title: Does enhancing personal care assistants' own oral health influence their attitudes and practices towards oral care for residents - a pilot study.
abstract: OBJECTIVE
  To investigate whether, within a residential care facility, increasing personal care assistants' (PCAs) awareness of their own oral health status and self-care skills would alter existing attitudes and behavioural intentions related to the oral health care of residents.
  
  
  METHODS
  PCAs (n = 15) in the dementia care unit of a residential care facility in Melbourne, Australia, were invited to participate in a small research project that appeared to test the effectiveness of a work-place oral health educational programme in enhancing their own oral health whilst masking the actual outcome of interest, namely its effect on PCAs oral healthcare attitudes and practices towards the residents.
  
  
  RESULTS
  Post-intervention, the self-reported confidence of the PCAs to identify their personal risk for oral health problems, identifying common oral health conditions and determining the factors contributing to their personal oral health was increased significantly (P < 0.05). Post-intervention, the self-reported confidence of the PCAs to feeling confident to identify factors that could contribute to poor oral health of residents, identify resident's higher risk for poor oral health and feeling confident in identifying common oral health conditions in residents was also increased significantly (P < 0.05).
  
  
  CONCLUSIONS
  The results of this pilot study show that the educational intervention to increase the personal care assistants' (PCAs) awareness of their own oral health status and self-care skills increased the confidence of the carers to identify oral health risks in the residents, as well as increasing their self-reported confidence in providing oral care to residents.
authors.affiliation: Department of Dentistry and Oral Health, La Trobe Rural Health School, La Trobe University, Flora Hill, Bendigo, Vic., Australia. r.knevel@latrobe.edu.au.
authors.forename: Rjm
authors.initials: R
authors.lastname: Knevel
authors.affiliation: Bupa Care Services, Melbourne, Vic., Australia.
authors.forename: J
authors.initials: J
authors.lastname: Foley
authors.affiliation: Department of Dentistry and Oral Health, La Trobe Rural Health School, La Trobe University, Flora Hill, Bendigo, Vic., Australia.
authors.forename: M
authors.initials: M
authors.lastname: Gussy
authors.affiliation: School of Psychology and Public Health, La Trobe University, Australia.|School of Insurance and Public Health, Ilia State University, Georgia.
authors.forename: L
authors.initials: L
authors.lastname: Karimi
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009728:Nursing Assistants / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D009909:Oral Health / Q000193:education; D010865:Pilot Projects; D012112:Residential Facilities; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: attitudes; dementia; dental hygiene; educational programmes; gerodontology; oral health; personal care assistants; special needs