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Setting the context for a complex dental intervention of role substitution in care homes: Initial process evaluation findings.
Hendry, Annie; Baker, Sarah R; McKenna, Gerry; Tsakos, Georgios; Chestnutt, Ivor; Smith, Craig; Jones, Vicki; O'Neill, Ciaran; Jenkins, Alison; Evans, Rachel; Syed, Saif Sayeed; Mirza, Afshan; Harvey, Michelle; Karki, Anup; Moons, Kirstie; Sandom, Fiona; Donaldson, Michael; Lappin, Caroline; Shepherd, Karen; Brocklehurst, Paul R.
Afiliación
  • Hendry A; Bangor Institute of Health and Medical Research, Bangor University, Bangor, UK.
  • Baker SR; Department for Oral Health, Dentistry and Society, University of Sheffield, Sheffield, UK.
  • McKenna G; Centre for Public Health, Queens University Belfast, Belfast, UK.
  • Tsakos G; Department of Epidemiology and Public Health, University College London, London, UK.
  • Chestnutt I; College of Biomedical and Life Sciences, Cardiff University, Cardiff, UK.
  • Smith C; Division of Cardiovascular Sciences, University of Manchester, Manchester, UK.
  • Jones V; Community Dental Services, Aneurin Bevan University Health Board, Pontypool, UK.
  • O'Neill C; Centre for Public Health, Queens University Belfast, Belfast, UK.
  • Jenkins A; NWORTH Clinical Trials Unit, Bangor University, Bangor, UK.
  • Evans R; NWORTH Clinical Trials Unit, Bangor University, Bangor, UK.
  • Syed SS; Department of Epidemiology and Public Health, University College London, London, UK.
  • Mirza A; Department of Epidemiology and Public Health, University College London, London, UK.
  • Harvey M; Centre for Public Health, Queens University Belfast, Belfast, UK.
  • Karki A; Primary Care Division, Public Health Wales, Cardiff, UK.
  • Moons K; Health Education and Improvement Wales, Nantgarw, UK.
  • Sandom F; Health Education and Improvement Wales, Nantgarw, UK.
  • Donaldson M; Dental Services, Northern Ireland Health and Social Care Board, Belfast, UK.
  • Lappin C; Community Dental Services, South Eastern Trust, Belfast, UK.
  • Shepherd K; Patient and Public Involvement, UK.
  • Brocklehurst PR; Primary Care Division, Public Health Wales, Cardiff, UK.
Gerodontology ; 2024 Mar 27.
Article en En | MEDLINE | ID: mdl-38544301
ABSTRACT

OBJECTIVES:

SENIOR (uSing rolE-substitutioN In care homes to improve oRal health) is a randomised controlled trial designed to determine whether role substitution could improve oral health for this population. A parallel process evaluation was undertaken to understand context. This paper reports on the first phase of the process evaluation.

BACKGROUND:

The oral health and quality-of-life of older adults residing in care homes is poorer than those in the community. Oral health care provision is often unavailable and a concern and challenge for managers. The use of Dental Therapists and Dental Nurses rather than dentists could potentially meet these needs. MATERIALS AND

METHODS:

Semi-structured interviews were conducted with 21 key stakeholders who either worked or had experience of dependent care settings. Questions were theoretically informed by the Promoting Action on Research Implementation in Health Services (PAHRIS) framework. The focus was on contextual factors that could influence adoption in practice and the pathway-to-impact. Interviews were fully transcribed and analysed thematically.

RESULTS:

Three themes (receptive context, culture, and leadership) and 11 codes were generated. Data show the complexity of the setting and contextual factors that may work as barriers and facilitators to intervention delivery. Managers are aware of the issues regarding oral health and seek to provide best care, but face many challenges including staff turnover, time pressures, competing needs, access to services, and financial constraints. Dental professionals recognise the need for improvement and view role substitution as a viable alternative to current practice.

CONCLUSION:

Although role substitution could potentially meet the needs of this population, an in-depth understanding of contextual factors appeared important in understanding intervention delivery and implementation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Gerodontology Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Gerodontology Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido