Macnamara, Alexandra, Mishu, Masuma Pervin orcid.org/0000-0002-6545-9117, Faisal, Mehreen Riaz orcid.org/0000-0002-2725-572X et al. (2 more authors) (2021) Improving oral health in people with severe mental illness (SMI):A systematic review. PLOS one. e0260766. ISSN 1932-6203
Abstract
BACKGROUND: Those with severe mental illness (SMI) are at greater risk of having poor oral health, which can have an impact on daily activities such as eating, socialising and working. There is currently a lack of evidence to suggest which oral health interventions are effective for improving oral health outcomes for people with SMI. AIMS: This systematic review aims to examine the effectiveness of oral health interventions in improving oral health outcomes for those with SMI. METHODS: The review protocol was registered with PROSPERO (ID CRD42020187663). Medline, EMBASE, PsycINFO, AMED, HMIC, CINAHL, Scopus and the Cochrane Library were searched for studies, along with conference proceedings and grey literature sources. Titles and abstracts were dual screened by two reviewers. Two reviewers also independently performed full text screening, data extraction and risk of bias assessments. Due to heterogeneity between studies, a narrative synthesis was undertaken. RESULTS: In total, 1462 abstracts from the database search and three abstracts from grey literature sources were identified. Following screening, 12 studies were included in the review. Five broad categories of intervention were identified: dental education, motivational interviewing, dental checklist, dietary change and incentives. Despite statistically significant changes in plaque indices and oral health behaviours as a result of interventions using dental education, motivational interviewing and incentives, it is unclear if these changes are clinically significant. CONCLUSION: Although some positive results in this review demonstrate that dental education shows promise as an intervention for those with SMI, the quality of evidence was graded as very low to moderate quality. Further research is in this area is required to provide more conclusive evidence.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 Macnamara et al |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Sciences (York) > Hull York Medical School (York) The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Funding Information: | Funder Grant number ECONOMIC AND SOCIAL RESEARCH COUNCIL (ESRC) ES/S004459/1 |
Depositing User: | Pure (York) |
Date Deposited: | 15 Dec 2021 16:00 |
Last Modified: | 16 Oct 2024 18:04 |
Published Version: | https://doi.org/10.1371/journal.pone.0260766 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1371/journal.pone.0260766 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:181633 |
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Description: Improving oral health in people with severe mental illness (SMI): A systematic review
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