{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:00:27Z","timestamp":1790600427947,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003803","name":"University of Hong Kong","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003803","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the effects of an outreach dental care program (ODCP) on the oral health status and oral health\u2010related quality of life (OHRQoL) of older adults who used residential or day care services in Hong Kong.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Older adults who had received dental treatments provided in the ODCP were recruited. Clinical examinations were performed by one calibrated examiner (SXY) at baseline and 1\u2010year follow\u2010up in the residential homes or day care centres. Face\u2010to\u2010face interviews were conducted using the transition scale of the Oral Health Impacts on Daily Living (OHIDL) questionnaire to investigate the perceived change in OHRQoL at baseline, 2\u2010month and 1\u2010year follow\u2010ups. The Wilcoxon matched\u2010pair signed\u2010rank test or McNemar\/McNemar\u2010Bowker test was used to explore the change in oral health status after dental treatments. Factors associated with the perceived change in OHRQoL were explored with binary logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four hundred and thirteen older adults (mean age\u00a0=\u00a083.8\u2009years) participated in the study at baseline, and 377 (91.3%) and 359 (86.9%) were successfully followed 2\u2009months and 1\u2009year after receiving the outreach dental service, respectively. At the 1\u2010year follow\u2010up, the number of decayed teeth and functional tooth units, and the prevalence of poor denture hygiene decreased while there was more dental plaque deposition and a higher proportion of participants with gingival bleeding upon probing. More than 50% of the participants perceived no change or an improvement in OHRQoL in all domains at both follow\u2010ups. Older adults who perceived their oral health status as \u2018healthy or fair\u2019 and those who suffered from toothache at baseline had a higher chance to perceive having a better or at least the same OHRQoL at the 2\u2010month and 1\u2010year follow\u2010ups, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ODCP in Hong Kong can solve some of the dental problems of older adults using long\u2010term care services and keep most of them from deterioration in OHRQoL, especially those suffering from toothache.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12793","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T10:34:57Z","timestamp":1663324497000},"page":"945-952","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Outreach dental care program for older adults using residential care or day care services in Hong Kong: A cohort study"],"prefix":"10.1111","volume":"51","author":[{"given":"Stella X.","family":"Yang","sequence":"first","affiliation":[{"name":"Faculty of Dentistry The University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward C. M.","family":"Lo","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry The University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine C. M.","family":"Leung","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry The University of Hong Kong  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1","article-title":"People in Hong Kong have the longest life expectancy in the world: some possible explanations","volume":"2020","author":"Chung RY","year":"2020","journal-title":"NAM Perspect"},{"key":"e_1_2_8_3_1","unstructured":"Census and Statistics Department Hong Kong Special Administrative Region.2016Population By\u2010census Thematic Report: Older Persons.https:\/\/www.bycensus2016.gov.hk\/data\/16BC_Older_persons_report.pdf"},{"key":"e_1_2_8_4_1","unstructured":"Census and Statistics Department Hong Kong Special Administrative Region.Hong Kong Population Projections 2020\u20132069. Accessed November 12 2020.https:\/\/www.censtatd.gov.hk\/en\/EIndexbySubject.html?pcode=B1120015&scode=190"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/01621424.2011.592413"},{"key":"e_1_2_8_6_1","unstructured":"Department of Health Hong Kong Special Administrative Region.Oral Health Survey 2011. Accessed December 10 2020.https:\/\/www.toothclub.gov.hk\/en\/en_pdf\/Oral_Health_Survey_2011\/Oral_Health_Survey_2011_WCAG_20141112_(EN_Full).pdf"},{"issue":"4","key":"e_1_2_8_7_1","first-page":"257","article-title":"Global oral health of older people\u2014call for public health action","volume":"27","author":"Petersen PE","year":"2010","journal-title":"Community Dent Health"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare9040390"},{"issue":"4","key":"e_1_2_8_9_1","first-page":"229","article-title":"Problems and proposals for recording gingivitis and plaque","volume":"25","author":"Ainamo J","year":"1975","journal-title":"Int Dent J"},{"key":"e_1_2_8_10_1","first-page":"42","volume-title":"Oral Health Surveys: Basic Methods","author":"World Health Organization","year":"2013"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01593-1"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2011.00610.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0909-8836.1998.eos106401.x"},{"issue":"3","key":"e_1_2_8_14_1","first-page":"261","article-title":"Effect of providing outreach oral health care to institutionalised elders in Hong Kong","volume":"7","author":"Rong WS","year":"2009","journal-title":"Oral Health Prev Dent"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2015.1008986"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2004.tb01683.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17061906"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-3-55"},{"key":"e_1_2_8_19_1","unstructured":"Department of Health Hong Kong Special Administrative Region.Provision of dental services. Accessed July 30 2021.https:\/\/www.aud.gov.hk\/pdf_e\/e68ch07.pdf"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e3182436987"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12793","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cdoe.12793","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12793","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T13:35:13Z","timestamp":1695044113000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.12793"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,16]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1111\/cdoe.12793"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.12793","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,16]]},"assertion":[{"value":"2022-01-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}