Oral Health Interventions and Treatments for Older Adults With Cognitive Impairment and Diabetes

Chair(s)

• 

  Stephen Shuman, DDS, MS, FGSA (he/him/his)

  Professor
  Developmental & Surgical Sciences
  University of Minnesota School of Dentistry
  Minneapolis, Minnesota, United States

Discussant(s)

• 

  Michele Saunders, DMD, MS, MPH (she/her/hers)

  Adjunct Professor and Director, STGEC
  Psychiatry and Periodontics
  UT Health-San Antonio
  San Antonio, Texas, United States

Individual Symposium Abstract First Author(s)

• ZZ

  Zheng Zhu, PhD, RN (he/him/his)

  PostDoc
  NYU Rory Meyers College of Nursing
  New York University
  New York City, New York, United States
• AB

  Ashley Bryant, PhD, RN, FGSA, FAAN (she/her/hers)

  Associate Professor
  Nursing
  The University of North Carolina at Chapel Hill
  Chapel Hill, North Carolina, United States

  Slides
• SA

  Sato Ashida, PhD (she/her/hers)

  Associate Professor
  Community and Behavioral Health
  University of Iowa College of Public Health
  Iowa City, Iowa, United States

  Slides

Older adults with cognitive impairment or diabetes have a higher risk of poor oral health. It is therefore critically important to develop effective intervention strategies to improve oral health for these vulnerable populations. In this session, we have included three studies that aim to achieve this goal using different strategies. The first study used stakeholder engaged processes to develop an app that provides information and guidance to caregivers (i.e., paid and family caregivers) to support their oral care provision for older adults with dementia. Findings from this study show that the app was well-accepted and provided an easily accessible tool for caregivers during care provision. The second study aimed to improve oral hygiene outcomes (plaque index and gingival index) for individuals with mild cognitive impairment (MCI) or mild dementia (MD). In this study, the authors identified and compared active behavior change techniques (BCT) used in a care partner-assisted oral health intervention for individuals with MCI and MD using a qualitative, secondary analysis of coaching sessions with care partners. Findings from this study provide insight into the mechanisms of change in individuals’ behaviors using these interventions. The third study was a systematic review aiming to explore the age differences in the effect of multi-component periodontal treatments on oral and metabolic indicators among individuals with periodontitis and diabetes. This study identified 115 eligible trials. This study found that the effect of multi-component periodontal treatments on periodontal outcomes and HbA1c may be more effective among younger populations.

This is an Oral Health Interest Group Sponsored Symposium.

Presentations:

• 4:30 PM – 6:00 PM ET

  Age Differences in the Effects of Periodontal Treatments on Oral and Metabolic Health in People With Diabetes
  

  Individual Symposium Abstract First Author: Zheng Zhu, PhD, RN (he/him/his) – New York University
• 4:30 PM – 6:00 PM ET

  Behavior Change Techniques in Persons With MCI and MD and Their Care Partners: A Report of an Oral Health Intervention
  

  Individual Symposium Abstract First Author: Ashley Leak Bryant, PhD, RN, FGSA, FAAN (she/her/hers) – The University of North Carolina at Chapel Hill
• 4:30 PM – 6:00 PM ET

  A Tool to Support Family and Paid Caregivers Provide Daily Oral Care to Persons Living With Dementia
  

  Individual Symposium Abstract First Author: Sato Ashida, PhD (she/her/hers) – University of Iowa College of Public Health