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Clinical Outcomes and Oral Health-Related Quality of Life after Periodontal Treatment with Community Health Worker Strategy in Patients with Type 2 Diabetes: A Randomized Controlled Study

Author

Listed:
  • Yuan-Jung Hsu

    (School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Yi-Hui Chen

    (Dental Department, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan)

  • Kun-Der Lin

    (Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung 80145, Taiwan)

  • Mei-Yueh Lee

    (Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Division of Endocrinology and Metabolism, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 81267, Taiwan)

  • Yu-Li Lee

    (Division of Endocrinology and Metabolism, Cishan Hospital, Kaohsiung 84247, Taiwan)

  • Chih-Kai Yu

    (Dental Department, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 81267, Taiwan)

  • Yuji Kabasawa

    (Oral Care for Systemic Health Support, Faculty of Dentistry, School of Oral Health Care Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo 113-8510, Japan)

  • Hsiao-Ling Huang

    (Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

Abstract

Interventions engaging community health workers (CHW) for diabetes management aim to improve diabetes care and self-management behaviors among patients. We evaluated the effects of nonsurgical periodontal treatment (NSPT) with the CHW strategy on oral self-care behaviors, periodontal status and oral health-related quality of life (OHQoL) in patients with type 2 diabetes mellitus (T2DM). The participants were randomly assigned to experimental (EG; n = 35) and control (CG; n = 33) groups. All participants received NSPT, whereas the patients in the EG also received one-on-one 30 min lessons from a CHW over 4 weeks. The EG exhibited greater improvement in the probing pocket depth (β = −0.2, effect size [ES] = 0.61) and clinical attachment level (β = −0.2, ES = 0.59) at 1-month follow-up than the CG did. The ES increased over the 1-, 3- and 6-month follow-ups, indicating an increase in OHQoL (ES = 0.19, 0.60, and 0.62, respectively) in the EG. The patients in the EG were more likely to change their oral self-care behaviors than patients in the CG were. The NSPT with CHW strategy had a positive effect on 1-month periodontal treatment outcomes, long-term OHQoL and oral self-care behaviors in patients with T2DM.

Suggested Citation

  • Yuan-Jung Hsu & Yi-Hui Chen & Kun-Der Lin & Mei-Yueh Lee & Yu-Li Lee & Chih-Kai Yu & Yuji Kabasawa & Hsiao-Ling Huang, 2021. "Clinical Outcomes and Oral Health-Related Quality of Life after Periodontal Treatment with Community Health Worker Strategy in Patients with Type 2 Diabetes: A Randomized Controlled Study," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8371-:d:610227
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    References listed on IDEAS

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