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The implementation project ‘Don’t forget the mouth!’


- candidate number25659
- NTR NumberNTR6159
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR13-dec-2016
- Secondary IDs733050604; NL57460.029.16 ZonMw; METc
- Public TitleThe implementation project ‘Don’t forget the mouth!’
- Scientific TitleEffectiveness of improved education and multidisciplinary collaborations focused on maintaining and improving oral health and general health of community dwelling elderly persons suffering from dementia: The implementation project ‘Don’t forget the mouth!’
- ACRONYMDFTM!
- hypothesisIt is very important for elderly persons suffering from dementia to have good oral health. The oral health of fragile elderly is poor; both of the community dwelling and of the institutionalized. The demand for (professional) oral health care increases, but the current health care system is not ready for this growing demand. The implementation project ‘Don’t forget the mouth!’ sets out to improve education and to support multidisciplinary collaborations, with the aim to maintain and improve the oral health and general health of community dwelling elderly persons suffering from dementia.
- Healt Condition(s) or Problem(s) studiedDementia, Cognitive functioning
- Inclusion criteriaParticipant is 65 years or older, has a score from 18 through 24 on the Mini Mental State Examination (Folstein 1973), registered with the home care organization that participates in the research, and registered with a general health practice.

In order to be eligible to participate in this research, the general health practice, the dental practice, and the home care organization are willing to include oral health care for elderly persons in the care program.
- Exclusion criteriaParticipant lives in a care facility; is terminally ill; has no natural nor artificial dentition, had a MMSE score lower than 18 at baseline; and/or has no physician. Participant of the control group is registered as a patient of a physician and/or dentist of the intervention group.

A general health practice, dental practice, and/or home care organization will be excluded from participation if: the physician has a temporary position with a duration of less than 1 year; the dental practice is poorly accessible; and the home care organization has no clients above the age of 65 years.
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 1-jan-2017
- planned closingdate1-jun-2018
- Target number of participants176
- InterventionsThe implementation project ‘Don’t forget the mouth!’. The implementation project sets out to improve education and supports multidisciplinary collaborations focused on maintaining and improving oral health and general health, to physicians, assistants general health practice, dentists, case managers, district nurses, home care workers, and caregivers of community dwelling elderly persons suffering from dementia. The intervention will be compared to oral health care as usual.
- Primary outcomeThe primary outcome is oral hygiene, which will be determined by dental plaque (DP) or dental prosthetic plaque (DPP)
- Secondary outcomeThe secondary outcomes are oral health related quality of life, general health and care dependency
- TimepointsThe participants will be visited at home at baseline, after 3 months, 6 months, and 1 year of starting the research.

Prior to the visiting at baseline and after 1 year, the participant and caregiver or family member, receive The Older Persons and Informal Caregivers Survey Minimum DataSet (TOPICS-MDS) questionnaires to fill out.

During the visits, plaque measurements according to Silness and Löe (DP) and according to Augsburger and Elahi (DPP) will be performed. The Geriatric Oral Health Assessment Index (GOHAI) and oral health care questionnaires will be completed through a personal interview.
- Trial web sitewww.demondnietvergeten.nl
- statusplanned
- CONTACT FOR PUBLIC QUERIES B.V. Ho
- CONTACT for SCIENTIFIC QUERIES B.V. Ho
- Sponsor/Initiator Academic Center Dentistry Amsterdam (ACTA)
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development, Achmea, Academical Center for Dentistry Amsterdam (ACTA), Koninklijke Nederlandse Maatschappij tot Bevordering der Tandheelkunde (KNMT)
- Publications
- Brief summaryWorldwide, there are 46.8 million people suffering from dementia, and this number continues to rise. It is very important for elderly persons suffering from dementia to have good oral health, since adequate mastication could slow down the decline in their cognition and prevent malnutrition. The oral health of fragile elderly is poor; both of the community dwelling and of the institutionalized. The demand for (professional) oral health care increases, but the current health care system is not prepared for this growing demand.
The implementation project ‘Don’t forget the mouth!’ sets out to improve education and to support multidisciplinary collaborations, with the aim to maintain and improve the oral health and general health of community dwelling elderly persons suffering from dementia.

The project is set up as a prospective longitudinal single-blind multicenter study, and takes place in at least 11 towns in the Netherlands. In each town, 1 homecare organization participates with 2 districts, representing an intervention group and a control group.

The intervention can lead to improved oral health care and could be applied indefinitely. The control group will get access to the same education and multidisciplinary collaborations at the end of the study.

The aim of this study is to evaluate the effectiveness of the implementation project ‘Don’t forget the mouth!’.
- Main changes (audit trail)
- RECORD13-dec-2016 - 9-feb-2017


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