Ferris Laura J, Ludlow Kristiana, Walker Nicole, Georgiou Andrew, Henry Julie D, Lopez Silva Claudia, Ha Diep H, Stormon Nicole, Walsh Laurence J, Ivanovski Saso, Sexton Christopher, Silveira Schuch Helena, Tuffaha Haitham, Zamora Angelique, Pritchard Lyndal, Do Loc G
School of Dentistry, The University of Queensland, Herston, QLD 4006, Australia.
School of Business, The University of Queensland, St. Lucia, QLD 4072, Australia.
Healthcare (Basel). 2024 Sep 30;12(19):1953. doi: 10.3390/healthcare12191953.
: Older adults in residential aged care facilities (RACFs) experience disproportionate levels of poor oral health relative to other groups in the general population, affecting their physical and mental wellbeing. The Oral Health Assessment Tool (OHAT) is a validated and widely used dental assessment tool; however, recent systematic reviews have identified shortcomings with respect to its measurement properties. : The objective of this protocol is to provide a detailed overview of a multidisciplinary qualitative study that aims to (a) co-design and develop a modified OHAT for RACFs and (b) inform the development of an OHAT training package and implementation strategies. : This study will utilize a co-design methodology with aged care residents, caregivers, staff members, and health professionals. The co-design workshops will: (1) investigate the barriers to and enablers of optimal oral healthcare in RACFs; and (2) co-design a modified version of the Oral Health Assessment Tool and a referral to treatment pathway that is appropriate for use in RACFs. The co-design workshops will facilitate group discussion and involve interactive activities using, for example, mind mapping and Sticky Notes. Qualitative data (transcripts and artefacts from co-design activities) will be analyzed in NVivo using an inductive codebook thematic analysis, specifically a template analysis. : The findings of this study will inform a modified OHAT (M-OHAT), as well as future study phases regarding training and implementation strategies. It is expected that the M-OHAT will have enhanced usability and relevance to RACFs, facilitating the identification of poor oral health and timely referral to dental treatment.
与普通人群中的其他群体相比，居住在养老院的老年人存在口腔健康状况不佳的比例过高的情况，这影响了他们的身心健康。口腔健康评估工具（OHAT）是一种经过验证且广泛使用的牙科评估工具；然而，最近的系统评价发现了其测量属性方面的缺点。
本方案的目的是详细概述一项多学科定性研究，该研究旨在：（a）共同设计并开发一种适用于养老院的改良版OHAT；（b）为OHAT培训包和实施策略的开发提供信息。
本研究将采用共同设计方法，涉及老年护理居民、护理人员、工作人员和卫生专业人员。共同设计研讨会将：（1）调查养老院中最佳口腔保健的障碍和促进因素；（2）共同设计口腔健康评估工具的改良版本以及适用于养老院的转诊治疗途径。共同设计研讨会将促进小组讨论，并开展互动活动，例如使用思维导图和便利贴。定性数据（共同设计活动的记录和人工制品）将在NVivo中使用归纳编码本主题分析，特别是模板分析进行分析。
本研究的结果将为改良版OHAT（M-OHAT）以及未来关于培训和实施策略的研究阶段提供信息。预计M-OHAT将具有更高的可用性和与养老院的相关性，有助于识别口腔健康不佳情况并及时转诊进行牙科治疗。
