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A Human-Centered Design Approach to Develop Oral Health Nursing Interventions in Patients with a Psychotic Disorder

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  • Sonja Kuipers

    (Research Group Healthcare & Innovation in Psychiatry, Department of Healthcare, NHL Stenden University of Applied Sciences, Rengerslaan 8-10, 8900 CG Leeuwarden, The Netherlands
    Department of Experimental Psychopathology and Clinical Psychology, Faculty of Behavioural and Social Sciences, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, The Netherlands)

  • Stynke Castelein

    (Department of Experimental Psychopathology and Clinical Psychology, Faculty of Behavioural and Social Sciences, University of Groningen, Grote Kruisstraat 2/1, 9712 TS Groningen, The Netherlands
    Lentis Research, Lentis Psychiatric Institute, Hereweg 80, 9725 AG Groningen, The Netherlands)

  • Linda Kronenberg

    (Dimence Mental Health Care, Burgemeester Roelenweg 9, 8021 EV Zwolle, The Netherlands)

  • Job van ’t Veer

    (Research Group Digital Innovation in Care and Welfare, Department of Healthcare, NHL Stenden University of Applied Sciences, Rengerslaan 8-10, 8900 CG Leeuwarden, The Netherlands)

  • Nynke Boonstra

    (Research Group Healthcare & Innovation in Psychiatry, Department of Healthcare, NHL Stenden University of Applied Sciences, Rengerslaan 8-10, 8900 CG Leeuwarden, The Netherlands
    KieN Early Intervention Service, Oosterkade 72, 8911 KJ Leeuwarden, The Netherlands
    UMC Utrecht Brain Center, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands)

Abstract

In mental health, oral health is often given little attention. Mental health nurses (MHNs) are professionally the appropriate target group to support maintaining and increasing oral health. We aimed to develop and validate personas that reflect the attitudes and needs of MHNs regarding oral health in patients with a psychotic disorder. We used a human-centered design with contextual interviews (n = 10) to address the key issues of the problems and needs of MHNs working with patients with a psychotic disorder. We analyzed the data thematically and reflected on insights into unique personas, which were then validated by conducting semi-structured interviews (n = 19) and member checking. Four personas were found based on attitudes and perspectives, barriers, needs, suggestions for interventions, and site conditions regarding practicing oral care in this patient group. Our findings were as follows: the attitudes and perspectives differed from not feeling any responsibility to a holistic obligation, including oral health; suggestions for interventions for MHNs ranged from interventions focusing on improving skills and knowledge to using practical tools; most MHNs recognized themselves within a persona that had a holistic obligation that included oral health; in addition, the MHNs indicated that they considered the issue of oral health in this patient group important, but, in practice, took little responsibility for that role. These findings suggest that a toolkit with interventions for MHNs that are tailored to the personas that emerged from our research should be developed by MHNs in co-creation with designers. The differences between the perceived role and MHNs’ practice in oral health highlighted the need for role clarification and professional leadership of MHNs regarding oral health, which should be considered when developing interventions.

Suggested Citation

  • Sonja Kuipers & Stynke Castelein & Linda Kronenberg & Job van ’t Veer & Nynke Boonstra, 2023. "A Human-Centered Design Approach to Develop Oral Health Nursing Interventions in Patients with a Psychotic Disorder," IJERPH, MDPI, vol. 20(4), pages 1-27, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3475-:d:1070324
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    References listed on IDEAS

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    1. Schneider-Kamp, Anna & Fersch, Barbara, 2021. "Detached co-involvement in interactional care: Transcending temporality and spatiality through mHealth in a social psychiatry out-patient setting," Social Science & Medicine, Elsevier, vol. 285(C).
    2. Sonja Kuipers & Nynke Boonstra & Linda Kronenberg & Annette Keuning-Plantinga & Stynke Castelein, 2021. "Oral Health Interventions in Patients with a Mental Health Disorder: A Scoping Review with Critical Appraisal of the Literature," IJERPH, MDPI, vol. 18(15), pages 1-28, July.
    3. Olga Chivilgina & Tenzin Wangmo & Bernice Simone Elger & Thomas Heinrich & Fabrice Jotterand, 2020. "mHealth for schizophrenia spectrum disorders management: A systematic review," International Journal of Social Psychiatry, , vol. 66(7), pages 642-665, November.
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    Cited by:

    1. Sonja Kuipers & Stynke Castelein & Linda Kronenberg & Job van ’t Veer & Nynke Boonstra, 2024. "The Development of an Oral Health Nursing Tool for Patients with a Psychotic Disorder: A Human-Centred Design with a Feasibility Test," IJERPH, MDPI, vol. 21(4), pages 1-28, April.

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