee of the University of Hyogo. Results and Discussion: At three months after intervention, 124 subjects continued participating and 88 subjects (71%) completed all data. On the oral self-care, subjects cleaned their teeth more often and longer than before (P lt 0.001). The use of dental floss and interdental brushing significantly increased in number (P lt 0.001), and 67 participants (54%) visited the dentist during the program. CPI and deposits of plaque were significantly reduced after intervention (P lt 0.001). The scores of oral function also significantly improved (P lt 0.00120130.05). The scores of QOL (physical health), oral QOL and cognitive function significantly improved (P lt 0.00120130.05). These results suggest that this program not only promotes oral self-care, resulting in good oral health conditions, but also improves cognitive functions of the elderly.



Total Pages: 7
Pages: 535-541


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Volume: 23
Issue: 3
Year: 2017

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ISSN PRINT: 1079-8587
ISSN ONLINE: 2326-005X
DOI PREFIX: 10.31209
PREVIOUS DOI PREFIX (with T&F): 10.1080/10798587
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