The Library

Oral health awareness and care preferences in patients with diabetes : a qualitative study

Tools

Lindenmeyer, Antje, Bowyer, V., Roscoe, J., Dale, Jeremy and Sutcliffe, P.. (2013) Oral health awareness and care preferences in patients with diabetes : a qualitative study. Family Practice, Volume 30 (Number 1). pp. 113-118. ISSN 1460-2229

Preview

Text
WRAP_Lindenmeyer_Lindenmeyer Bowyer Oral Health Awareness.pdf - Accepted Version
Download (407Kb) | Preview

Official URL: http://dx.doi.org/10.1093/fampra/cms034

Abstract

Background
People with type 2 diabetes have an increased risk of oral health problems; however, oral health is currently not included in structured diabetes reviews and education in the UK.

Aim and Objectives
This study explores the patient experience related to oral health and diabetes, especially in relation to:
• Awareness of the link between oral health and diabetes and oral self care needs
• Interaction with health professionals in dental and general practice
• Preferences for receiving oral health information and education

Methods
This nested qualitative study involved semi-structured telephone interviews with a purposive sample of 20 participants from a questionnaire study on oral health awareness in patients with diabetes. Interview transcripts were analysed using a thematic framework approach.

Results
Participants were mostly unaware of the link between oral health and diabetes. Those that had been made aware by a health professional were not given concrete self care advice. Interactions with dental professionals were often limited to informing the dental practice of their diagnosis and current medication. Most participants were in favour of dentists screening for diabetes, but as their general practice was the hub for diabetes care, they felt GPs or nurses should provide oral health information and discuss oral health with patients.

Conclusions
Written information regarding diabetes and its possible effects on oral health needs to be more readily available to people with diabetes, especially at diagnosis. There may be a place for introducing a structured oral health question in routine diabetes reviews.

Item Type:

Journal Article

Subjects:

R Medicine > RC Internal medicine
R Medicine > RK Dentistry

Divisions:

Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) > Warwick Evidence
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School

Library of Congress Subject Headings (LCSH):

Non-insulin-dependent diabetes -- Complications, Oral medicine

Journal or Publication Title:

Family Practice

Publisher:

Oxford University Press

ISSN:

1460-2229

Official Date:

May 2013

Dates:

Date	Event
May 2013	Published

Volume:

Volume 30

Number:

Number 1

Page Range:

pp. 113-118

Identification Number:

10.1093/fampra/cms034

Status:

Peer Reviewed

Publication Status:

Published

Access rights to Published version:

Restricted or Subscription Access

Funder:

NHS Warwickshire

References:

1. Simpson TC, Needleman I, Wild SH, Moles DR, Mills EJ. Treatment of periodontal
disease for glycaemic control in people with diabetes. Cochrane Database Syst Rev
2010(5):CD004714.
2. Skamagas M, Breen TL, LeRoith D. Update on diabetes mellitus: prevention, treatment,
and association with oral diseases. Oral Dis 2008;14(2):105-14.
3. de Oliveira C, Watt R, Hamer M. Toothbrushing, inflammation, and risk of cardiovascular
disease: results from Scottish Health Survey. BMJ 2010;340:c2451.
4. IDF Clinical Guidelines Task Force. Guideline on oral health for people with diabetes.
Brussels: International Diabetes Federation, 2009.
5. Yuen HK, Onicescu G, Hill EG, Jenkins C. A survey of oral health education provided by
certified diabetes educators. Diabetes Res Clin Pract 2010;88(1):48-55.
6. Department of Health. National service framework for diabetes: standards. London:
Department of Health, 2001.
7. Skinner TC, Carey ME, Cradock S, Daly H, Davies MJ, Doherty Y, et al. Diabetes
Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND):
process modelling of pilot study. Patient Educ Couns 2006;64(1-3):369-77.
8. Allen EM, Ziada HM, O'Halloran D, Clerehugh V, Allen PF. Attitudes, awareness and oral
health-related quality of life in patients with diabetes. J Oral Rehabil 2008;35(3):218-
23.
9. Yuen HK, Wolf BJ, Bandyopadhyay D, Magruder KM, Salinas CF, London SD. Oral
health knowledge and behavior among adults with diabetes. Diabetes Res Clin Pract
2009;86(3):239-46.
10. Bowyer V, Sutcliffe P, Ireland R, Lindenmeyer A, Gadsby R, Graveney M, et al. Oral
health awareness in adult patients with diabetes: a questionnaire study. British Dental
Journal 2011;In Press.
11. McKenzie-Green B, Giddings LS, Buttle L, Tahana K. Older peoples' perceptions of oral
health: 'it's just not that simple'. International Journal of Dental Hygiene
2009;7(1):31-8.
12. Donaldson AN, Everitt B, Newton T, Steele J, Sherriff M, Bower E. The effects of social
class and dental attendance on oral health. J Dent Res 2008;87(1):60-4.
13. Novick G. Is there a bias against telephone interviews in qualitative research? Research in
Nursing and Health 2008;31:391–98.
14. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A,
Burgess R, editors. Analysing Qualitative Data. London: Routledge, 1994:173-94.
15. Pooley CG, Gerrard C, Hollis S, Morton S, Astbury J. 'Oh it's a wonderful practice ... you
can talk to them': a qualitative study of patients' and health professionals' view on the
management of type 2 diabetes. Health and Social Care in the Community
2001;9(5):318-26.
16. Rhodes P, Langdon M, Rowley E, Wright J, Small N. What does the use of a
computerized checklist mean for patient-centered care? The example of a routine
diabetes review. Qual Health Res 2006;16(3):353-76.
17. Valerio MA, Kanjirath PP, Klausner CP, Peters MC. A qualitative examination of patient
awareness and understanding of type 2 diabetes and oral health care needs. Diabetes
Res Clin Pract 2011;Published online ahead of print.
18. Dyer TA, Robinson PG. General health promotion in general dental practice--the
involvement of the dental team. Part 1: a review of the evidence of effectiveness of
brief public health interventions. Br Dent J 2006;200(12):679-85; discussion 71.
19. Dental Health Foundation Ireland. Oral Health and Diabetes. Available online
http://www.dentalhealth.ie/publications/list/oral-health-diabetes-leaflet/. Accessed on
20 March 2012. 2009.
20. Association OD. Diabetes and oral Health: your dentist sees more than just your teeth.
Available online http://www.oda.on.ca/diabetes-and-oral-health.html. Accessed 20
March 2012. 2009.
21. Whittemore R. Strategies to facilitate lifestyle change associated with diabetes mellitus. J
Nurs Scholarsh 2000;32(3):225-32.
22. Whitford DL, Roberts SH. Changes in prevalence and site of care of diabetes in a health
district 1991-2001. Diabet Med 2004;21(6):640-3.