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Clinical Oral Investigations
Published in: Clinical Oral Investigations 4/2013

01-05-2013 | Original Article

Effectiveness of supervised implementation of an oral health care guideline in care homes; a single-blinded cluster randomized controlled trial

Authors: Gert-Jan van der Putten, Jan Mulder, Cees de Baat, Luc M. J. De Visschere, Jacques N. O. Vanobbergen, Jos M. G. A. Schols

Published in: Clinical Oral Investigations | Issue 4/2013

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Abstract

Objectives

The objective of this study was to assess the effectiveness of a supervised implementation of the “Oral health care Guideline for Older people in Long-term care Institutions” (OGOLI) in The Netherlands.

Materials and methods

A sample of 12 care homes in the Netherlands was allocated randomly to an intervention or control group. While the residents in the control group received oral health care as before, the intervention consisted of a supervised implementation of the OGOLI.

Results

At baseline, the overall random sample comprised 342 residents, 52 % in the intervention group and 48 % in the control group. At 6 months, significant differences were observed between the intervention and the control group for mean dental as well as denture plaque, with a beneficial effect for the intervention group. The multilevel mixed-model analyses conducted with the plaque scores at 6 months as outcome variables showed that the reduction by the intervention was only significant for denture plaque.

Conclusions

Supervised implementation of the OGOLI was more effective than non-supervised implementation in terms of reducing mean plaque scores at 6 months. However, the multilevel mixed-model analysis could not exclusively explain the reduction of mean dental plaque scores by the intervention.

Clinical relevance

A supervised implementation of an oral health care guideline improves oral health of care home residents.
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Metadata
Title
Effectiveness of supervised implementation of an oral health care guideline in care homes; a single-blinded cluster randomized controlled trial
Authors
Gert-Jan van der Putten
Jan Mulder
Cees de Baat
Luc M. J. De Visschere
Jacques N. O. Vanobbergen
Jos M. G. A. Schols
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 4/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-012-0793-2

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