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Development of Community health promotion model focused on oral care for elderly

Research Project

Project/Area Number 21390602
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionUniversity of Hyogo

Principal Investigator

SAKASHITA Reiko  兵庫県立大学, 看護学部, 教授 (40221999)

Co-Investigator(Kenkyū-buntansha) MASTUSHITA Kenji  国立長寿医療センター, 口腔疾患研究部, 部長 (90253898)
SATO Takuichi  東北大学, 大学院・歯学研究科, 講師 (10303132)
KIM Woesook  兵庫県立大学, 看護学部, 教授 (90331371)
ARAI Kanako  兵庫県立大学, 看護学部, 准教授 (00364050)
ARAKAWA Mitsue  大分大学, 医学部, 准教授 (00363549)
MATSUO Kazue  日本赤十字九州国際看護大学, 看護学部, 講師 (90389502)
Co-Investigator(Renkei-kenkyūsha) KAJI Hidesuke  兵庫県立大学, 看護学部, 教授 (90224401)
TAO Motomi  兵庫県立大学, 看護学部, 助手 (40612031)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥17,290,000 (Direct Cost: ¥13,300,000、Indirect Cost: ¥3,990,000)
Fiscal Year 2011: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2010: ¥7,670,000 (Direct Cost: ¥5,900,000、Indirect Cost: ¥1,770,000)
Fiscal Year 2009: ¥5,980,000 (Direct Cost: ¥4,600,000、Indirect Cost: ¥1,380,000)
Keywords高齢者 / 摂食機能 / 口腔保健 / 保健行動 / ヘルスプロモーション / 変化ステージモデル
Research Abstract

[Purpose] This study aimed to evaluate a health promotion program for the elderly to foster self-management of oral health.
[Method] The intervention program consisted of the group studies and private consultations for three months. The group study included 1) monitoring the oral condition and practicing oral self-care, 2) monitoring oral function and practicing oral exercise and 3) group discussion on continuing oral self-care. Outcomes were evaluated at the beginning, at the end, and at three months after the investigation by scores for 1) oral self-care, 2) oral condition(decayed teeth, CPI, deposits of plaque and tartar), 3) oral function(RSST, Oral Diadochokinesis), 4) QOL(SF-8 v2^<TM>, GOHAI), 5) cognitive function(MMSE-J).
[Results] Subjects consisted of 19 males and 131 females(average age, 73.6±7.3 years ; range, 60-94 years). On oral health care, subjects cleaned their teeth more often than before and the use of dental floss was significantly increased in number(p<0.001). Periodontal score, dental plaque and tartar were significantly lower after intervention(P<0.01-0.001). Oral function also improved significantly(p<0.05-0.01). Scores for oral QOL and cognitive function improved significantly(P<0.05-0.01).
[Conclusion] These results suggest that this program promotes not only oral self-care, resulting in good oral health conditions, but also improves cognitive function in the elderly.
[Ethical consideration] Informed consent was obtained from all subjects, and this study was approved by the Research Ethics Committee of University of Hyogo.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (44 results)

All 2012 2011 2010 2009 Other

All Journal Article (14 results) (of which Peer Reviewed: 13 results) Presentation (23 results) Book (4 results) Remarks (3 results)

  • [Journal Article] Cultivable anaerobic microbiota of infected root canals2012

    • Author(s)
      Sato T, Yamaki K, Ishida N, Hashimoto K, et al.
    • Journal Title

      Int J Dent

      Pages: 1155-1120

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Microbial composition and acidogenic potential of dental plaque microflora on first molars with orthodontic bands and brackets2012

    • Author(s)
      Komori R, Sato T, Takano-Yamamoto T, Takahashi N
    • Journal Title

      J Oral Biosci

      Volume: 55(2)(in press)

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Responses of infected dental pulp to α TCP containing antimicrobials in rat molars2012

    • Author(s)
      Sato T, Kenmotsu S, Nakakura-Ohshima K, et al.
    • Journal Title

      Arch Histol Cytol

      Volume: 75(in press)

    • NAID

      130005087018

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Microflora profiling of infected root canal before and after treatment using culture-independent methods2012

    • Author(s)
      Ito Y, Sato T, Yamaki K, et al.
    • Journal Title

      J Microbiol

      Volume: 50(1) Pages: 58-62

    • Related Report
      2011 Final Research Report
  • [Journal Article] 口腔機能向上を促す支援プログラムによる高齢者の口腔保健行動の変化2012

    • Author(s)
      新井香奈子, 坂下玲子, 上手道子, 岩崎小百合, 物部弘子, 岸本啓子, 藤田頼子, 衣笠端子
    • Journal Title

      兵庫県立大学看護学部・地域ケア開発研究所紀要

      Volume: 19 Pages: 83-96

    • NAID

      40019234473

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Quantification and identification of bacteria in acrylic resin denture bases and dento-maxillary obturator-prostheses2012

    • Author(s)
      Takeuchi Y, Nakajo K, Sato T, Koyama S, Sasaki K, Takahashi N
    • Journal Title

      Am J Dent

      Volume: 25(in press)

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Profiling of dental plaque microflora on root caries lesions and the protein-denaturing activity of these bacteria2011

    • Author(s)
      Hashimoto K, Sato T, Shimauchi H, Takahashi N
    • Journal Title

      Am J Dent

      Volume: 24(5) Pages: 295-299

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Detection and identification of non-Candida albicans species in human oral lichen planus2011

    • Author(s)
      Masaki M, Sato T, Sugawara Y, et al.
    • Journal Title

      Microbiol Immunol

      Volume: 55(1) Pages: 66-70

    • NAID

      10031121442

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] A地域における高齢者の口腔・摂食機能向上を促す支援プログラムの検討2011

    • Author(s)
      坂下玲子, 渡邉佳世, 西平倫子, 新井香奈子, 松下健二, 他
    • Journal Title

      兵庫県立大学看護学部・地域ケア開発研究所紀要

      Volume: 18 Pages: 11-22

    • NAID

      40018767496

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 唾液中アンモニアの高齢者における口腔内細菌数評価への応用2011

    • Author(s)
      石川正夫, 山崎洋治, 石川文子, 島田睦, 田中良子, 森嶋清二, 石井孝典, 高田康二, 渋谷耕司, 坂下玲子, 濱田三作男
    • Journal Title

      老年歯科医学

      Volume: 25(4) Pages: 367-374

    • NAID

      10030470491

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Profiling of subgingival plaque biofilm microflora from periodontally healthy subjects and from subjects with periodontitis using quantitative real-time PCR2010

    • Author(s)
      Abiko Y, Sato T, Mayanagi G and Takahashi N
    • Journal Title

      J Periodontal Res

      Volume: 45(3) Pages: 389-395

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Hostβ-globin-gene fragments of crevicular fluid as a biomarker in periodontal health and disease2010

    • Author(s)
      Thaweboon B, Laohapand P, Amornchat C, Matsuyama J, Sato T, et al.
    • Journal Title

      J Periodontal Res

      Volume: 45(1) Pages: 38-44

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Host β-globin-gene fragments of crevicular fluid as a biomarker in periodontal health and disease.2010

    • Author(s)
      Thaweboon B, Laohapand P, Amomchat C, Matsuyama J, Sato T, Nunez PP, Uematsu H, Hoshino E
    • Journal Title

      J Periodontal Res

      Volume: 45(1) Pages: 38-44

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Detection and identification of non-Candida albicans species in humanoral lichen planus.2010

    • Author(s)
      Masaki M, Sato T, Sugawara Y, Sasano T, Takahashi N
    • Journal Title

      Microbiol Immunol

      Volume: 55(1) Pages: 66-70

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] 地域で生活する高齢者を対象とした「お口からはじめる健康プログラム」の検討2011

    • Author(s)
      坂下玲子, 太尾元美, 新井香奈子, 西平倫子, 西谷美保
    • Organizer
      第31回看護科学学会学術集会
    • Place of Presentation
      高知市文化プラザかるぽーと(高知県)
    • Year and Date
      2011-12-02
    • Related Report
      2011 Annual Research Report
  • [Presentation] 高齢者の歯肉縁下プラーク細菌叢: Porphy-romonas gingivalisの定量解析とfimA遺伝子型タイピング2011

    • Author(s)
      安彦友希, 佐藤拓一, 坂下玲子, 他
    • Organizer
      第53回歯科基礎医学会学術大会
    • Place of Presentation
      岐阜県
    • Year and Date
      2011-10-02
    • Related Report
      2011 Final Research Report
  • [Presentation] 高齢者の歯肉縁下プラーク細菌叢:Porphyromonas gingivalisの定量解析とfimA遺伝子型タイピング2011

    • Author(s)
      安彦友希, 佐藤拓一, 坂下玲子, 高橋信博
    • Organizer
      第53回歯科基礎医学会学術大会
    • Place of Presentation
      長良川国際会議場(岐阜県)
    • Year and Date
      2011-10-02
    • Related Report
      2011 Annual Research Report
  • [Presentation] 感染根管内細菌叢のpyrosequencing法によるメタゲノム解析2011

    • Author(s)
      佐藤拓一, 河村好章, 八巻惠子, 他
    • Organizer
      第53回歯科基礎医学会学術大会
    • Place of Presentation
      岐阜県
    • Year and Date
      2011-10-01
    • Related Report
      2011 Final Research Report
  • [Presentation] A Multidisplinary Community Care Program Focusing on Oral Health2011

    • Author(s)
      Sakashita R., Watanabe K., Hamada M., Matsushita K., Nishitani M., Nishihira T
    • Organizer
      ICN Conference 2011
    • Place of Presentation
      Mediterranean conference centre (Marta)
    • Year and Date
      2011-05-07
    • Related Report
      2011 Annual Research Report
  • [Presentation] Effects of a community support program in oral health for the elderly2011

    • Author(s)
      Arai K, Sakashita R, Kamide M
    • Organizer
      International conferences in community health care nursing research
    • Place of Presentation
      University of Alberta (Canada)
    • Year and Date
      2011-05-04
    • Related Report
      2011 Annual Research Report
  • [Presentation] Porphyromonas gingivalis quantification and fimA-genotyping in plaque of the elderly2011

    • Author(s)
      Abiko Y, Sato T, Sakashita R and Takahashi N
    • Organizer
      The 89th IADR
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2011-03-18
    • Related Report
      2011 Final Research Report
  • [Presentation] Community oral health promotion program fostering self-management for elderly people2011

    • Author(s)
      Nishihira T, Nishitani M, Sato T, Abiko Y, Matsushita K, Hamada M, Sakashita R
    • Organizer
      The 4th International Symposium for Interface Oral Health Science
    • Place of Presentation
      Sendai, Japan Hotel Sendai plaza
    • Year and Date
      2011-03-08
    • Related Report
      2010 Annual Research Report
  • [Presentation] Subgingival plaque biofilm microflora of elderly subjects : quantitative analysis of Porphyromonas gingivalis and genotyping of its virulence-associated fimA.2011

    • Author(s)
      Abiko Y, Sato T, Sakashita R, Takahashi N
    • Organizer
      The 4th International Symposium for Interface Oral Health Science
    • Place of Presentation
      Sendai, Japan Hotel Sendai plaza
    • Year and Date
      2011-03-08
    • Related Report
      2010 Annual Research Report
  • [Presentation] Subgingival plaque biofilm microflora of elderly subjects2011

    • Author(s)
      Abiko Y, Sato T, Sakashita R and Takahashi N
    • Organizer
      The 4th International Symposium for Interface Oral Health Science
    • Place of Presentation
      Sendai
    • Related Report
      2011 Final Research Report
  • [Presentation] Community oral health promotion program fostering self-management for elderly people2011

    • Author(s)
      Nishihira T, Nishitani M, Sato T, Abiko Y, Matsushita K, Hamada M and Sakashita R
    • Organizer
      The 4th International Symposium for Interface Oral Health Science
    • Place of Presentation
      Sendai
    • Related Report
      2011 Final Research Report
  • [Presentation] A Multidisplinary Community Care Program Focusing on Oral Health2011

    • Author(s)
      Sakashita R., Watanabe K., Hamada M., Matsushita K., Nishitani M., Nishihira T.
    • Organizer
      ICN Conference 2011
    • Place of Presentation
      Marta
    • Related Report
      2011 Final Research Report
  • [Presentation] Effectsof a community support program in oral health for the elderly2011

    • Author(s)
      Arai K, Sakashita R and Kamide M.
    • Organizer
      International conferences in community health care nursing research
    • Place of Presentation
      Symposium(Edmonton, Canada)
    • Related Report
      2011 Final Research Report
  • [Presentation] 地域で生活する高齢者を対象とした「お口からはじめる健康プログラム」の検討2011

    • Author(s)
      坂下玲子, 太尾元美, 新井香奈子, 西平倫子, 西谷美保
    • Organizer
      第31回看護科学学会学術集会
    • Place of Presentation
      高知県
    • Related Report
      2011 Final Research Report
  • [Presentation] Silent aspiration of oral bacteria in elderly subjects2010

    • Author(s)
      Hasegawa A, Sato T, Hoshikawa Y, et al.
    • Organizer
      The 88th IADR
    • Place of Presentation
      Barcelona, Spain
    • Year and Date
      2010-07-17
    • Related Report
      2011 Final Research Report
  • [Presentation] Silent aspiration of oral bacteria in elderly subjects.2010

    • Author(s)
      Hasegawa A, Sato T, Hoshikawa Y, Abiko Y, Kondo T, Takahashi N
    • Organizer
      The 88th IADR
    • Place of Presentation
      Barcelona, Spain
    • Year and Date
      2010-07-17
    • Related Report
      2010 Annual Research Report
  • [Presentation] Promoting Oral Health among the elderly2010

    • Author(s)
      Arai K, Kajiwara R., Tagawa Y, Koeda M, Nagasaka M, Yamakawa T, Ogawa H, Kaji H, and Sakashita R
    • Organizer
      2^<nd> Japan China Korea Nursing Conference
    • Place of Presentation
      Tokyo, Japan
    • Related Report
      2011 Final Research Report
  • [Presentation] T Promoting Oral Health among the elderly2010

    • Author(s)
      Arai K, Kajiwara, R., Tagawa, Y, Koeda M, Nagasaka M, Yamakawa T, Ogawa H, Kaji H, Sakashita R
    • Organizer
      2^<nd> Japan China Korea Nursing Conference
    • Place of Presentation
      Tokyo, Japan St.Luke's college of Nursing
    • Related Report
      2010 Annual Research Report
  • [Presentation] オーラルヘルスプロモーションのこれから:口腔健康行動におけるコミュニティチーム医療2010

    • Author(s)
      金外淑、松下健二、永坂美晴、坂下玲子
    • Organizer
      第23回日本健康心理学会:シンポジューム
    • Place of Presentation
      千葉県 流山市江戸川大学(駒木キャンパス)
    • Related Report
      2010 Annual Research Report
  • [Presentation] 高齢者の様々な口腔保健行動が口腔状態に及ぼす影響2009

    • Author(s)
      坂下玲子, 桑原未代子, 松下健二, 佐藤拓一, 安彦友希, 三重幸恵, 井上昌一
    • Organizer
      第58回日本口腔衛生学会
    • Place of Presentation
      長良川国際会議場(岐阜)
    • Year and Date
      2009-10-11
    • Related Report
      2009 Annual Research Report
  • [Presentation] 「よく噛むこと」を実践している高齢者の口腔状態とその背景2009

    • Author(s)
      宇多絵里香, 坂下玲子
    • Organizer
      第20回日本咀嚼学会記念学術大会
    • Place of Presentation
      福岡県歯科医師会館(福岡)
    • Year and Date
      2009-10-06
    • Related Report
      2009 Annual Research Report
  • [Presentation] The promotion of effective oral health behabiors among the elderly2009

    • Author(s)
      Sakashita R, Ostuka K, Torigai S, Tarumoto K, Uda E
    • Organizer
      The 1^<st> International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      ポートピアホテル(神戸)
    • Year and Date
      2009-09-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] 高齢者の歯肉縁下プラーク細菌叢への Porphyromonas gingivalis の定着2009

    • Author(s)
      安彦友希, 佐藤拓一, 坂下玲子, 高橋信博
    • Organizer
      第51回歯科基礎医学会学術大会
    • Place of Presentation
      朱鷺メッセ(新潟)
    • Year and Date
      2009-09-11
    • Related Report
      2009 Annual Research Report
  • [Book] Community Oral Health promotion program fostering self-management for elderly people, In Interface Oral Health Science 20112012

    • Author(s)
      Nishihira T, Nishitani M, Sato T, Abiko Y, Matsushita K, Hamada M, Sakashita R, et al.
    • Related Report
      2011 Final Research Report
  • [Book] Community oral health promotion program fostering self-management for elderly people. In : Interface Oral Health Science 20112012

    • Author(s)
      Nishihira T, Nishitani M, Sato T, Abiko Y, Matsushita K, Hamada M, Sakashita R
    • Publisher
      Springer, New York
    • Related Report
      2011 Annual Research Report
  • [Book] Interface Oral Health Science 2009(Can symptom awareness of the elderly be a clue to find oral diseases and promote oral health behaviors?)2010

    • Author(s)
      Sakashita R, Miyashiba T, Otsuka K, Sato T, Kamide M, Watanabe Km, Takimoto N, Kawaguchi M, Nishihira, T
    • Publisher
      Springer
    • Related Report
      2010 Annual Research Report
  • [Book] Can symptom awareness of the elderly be a clue to find oral diseases and promote oral health behaviors? In : Interface Oral Health Science 20092010

    • Author(s)
      Sakashita R, Miyashiba T, Otsuka K, Sato T, Kamide M, Watanabe Km Takimoto N, Kawaguchi M, Nishihira, T
    • Publisher
      Springer
    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://okuchigenki.com/

    • Related Report
      2011 Final Research Report
  • [Remarks]

    • URL

      http://okuchigenki.com/

    • Related Report
      2011 Annual Research Report
  • [Remarks]

    • URL

      http://okuchigenki.com/

    • Related Report
      2010 Annual Research Report

URL: 

Published: 2009-04-01   Modified: 2016-04-21  

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