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Table 1 Intervention & Data Collection Schedule

From: Reducing care-resistant behaviors during oral hygiene in persons with dementia

 

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