Experience and Understanding of the Mouth, Oral Health and Function Amongst Adults With Disabilities and Complex Health Conditions.

NCT04815434 | Completed

• 1 other identifier: RNI 2020 FAULKS
• Study Type: observational
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Oral health is the one of the commonest causes of health problems in the world, with almost all individuals suffering from reduced oral health at some stage over their life span. As such, oral health is a major public health issue and a major consumer of health spending. Poor oral health results in pain, infection, structural degradation, functional restrictions in chewing, swallowing and speech, change in facial appearance, social stigma, altered body image, and reduced capacity to participate in social events, amongst others. Global problems of human functioning, disability, health and environment in turn affect oral status in many complex ways (for example, ability to maintain oral hygiene, nutritional restrictions, neuromotor incapacity, dysphagia, ability to access and cooperate with treatment, etc). Disability arises from a social environment that fails to enable everyone to access it regardless of his or her impairment. Disabilities are thus socially created and not dependent on the individual's type or location of impairment. There is currently very limited qualitative research exploring perceptions of the mouth, or oral health within a social environment, from the perspective of disabled adults. No universal, holistic, comprehensive tool exists to describe oral health, the functional impact of oral health, and the environmental factors influencing oral health within the biopsychosocial model. It has been suggested that a framework for such an instrument may be supplied by the International Classification of Functioning, Disability and Health (ICF: World Health Organisation, 2001) This research seeks to address these gaps by describing perceptions of the mouth from the perspective of adults with disabilities and complex health conditions, and by linking this qualitative data to the ICF in order to assess the feasibility of using the ICF to conceptualise oral health. Adults with disabilities and complex health conditions were chosen for this ICF core set preliminary study as existing literature suggests that these respondents would accumulate not only a high level of oral health need but also experience high impact of functioning and environment on oral health.

Conditions

Adult; Disability; Chronic Disease; Oral Health

Keywords

Disable person; Chronic disease; Qualitative research; Oral Health; Sociological factors; Quality of life; Body image; Adult

Outcome Measures

Primary Outcomes (2)

• Interview "experiences of the mouth in adults with disabilities and complex health conditions"

  Interview will allow to gain understanding of the experiences of the mouth in adults with disabilities and complex health conditions

  Day 1

• Interview "Inter-relationships between the mouth, oral health, functioning and the social environment amongst adults with disabilities and complex health conditions."

  Interview will allow to gain understanding of the inter-relationships between the mouth, oral health, functioning and the social environment amongst adults with disabilities and complex health conditions.

  Day 1

Secondary Outcomes (1)

• Interview "Ability of the ICF to contextualize experiences of oral health"

  Day 1

Study Arms (1)

Adults with disabilities and complex health conditions

Interviews, experience of the mouth and oral health and function

Other: Interview

Interventions

Interview OTHER

Interviews will be conducted.

Adults with disabilities and complex health conditions

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adults with self-defined disabilities and/or complex health conditions

You may qualify if:

• adults 18 years of age or over on day of data collection
• adults with self-defined disabilities and/or complex health conditions
• agreement to participate from the disabled adult or his/her carer

You may not qualify if:

• adults under 18 years of age
• adults without self-defined disabilities and/or complex health conditions
• refusal to participate from the disabled adult or his/her carer

Sponsors & Collaborators

• University Hospital, Clermont-Ferrand: lead
• Centre de Recherche en Odontologie Clinique (CROC), Clermont-Ferrand: collaborator
• Dental institute, King's College, Londres, UK: collaborator
• University of Dublin, Trinity College: collaborator
• Cork Dental School, Irlande: collaborator

Study Sites (1)

UFR d'Odontologie

Clermont-Ferrand, AURA, 63000, France

Location

Related Publications (1)

• Bogner MS, Scambler S, Eschevins C, Faulks D. How Do Persons With Disabilities and/or Complex Health Conditions Perceive Oral Health? A Qualitative Study. Community Dent Oral Epidemiol. 2025 Feb;53(1):77-89. doi: 10.1111/cdoe.13008. Epub 2024 Oct 10.

  PMID: 39390669 DERIVED

MeSH Terms

Conditions

Chronic Disease

Interventions

Interviews as Topic

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 23, 2021
• First Posted: March 25, 2021
• Study Start: April 7, 2021
• Primary Completion: May 27, 2021
• Study Completion: May 27, 2021
• Last Updated: July 2, 2021

Record last verified: 2021-03

Locations

FR (1)