{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:13:55Z","timestamp":1783469635436,"version":"3.55.0"},"reference-count":49,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["K23DE022470"],"award-info":[{"award-number":["K23DE022470"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine the association between the assessments of certified nursing assistants (CNAs) on resident's oral self\u2010care function and resident's oral hygiene outcomes in three North Carolina assisted\u2010living (AL) facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and results<\/jats:title><jats:p>Sixty\u2010five dentate AL residents were included in this secondary analysis. CNAs were asked to rate the AL residents\u2019 overall oral self\u2010care function using a 6\u2010point Likert scale. Their assessments were then compared with the objective, performance\u2010based Dental Activities Test and the oral hygiene and gingival health measures. The analysis showed that nearly 90% of the participants presented with at least one untreated decayed or broken tooth. On average, nearly two\u2010thirds of the surfaces were covered by soft deposits (Debris Index\u00a0=\u00a01.83, <jats:italic>SD<\/jats:italic>\u00a0=\u00a00.60). Generalized mild to moderate inflammation (Gingival Index\u00a0=\u00a01.51, <jats:italic>SD<\/jats:italic>\u00a0=\u00a00.53) commonly presented on residents\u2019 gingiva. CNAs were able to accurately identify the residents with substantial impairment in oral self\u2010care function, yet they tended to overestimate the oral self\u2010care function of residents with mild to moderate impairment. CNAs assessments were also not significantly correlated with residents\u2019 oral hygiene measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CNAs failed to identify and provide assistance to AL residents with impaired oral self\u2010care function, contributing to poor oral oral hygiene in these vulnerable individuals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12521","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T22:28:40Z","timestamp":1601418520000},"page":"580-588","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["How accurate is the assessment of certified nursing assistants on resident's oral self\u2010care function in three North Carolina assisted\u2010living facilities?"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2821-0726","authenticated-orcid":false,"given":"Xi","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Preventive and Community Dentistry, College of Dentistry University of Iowa Iowa  Iowa City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violet","family":"D'Souza","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of Toronto  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carissa L","family":"Comnick","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, School of Public Health University of Iowa Iowa  Iowa City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianjin","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Preventive and Community Dentistry, College of Dentistry University of Iowa Iowa  Iowa City"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"National Center for Health Statistics Centers for Disease Control and Prevention US Department of Health and Human Services.Long\u2010Term Care Providers and Services Users in the United States: Data from the National Study of Long\u2010Term Care Providers 2015\u20132016.https:\/\/www.cdc.gov\/nchs\/data\/series\/sr_03\/sr03_43-508.pdf. 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