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Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial

Author

Listed:
  • Ji-Yun Ki

    (Department of Public Health, Graduate School, Dankook University, Cheonan-si 31116, Korea)

  • Se-Rim Jo

    (Department of Public Health, Graduate School, Dankook University, Cheonan-si 31116, Korea)

  • Kyung-Sook Cho

    (Department of Public Health, Graduate School, Dankook University, Cheonan-si 31116, Korea)

  • Jung-Eun Park

    (Department of Dental Hygiene, College of Health Science, Dankook University, Cheonan-si 31116, Korea)

  • Ja-Won Cho

    (Department of Preventive Dentistry, College of Dentistry, Dankook University, Cheonan-si 31116, Korea)

  • Jong-Hwa Jang

    (Department of Public Health, Graduate School, Dankook University, Cheonan-si 31116, Korea
    Department of Dental Hygiene, College of Health Science, Dankook University, Cheonan-si 31116, Korea)

Abstract

This study investigated the effect of oral health education using a mobile app (OHEMA) on the oral health and swallowing-related quality of life (SWAL-QoL) of the elderly population in a community-based integrated care project (CICP). Forty elderly individuals in the CICP were randomized into intervention and control groups. OHEMA provided information on customized oral health care management, oral exercises, and intraoral and extraoral massage methods for 50 min/session, once a week, for 6 weeks. Pre- and post-intervention surveys assessed the unstimulated salivary flow rate, subjective oral dryness, tongue pressure, and SWAL-QoL, which were analyzed using ANCOVA and repeated measures ANOVA. In the intervention group, tongue pressure increased significantly from pre- (17.75) to post-intervention (27.24) ( p < 0.001), and subjective oral dryness decreased from pre- (30.75) to post-intervention (18.50). The unstimulated salivary flow rate had a higher mean score in the intervention group (7.19) than in the control group (5.04) ( p < 0.001). The SWAL-QoL significantly improved from pre- (152.10) to post-intervention (171.50) in the intervention group ( p < 0.001) but did not change significantly in the control group ( p > 0.05). OHEMA appears to be a useful tool for oral health education for the elderly as it improved the SWAL-QoL, with increased tongue pressure and reduced oral dryness.

Suggested Citation

  • Ji-Yun Ki & Se-Rim Jo & Kyung-Sook Cho & Jung-Eun Park & Ja-Won Cho & Jong-Hwa Jang, 2021. "Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial," IJERPH, MDPI, vol. 18(21), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11679-:d:673829
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    References listed on IDEAS

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    1. Rui Egashira & Shinsuke Mizutani & Masahiro Yamaguchi & Tomotaka Kato & Yojiro Umezaki & Saori Oku & Keiko Tamai & Toyoshi Obata & Toru Naito, 2020. "Low Tongue Strength and the Number of Teeth Present Are Associated with Cognitive Decline in Older Japanese Dental Outpatients: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
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