Table 1.
Steps & Measures | Frequency | |
---|---|---|
Recruitment |
Screen and Consent Written consent from responsible party Examination of medical records to confirm inclusion/exclusion criteria Examination of NH resident for ability to hold toothbrush, raise hand to mouth MMSE Resnick et al.'s Evaluation to Sign Consent if MMSE 18 or higher Written consent from NH resident if 6/8 questions answered correctly on Resnick et al.'s Evaluation to Sign Consent |
Once |
Baseline, pre-observation |
Randomization (Experimental or Control) and Baseline Baseline Chart Review (demographic data, co-morbidities) Global Deterioration Scale (GDS) Katz Activities of Daily Living (ADL) Oral Health Assessment Tool (OHAT) |
Once Once Once |
Days 1-7 Baseline Observations Phase |
Experimental and Control Group Resistiveness to Care (RTC-r) OHAT Surveillance for acute infections Surveillance for psychoactive medications |
Twice daily × 7 days Once, after Day 7's mouth care session Once on Day 7 for previous 7 days Once on Day 7 for previous 7 days |
Intervention Phase Days 8-28 |
Experimental Group Mouth Care per MOUTh protocol RTC-r OHAT Surveillance for acute infections Surveillance for psychoactive medications Control Group Mouth Care per MOUTh protocol RTC-r OHAT Surveillance for acute infections Surveillance for psychoactive medications |
Twice daily × 21 days Twice daily × 21 days Three times, once after Day 14's evening mouth care session, once after Day 21's evening mouth care session, and once after Day 28's evening mouth care session Three times, once on Days 14, 21, and 28 for preceding week Three times, once on Days 14, 21, and 28 for preceding week Twice daily × 21 days Twice daily × 21 days Three times, once after Day 14's evening mouth care session, once after Day 21's evening mouth care session, and once after Day 28's evening mouth care session Three times, once on Days 14, 21, and 28 for preceding week Three times, once on Days 14, 21, and 28 for preceding week |