Views on oral health determinants as described by persons with continuous positive airway pressure-treated obstructive sleep apnoea: a qualitative study.
CPAP-treatment
Determinants
Obstructive sleep apnoea
Oral health
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
20 06 2023
20 06 2023
Historique:
received:
28
03
2022
accepted:
06
06
2023
medline:
22
6
2023
pubmed:
21
6
2023
entrez:
20
6
2023
Statut:
epublish
Résumé
Oral diseases have been associated with cardiovascular diseases, and persons with continuous positive airway pressure [CPAP]-treated obstructive sleep apnoea [OSA] have an increased risk for negative consequences for both oral and general health. CPAP treatment is often life-long and adherence to treatment is essential. Xerostomia is a common side-effect which can lead to treatment abandonment. Oral health is a changeable part of our general health and well-being and exploring the views of oral health determinants from persons with experience of CPAP-treatment is important to prevent adverse oral health outcomes. The purpose of this study was to explore what persons with experience of CPAP-treated OSA view as determinants for their oral health. Eighteen persons with long-term experience of CPAP-treated OSA were purposively selected. Data were collected by semi-structured individual interviews. A code book based on the World Dental Federation's [FDI] theoretical framework for oral health was developed and used to analyse the data using directed content analysis. The domains in the framework's component driving determinants were used as pre-determined categories. Using the description of driving determinants as a guide, meaning units were extracted from the interview transcripts through an inductive approach. Then, by employing a deductive approach the code book was used to categorise the meaning units into the pre-determined categories. The views on oral health determinants described by the informants were compatible with the five domains in the component driving determinants in the FDI's theoretical framework. Ageing, heredity, and salivation (biological and genetic factors), influences from family and the wider society (social environment), location and re-localisation (physical environment), oral hygiene habits, motivation, willingness to change, professional support (health behaviours), and availability, control, finances, and trust (access to care) were viewed as important oral health determinants by the informants. The study points to a variety of individual oral health-related experiences that oral healthcare professionals could consider when designing interventions to reduce xerostomia and prevent adverse oral health outcomes for persons undergoing long-term CPAP-treatment.
Sections du résumé
BACKGROUND
Oral diseases have been associated with cardiovascular diseases, and persons with continuous positive airway pressure [CPAP]-treated obstructive sleep apnoea [OSA] have an increased risk for negative consequences for both oral and general health. CPAP treatment is often life-long and adherence to treatment is essential. Xerostomia is a common side-effect which can lead to treatment abandonment. Oral health is a changeable part of our general health and well-being and exploring the views of oral health determinants from persons with experience of CPAP-treatment is important to prevent adverse oral health outcomes. The purpose of this study was to explore what persons with experience of CPAP-treated OSA view as determinants for their oral health.
METHODS
Eighteen persons with long-term experience of CPAP-treated OSA were purposively selected. Data were collected by semi-structured individual interviews. A code book based on the World Dental Federation's [FDI] theoretical framework for oral health was developed and used to analyse the data using directed content analysis. The domains in the framework's component driving determinants were used as pre-determined categories. Using the description of driving determinants as a guide, meaning units were extracted from the interview transcripts through an inductive approach. Then, by employing a deductive approach the code book was used to categorise the meaning units into the pre-determined categories.
FINDINGS
The views on oral health determinants described by the informants were compatible with the five domains in the component driving determinants in the FDI's theoretical framework. Ageing, heredity, and salivation (biological and genetic factors), influences from family and the wider society (social environment), location and re-localisation (physical environment), oral hygiene habits, motivation, willingness to change, professional support (health behaviours), and availability, control, finances, and trust (access to care) were viewed as important oral health determinants by the informants.
CONCLUSION
The study points to a variety of individual oral health-related experiences that oral healthcare professionals could consider when designing interventions to reduce xerostomia and prevent adverse oral health outcomes for persons undergoing long-term CPAP-treatment.
Identifiants
pubmed: 37340329
doi: 10.1186/s12903-023-03108-6
pii: 10.1186/s12903-023-03108-6
pmc: PMC10283239
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
407Informations de copyright
© 2023. The Author(s).
Références
JDR Clin Trans Res. 2017 Jul;2(3):223-232
pubmed: 30938636
Clin Exp Dent Res. 2022 Feb;8(1):84-95
pubmed: 34791818
J Clin Periodontol. 2020 Mar;47(3):268-288
pubmed: 32011025
Gerodontology. 2014 Feb;31 Suppl 1:9-16
pubmed: 24446974
Scand J Prim Health Care. 2012 Jun;30(2):107-13
pubmed: 22643156
Community Dent Oral Epidemiol. 2012 Aug;40(4):289-96
pubmed: 22429083
Lancet Respir Med. 2019 Aug;7(8):687-698
pubmed: 31300334
Res Nurs Health. 2008 Aug;31(4):391-8
pubmed: 18203128
Nurse Educ Today. 2004 Feb;24(2):105-12
pubmed: 14769454
Sleep Breath. 2014 Dec;18(4):799-807
pubmed: 24557772
J Otolaryngol Head Neck Surg. 2016 Aug 19;45(1):43
pubmed: 27542595
Lancet. 2019 Jul 20;394(10194):249-260
pubmed: 31327369
Qual Prim Care. 2012;20(4):287-98
pubmed: 23113913
Swed Dent J. 2015;39(2):69-86
pubmed: 26529833
Cochrane Database Syst Rev. 2006 Oct 18;(4):CD005308
pubmed: 17054251
Gerodontology. 2016 Sep;33(3):416-20
pubmed: 25677191
J Thorac Dis. 2015 Aug;7(8):1311-22
pubmed: 26380759
Soc Sci Med. 1997 Mar;44(5):681-92
pubmed: 9032835
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
Int J Environ Res Public Health. 2016 Aug 18;13(8):
pubmed: 27548196
J Periodontol. 2018 Jun;89 Suppl 1:S183-S203
pubmed: 29926941
J Sleep Res. 2006 Sep;15(3):317-20
pubmed: 16911034
Patient Educ Couns. 2009 Feb;74(2):228-35
pubmed: 18835124
Sleep Med. 2010 Feb;11(2):126-30
pubmed: 20004615
Community Dent Health. 2009 Dec;26(4):239-43
pubmed: 20088223
J Clin Periodontol. 2018 Jun;45 Suppl 20:S219-S229
pubmed: 29926500
J Dent Educ. 2017 Nov;81(11):1265-1272
pubmed: 29093139
JAMA. 2020 Apr 14;323(14):1389-1400
pubmed: 32286648
BMJ Open. 2018 Oct 15;8(10):e022752
pubmed: 30327404
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Respir Res. 2021 Jan 15;22(1):17
pubmed: 33451313
Diagnostics (Basel). 2023 Mar 20;13(6):
pubmed: 36980487
J Clin Periodontol. 2017 Mar;44 Suppl 18:S39-S51
pubmed: 28266114
J Res Nurs. 2018 Feb;23(1):42-55
pubmed: 34394406
BMC Oral Health. 2018 Nov 29;18(1):198
pubmed: 30497465
Clin Otolaryngol. 2021 Jul;46(4):782-787
pubmed: 33548090
Sleep Breath. 2013 May;17(2):659-66
pubmed: 22833346
Int Dent J. 2005 Jun;55(3):168-70
pubmed: 15997968
Int J Dent Hyg. 2017 Nov;15(4):295-305
pubmed: 27862993
J Sleep Res. 2022 Dec;31(6):e13670
pubmed: 35765213
Sleep Med. 2021 Apr;80:126-133
pubmed: 33596526
J Dent. 2017 Feb;57:1-3
pubmed: 27989624
J Laryngol Otol. 2015 Jan;129(1):68-72
pubmed: 25656158
Braz Oral Res. 2017 Jan 16;31:e14
pubmed: 28099580