Correlates of attitudes and perceived behavioural control towards oral care provision among trained and untrained nursing home caregivers in Singapore.
OBJECTIVE
To investigate the perspectives of nursing home caregivers towards oral care and the determinants of their attitudes and perceived behavioural control.


BACKGROUND
There are few studies analysing nursing home caregivers' perspectives on the provision of oral care and factors correlated with these perspectives.


METHODS
Cross-sectional study.


METHODS
Interviewer-administered survey questionnaires were completed by caregivers from five nursing homes in Singapore (n = 94). The rating-scale questionnaire items explored caregivers' attitudes, subjective norms and perceived behavioural control, as guided by the theory of planned behaviour. Demographic characteristics, oral care training received, years of work experience, oral hygiene behaviour and dental visit frequency of the caregivers, as well as organisational characteristics such as a requirement for oral care and the number of patients under their care, were obtained.


RESULTS
Caregivers had very positive attitudes towards the provision of oral care. Half of the caregivers lacked confidence in providing oral care without harming the patients and this was not different by oral care training received. Multivariable linear regression analysis found that receiving oral care training and having a requirement by the nursing home to provide oral care were related to higher attitude scores but not perceived behaviour control. Having more residents under their care and on-the-job caregiver training were associated with lower perceived behavioural control.


CONCLUSIONS
This study found that nursing home caregivers had positive attitudes towards providing oral care, but more modest perspectives about their ability to perform that behaviour.


CONCLUSIONS
These findings have useful implications for the oral care training of nursing home caregivers. While attitudes towards the importance of oral care may be positive among nursing home caregivers, our study suggests that future interventions should include practical skills training for oral care management and consider organisational strategies for encouraging oral care provision.
Faculty of Dentistry, National University of Singapore, Singapore.
Charlene E
http://orcid.org/0000-0002-2208-5397
CE
Goh
National Healthcare Group Polyclinics, Singapore.
Melissa P
MP
Guay
National Dental Centre Singapore, Singapore.
Mei Yian
MY
Lim
National University Hospital System, University Dental Cluster, Singapore.
Shy Min
SM
Lim
Private practice, Singapore.
Shu Yi
SY
Loke
National Dental Centre Singapore, Singapore.
Hui En
HE
Toh
Oral Sciences, School of Dentistry, NUS, Singapore.
Rahul
R
Nair
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D017028:Caregivers; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D009910:Oral Hygiene; D010465:Perception; D012846:Singapore; D011795:Surveys and Questionnaires
attitudes; behaviour; community-based long-term care facilities; elder care; elderly; oral care; residential homes