Clinical trial NCT06783426: Older Adults' Experiences of Oral Rehabilitation - a Qualitative Interview Study
Official title: Older Adults' Experiences of Oral Rehabilitation - a Qualitative Interview Study
Study type: OBSERVATIONAL
Overall status: ENROLLING_BY_INVITATION
Conditions: Oral Health
Keywords: Qualitative study
Interview study
Quality of Life
Patient experience
oral rehabilitation
Lead sponsor: Folktandvården Stockholms län AB
Sponsor class: OTHER_GOV
First posted: 2025-01-20
Enrollment: 10
Sex: ALL
Minimum age (years): 65
Maximum age (years): 85
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The participants have been assessed with comprehensive quantitative methods of their neuropsychological status, oral function, and quality of life in conjunction with the original study from which they were recruited. They were then treated with oral prosthetic therapy and are reassessed at a follow-up three months after completion of the therapy. Our participants are recruited consecutively as they finish treatment at the Eastman Institute until we consider to have obtained "saturation" of our results.

Brief summary: The aim of this study is to gain knowledge and understanding about older adults' experiences of comprehensive oral prosthetic rehabilitation and their life situation before, during and after the treatment. This is both to deepen the knowledge gained in an ongoing interventional study, but also to increase the understanding of how to best meet older adults' needs when planning and performing oral rehabilitation in any dental surgery.

Detailed description: This qualitative study will be based on individual, semi-structured interviews using an Interview Guide focusing on the participants´ perceptions, experiences, and reflections. The interviews will then be analyzed with a descriptive content analysis method according to Graneheim and Lundman.

Eligibility criteria: Inclusion Criteria:

* Completed prosthetic treatment in the original study 2-12 months ago
* Age 65-80 years at start of the original study
* Masticatory dysfunction (Eichner's index B3-B4 or C1-C4) for original study
* Mini-Mental-State-Examination-test (MMSE) score \>26 for original study

Exclusion criteria for the original study:

* Neuropsychological disease
* Severely impaired hearing or vision
* Poor knowledge of the Swedish language
* Having had a stroke ≤ 6 months before inclusion

No additional exclusion criteria for our study.

Primary outcomes:
measure: The participants perceived experiences
timeFrame: Up to 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: Stockholm
country: Sweden
facility: Folktandvården Stockholms Län AB
Study officials:
affiliation: Folktandvården Stockholm
name: Charlotta Elleby, PhD, DDS
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Elgestad Stjernfeldt P, Faxen-Irving G, Wardh I. Masticatory ability in older individuals: A qualitative interview study. Gerodontology. 2021 Jun;38(2):199-208. doi: 10.1111/ger.12515. Epub 2020 Nov 27.
citation: Hyland R, Ellis J, Thomason M, El-Feky A, Moynihan P. A qualitative study on patient perspectives of how conventional and implant-supported dentures affect eating. J Dent. 2009 Sep;37(9):718-23. doi: 10.1016/j.jdent.2009.05.028. Epub 2009 Jun 7.
citation: Trulsson U, Engstrand P, Berggren U, Nannmark U, Branemark PI. Edentulousness and oral rehabilitation: experiences from the patients' perspective. Eur J Oral Sci. 2002 Dec;110(6):417-24. doi: 10.1034/j.1600-0722.2002.21394.x.
citation: Nordenram G, Davidson T, Gynther G, Helgesson G, Hultin M, Jemt T, Lekholm U, Nilner K, Norlund A, Rohlin M, Sunnegardh-Gronberg K, Tranaeus S. Qualitative studies of patients' perceptions of loss of teeth, the edentulous state and prosthetic rehabilitation: a systematic review with meta-synthesis. Acta Odontol Scand. 2013 May-Jul;71(3-4):937-51. doi: 10.3109/00016357.2012.734421. Epub 2012 Oct 29.
citation: Hedberg L, Ekman U, Nordin LE, Smedberg JI, Skott P, Seiger A, Sandborgh-Englund G, Westman E, Kumar A, Trulsson M. Cognitive changes and neural correlates after oral rehabilitation procedures in older adults: a protocol for an interventional study. BMC Oral Health. 2021 Jun 9;21(1):297. doi: 10.1186/s12903-021-01654-5.