Maturation of the MOUTh Intervention: From Reducing Threat to Relationship-Centered Care
Authors: Jablonski-Jaudon Rita A. , Kolanowski Ann M. , Winstead Vicki , Jones-Townsend Corteza , Azuero Andres 
Published: March 2016

How to Obtain Contact Hours by Reading This Article

Instructions

1.3
contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at
http://goo.gl/gMfXaf
. To obtain contact hours you must:

1.
Read the article, “Maturation of the MOUTh Intervention: From Reducing Threat to Relationship-Centered Care” found on pages 15–23, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

2.
Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

3.
Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated.

This activity is valid for continuing education credit until February 28, 2019.

Contact Hours
This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated.
Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Activity Objectives

1.
Explain the necessity of mouth care for older adults, especially those with dementia.

2.
Describe how the Managing Oral Hygiene Using Threat Reduction (MOUTh) strategies can be bundled to prevent and reduce care-resistant behavior.

Disclosure Statement
Neither the planners nor the authors have any conflicts of interest to disclose.

The purpose of the current article is to describe a personalized practice originally conceived as a way to prevent and minimize care-resistant behavior to provide mouth care to older adults with dementia. The original intervention, Managing Oral Hygiene Using Threat Reduction Strategies (MOUTh), matured during the clinical trial study into a relationship-centered intervention, with emphasis on developing strategies that support residents' behavioral health and staff involved in care. Relationships that were initially pragmatic (i.e., focused on the task of completing mouth care) developed into more personal and responsive relationships that involved deeper engagement between mouth care providers and nursing home (NH) residents. Mouth care was accomplished and completed in a manner enjoyable to NH residents and mouth care providers. The MOUTh intervention may also concurrently affirm the dignity and personhood of the care recipient because of its emphasis on connecting with older adults. [
Journal of Gerontological Nursing
,
42
(3), 15–23.]