دانلود مقاله ISI انگلیسی شماره 74567
عنوان فارسی مقاله

بهبود سلامت دهان و دندان افراد با معلولیت ذهنی و رشدی: استراتژی بهداشت دهان و مطالعه مقدماتی

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
74567 2014 10 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Improving the oral health of residents with intellectual and developmental disabilities: An oral health strategy and pilot study
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Evaluation and Program Planning, Volume 47, December 2014, Pages 54–63

کلمات کلیدی
نابرابری های سلامت؛ معلولیت ذهنی و رشدی؛ طراحی مداخله فرایند و نتیجه ارزیابی
پیش نمایش مقاله
پیش نمایش مقاله بهبود سلامت دهان و دندان افراد با معلولیت ذهنی و رشدی: استراتژی بهداشت دهان و مطالعه مقدماتی

چکیده انگلیسی

This article presents an oral health (OH) strategy and pilot study focusing on individuals with intellectual and/or developmental disabilities (IDD) living in group homes. The strategy consists of four components: (1) planned action in the form of the behavioral contract and caregiver OH action planning; (2) capacity building through didactic and observation learning training; (3) environmental adaptations consisting of additional oral heath devices and strategies to create a calm atmosphere; and (4) reinforcement by post-training coaching. A pilot study was conducted consisting of pre- and post-assessment data collected 1 week before and 1 week after implementing a 1-month OH strategy. The study sample comprised 11 group homes with 21 caregivers and 25 residents with IDD from one service organization in a Midwestern city. A process evaluation found high-quality implementation of the OH strategy as measured by dosage, fidelity, and caregiver reactions to implementing the strategy. Using repeated cross-sectional and repeated measures analyses, we found statistically significant positive changes in OH status and oral hygiene practices of residents. Caregiver self-efficacy as a mechanism of change was not adequately evaluated; however, positive change was found in some but not all types of caregiver OH support that were assessed. Lessons learned from implementing the pilot study intervention and evaluation are discussed, as are the next steps in conducting an efficacy study of the OH strategy.

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پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.