Reducing Care-Resistant Behaviors During Oral Hygiene in Persons With Dementia
|ClinicalTrials.gov Identifier: NCT01363258|
Recruitment Status : Completed
First Posted : June 1, 2011
Results First Posted : June 7, 2018
Last Update Posted : June 7, 2018
|Condition or disease||Intervention/treatment||Phase|
|Care-resistant Behavior Dementia||Behavioral: Care-resistant mouth care (MOUTh) Procedure: Evidence-based mouth care||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||100 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Triple (Participant, Care Provider, Outcomes Assessor)|
|Official Title:||Reducing Care-Resistant Behaviors During Oral Hygiene in Persons With Dementia|
|Study Start Date :||April 2011|
|Actual Primary Completion Date :||August 2015|
|Actual Study Completion Date :||November 2015|
Experimental: Care-resistant mouth care (MOUTh)
These nursing home residents with dementia receive mouth care from study personnel who use strategies to reduce care-resistant behavior (Managing Oral Hygiene Using Threat Reduction or MOUTh) while providing evidence-based mouth care.
Behavioral: Care-resistant mouth care (MOUTh)
The intervention combines best mouth care practices with a constellation of behavioral techniques that reduce threat perception and thereby prevent or de-escalate care-resistant behavior.
Active Comparator: Evidence Base Mouth Care
Nursing home residents with dementia received mouth care from study personnel who were trained in evidence-based mouth care only.
Procedure: Evidence-based mouth care
Mouth care tailored to the needs of older adults, including care of dentures.
- Care-Resistant Behavior [ Time Frame: Baseline (observation) to follow-up (week 3) ]Care-resistant behavior will be measured using the Resistiveness to Care Scale.This instrument is a checklist. The 13 care-resistant behaviors (e.g., turn away, hit/kick, say "no", etc.) are listed on the left side of the instrument. There are 3 columns for each behavior (mild, moderate, and severe). When behaviors occur, a tick mark is placed in the appropriate column (mild, moderate, or severe). The final score is obtained by multiplying the sums for mild by 1, the sums for moderate by 2, and the sums for severe behavior by 3. These subtotals are then summed together for a final care-resistant behavior score. One cannot determine the frequency and quality of behaviors from raw scores alone. For example, a score of 12 could mean 12 "mild" behaviors or 4 "severe" behaviors. The sums were used as global care-resistant behavior. Higher numbers signify more frequent and intense care-resistant behavior. Minimum value was 0, max value was 25.
- Oral Health [ Time Frame: Baseline (observation) to follow-up (week 3) ]The oral health will be measured as the total score obtained from the Oral Health Assessment Tool. The OHAT contains 8 categories (e.g., status of gums, dentition, moisture of oral cavity, general cleanliness, etc.). Each category is assigned a value of 0=healthy, 1=problematic, and 2=unhealthy. Scores range from 0 (healthy) to 16 (unhealthy).
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01363258
|United States, Pennsylvania|
|Bellefonte, Pennsylvania, United States, 16823|
|Spring Creek Rehabilitation &Health Care Center|
|Harrisburg, Pennsylvania, United States, 17111|
|Rest Haven Rehabilitation &Nursing Center|
|York, Pennsylvania, United States, 17043|
|Pleasant Acres Nursing &Rehabilitation Center|
|York, Pennsylvania, United States, 17402|
|Principal Investigator:||Rita A Jablonski-Jaudon, PhD||University of Alabama at Birmingham|