Care partners experience of an oral health intervention for individuals with mild cognitive impairment and mild dementia using behavior change technique: A qualitative study.
Ashley Leak Bryant, Rachel Hirschey, Courtney E Caiola and 6 others
PMID 38237339WHAT IT FOUND
Prompts and cues were the most common strategy in the MCI group (74.4%) and the second most common in the MD group (66.7%).
MCI caregivers coached brushing technique more; MD caregivers reminded about frequency.
Key findings
01Prompts and cues were the most frequent behavior change technique for MCI (74.4%) and the second most frequent for MD (66.7%).
02Instruction on how to perform the behavior was common in both groups (MCI 66.7%, MD 71.8%), with MD care partners more often instructing about brushing frequency and MCI care partners more often coaching technique.
03Problem solving differed: MCI care partners used step-by-step instructions and tracking, while MD care partners used more directed and repetitive strategies.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The study analysed transcripts of coaching sessions, so it describes experiences and techniques, not oral health outcomes or behavior change effects. The sample was small, and the text gives different counts for participants and dyads, so the exact number of care partners analysed is unclear. Generalizability is limited because the study included only a small purposive sample from a memory disorders clinic and caregiver support groups. The behavior change technique coding captured only part of what care partners experienced. Safety and financial concerns were raised by care partners but were not addressed by the coded techniques. The intervention combined nurse coaching and dental hygienist teaching, so the contribution of any single component cannot be separated. There was a time gap between data collection and publication.
Declared interests
The authors declared no competing interests; the article is listed as supported by NIH extramural research support.
The easy way to misread this
Do not conclude that this intervention improved oral health or that prompts, cues, or nurse coaching caused behavior change. The paper analysed care partners' experiences and transcript coding, not oral health outcomes. It also combined nurse interventionist coaching with dental hygienist teaching, so the contribution of any single component cannot be separated.