Oral Health Education for Older Adults: Intentionality in Action

Mackay Memorial Hospital

Status: Invitation-only

Conditions: Intentionality the Matrix of Healing; Oral Health Education; Middle-aged and Older Adults; Community

Treatments: Behavioral: Intentional Interview; Behavioral: Expressive Arts Activities

Study type: Interventional

Funder types: Other

Identifiers

NCT07265726

25MMHIS120e

Details and patient eligibility

About

After obtaining approval from the Institutional Review Board (IRB), the clinical trial will be registered on a designated trial registration website. Participant recruitment will be conducted online. For individuals who meet the inclusion criteria and express interest, the principal investigator will verbally explain the study protocol, go over the informed consent form, and answer any related questions. Potential participants who meet the inclusion criteria and are willing to participate will be given time to consider their involvement in the study.

Inclusion criteria for this study are:

1. Adults aged 40 and older
2. Ability to hear, speak, and read Chinese, and communicate fluently in Mandarin or Taiwanese.

Exclusion criteria include:

1. Being completely edentulous and not using dentures;
2. Having severe food allergies, renal failure, or dysphagia;
3. Being diagnosed with terminal illness under palliative care, severe mental illness, or cognitive impairment;
4. Having a serious health condition that prevents standing or performing oral self-care behaviors.

Upon receiving verbal agreement from potential participants, the study procedure and the contents of the consent form will be explained again. This is a parallel randomized experimental study, with an estimated sample of 90 middle-aged and older adults recruited from the community through online means. Participants will be randomly assigned to one of three groups:

1. intentional interviews combined with expressive arts activities,
2. expressive arts activities only, or
3. control group.

All three groups will receive oral health education before the intervention and six weeks after the intervention. Questionnaire surveys will be conducted one week and one month post-education to collect data on sarcopenia risk, eating assessment, grit, oral health literacy, and oral self-care behaviors. Statistical analyses will be performed on the collected data.

Participants who fully understand the study and agree to participate will sign an informed consent form. Two copies of the consent form will be prepared-one will be kept by the principal investigator, and a photocopy will be given to the participant for personal recordkeeping. Participants retain the right to decline or withdraw from the study at any time, even after signing the consent form. Their withdrawal will not affect their future rights, benefits, or services, and any previously collected data will be deleted upon request.

Enrollment: 90 estimated patients

Sex: All

Ages: 40 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Individuals aged 40 years or older (Vlietstra et al., 2024).
2. Ability to hear, speak, and read Chinese, with no communication barriers in Mandarin or Taiwanese.

Exclusion criteria

1. Edentulous individuals who do not use dentures.
2. Individuals with severe food allergies, renal failure, or dysphagia.
3. Individuals diagnosed with terminal illness under palliative care, severe psychiatric disorders, or cognitive impairments.
4. Individuals with serious medical conditions that prevent standing or performing oral self-care behaviors.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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90 participants in 3 patient groups

Control Group

No Intervention group

Description:

Participants in the control group will not receive any intentional interview or expressive arts activity during the 6-week intervention period. They will receive oral health education after the same time interval as the experimental arms, ensuring consistency in outcome measurement.

Expressive Arts Activities Only

Active Comparator group

Description:

Participants in this arm will engage only in expressive arts activities over a 6-week period. These activities are designed to foster creative engagement and emotional well-being. After the intervention, participants will receive the same oral health education provided to all groups.

Treatment:

Behavioral: Intentional Interview

Intentional Interview + Expressive Arts Activities

Experimental group

Description:

Participants in this arm will receive an intervention combining an intentional interview based on the Intentionality Matrix of Healing framework with expressive arts activities. The intentional interview is designed to guide participants in reflecting on personal health-related intentions, while the expressive arts component facilitates emotional expression and engagement. After the 6-week intervention, all participants will also receive standardized oral health education.

Treatment:

Behavioral: Expressive Arts Activities

Behavioral: Intentional Interview