{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:40:18Z","timestamp":1756312818267,"version":"3.44.0"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":51,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was the comparison of PRISM (Pictorial Representation of Illness and Self\u2010Measure) with an interview\u2010based oral health education during a 4\u2010week follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Patients under chronic hemodialysis (HD) were recruited and randomly assigned either to PRISM or a control group. At baseline, after the first intervention (T1), after 2\u00a0weeks (second intervention, T2) and after 4\u00a0weeks (third intervention, T3), three parameters were evaluated: gingival inflammation by papilla bleeding index (PBI), patient perspective (specific questionnaire), Oral health impact profile (OHIP\u2010G5). Fifteen patients each group finished the follow\u2010up. In PRISM group, neither after two (T2, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.23) nor after 4\u00a0weeks (T3, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.63), significant differences in PBI were found. In the Control, PBI values significantly increased between baseline and T3 (0.71\u00a0\u00b1\u00a00.52 vs. 0.95\u00a0\u00b1\u00a00.54, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02). Mainly non\u2010significant changes in the specific questionnaire were observed. The sum score of OHIP\u2010G5 did not differ between time points. Regarding the question whether the taste has worsened, a decrease was found in the control between T0 and T2 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04). In the PRISM group, this decrease was apparent between T0 and T2 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04) as well as between T0 and T3 (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Oral health education in HD patients appears challenging and offers a need for novel patient\u2010centered approaches.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.70088","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T05:50:24Z","timestamp":1755841824000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Visual Metaphor for Oral Health Education in Hemodialysis Patients: A Pilot Study"],"prefix":"10.1111","volume":"45","author":[{"given":"Gerhard","family":"Schmalz","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Brandenburg Medical School (MHB) Theodor Fontane  Brandenburg Germany"},{"name":"Department of General Medicine University of Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Friedrich","sequence":"additional","affiliation":[{"name":"Department of Nephrology Rheumatology and Endocrinology University of Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Stoeffler","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Brandenburg Medical School (MHB) Theodor Fontane  Brandenburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Patschan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Angiology and Nephrology Klinikum Brandenburg Medizinische Hochschule Brandenburg  Brandenburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"B\u00fcchi","sequence":"additional","affiliation":[{"name":"mediX Gruppenpraxis Rotbuchstrasse  Z\u00fcrich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Ebert","sequence":"additional","affiliation":[{"name":"Department of Nephrology Rheumatology and Endocrinology University of Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Kreher","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Brandenburg Medical School (MHB) Theodor Fontane  Brandenburg Germany"},{"name":"Department of General Medicine University of Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"de Fallois","sequence":"additional","affiliation":[{"name":"Department of Nephrology Rheumatology and Endocrinology University of Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","first-page":"375","article-title":"The Relationship Between Oral Health and Hemodialysis Treatment Among Adults With Chronic Kidney Disease: A Systematic Review","volume":"46","author":"Wallace K.","year":"2019","journal-title":"Nephrology Nursing Journal"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40620\u2010022\u201001274\u20104"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12431"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12396"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12041507"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010020\u201001824\u20107"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903\u2010020\u201001350\u2010w"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092508"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000012284"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"44","article-title":"Klinische Bewertungsverahren zur Objektivierung der Mundhygiene","volume":"32","author":"Lange D. 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