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Lookup NU author(s): Dr Susan BissettORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2024 The Author(s). International Journal of Dental Hygiene published by John Wiley & Sons Ltd.The evidence base supporting a bidirectional relationship between diabetes and periodontitis is well-established and published guidance recommends inter-professional management. This two-case study describes the development and implementation of an evidence-based oral health intervention delivered in diabetes review consultations in NHS primary medical care in Northeast England. Aim: The intervention aim was to inform people with diabetes about the links between diabetes and periodontitis, and signpost them to a dental professional for assessment. Methods: The study utilised focus groups in the design phase and a mixture of focus groups and interviews in the evaluation phase. Results: Two research active primary care medical practices were recruited. The interventions were informed by their diabetes management protocols to reduce disruption. The interventions were piloted for 2 months, and staff and patient perceptions were evaluated. The findings from this study suggested that the oral health interventions were feasible and acceptable particularly for nurses and health care assistants when delivering diabetes education, but they caused disruption to the GPs review, which included complex medication reviews and referrals. The patients (n = 2) found the intervention to be acceptable and appropriate in the context of their diabetes review. Conclusion: Medical staff and patient evaluation data appear to suggest acceptance of the introduction of an oral health intervention into the diabetes review, but it is difficult to assess the impact of the intervention. Further research, such as a realist review, is needed to evaluate the outcomes and utility of an oral health intervention in the context of the medical management of diabetes in primary care.
Author(s): Bissett SM, Preshaw PM, Presseau J, Rapley T
Publication type: Article
Publication status: Published
Journal: International Journal of Dental Hygiene
Year: 2024
Pages: epub ahead of print
Online publication date: 08/12/2024
Acceptance date: 25/11/2024
Date deposited: 16/12/2024
ISSN (print): 1601-5029
ISSN (electronic): 1601-5037
Publisher: John Wiley and Sons Inc
URL: https://doi.org/10.1111/idh.12884
DOI: 10.1111/idh.12884
Data Access Statement: The data that support the findings of this study are available from the corresponding author upon reasonable request
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