Using a theoretically informed process evaluation alongside a trial to improve oral health for care home residents

作者：Annie Hendry, Sarah R. Baker, Georgios Tsakos, Gerald John McKenna, Alison Jenkins, Saif Sayeed Syed, Michelle Harvey, Afshan Mirza, Lorraine Morgan, Paul R. Brocklehurst · 发表于：Gerodontology · 年份：2023 · DOI：10.1111/ger.12705 · 被引用次数：3 · 研究领域：Dental Health and Care Utilization、Health Policy Implementation Science、Health, psychology, and well-being

BACKGROUND: Poor oral health is common among older adults residing in care homes impacting their diet, quality of life, self-esteem, general health and well-being. The care home setting is complex and many factors may affect the successful implementation of oral care interventions. Exploring these factors and their embedded context is key to understanding how and why interventions may or may not be successfully implemented within their intended setting. OBJECTIVES: This methodology paper describes the approach to a theoretically informed process evaluation alongside a pragmatic randomised controlled trial, so as to understand contextual factors, how the intervention was implemented and important elements that may influence the pathways to impact. MATERIALS AND METHODS: SENIOR is a pragmatic randomised controlled trial designed to improve the oral health of care home residents in the United Kingdom. The trial uses a complex intervention to promote and provide oral care for residents, including education and training for staff. RESULTS: An embedded, theoretically informed process evaluation, drawing on the PAHRIS framework and utilising a qualitative approach, will help to understand the important contextual factors within the care home that influence both the trial processes and the implementation of the intervention. CONCLUSION: Utilising an implementation framework as the basis for a theoretically informed process evaluation provides an approach that specifically focuses on ...