{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:58:30Z","timestamp":1790776710393,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the relationship between family caregiver oral care practices and oral health status among inpatients with dysphagia who require assistance with daily oral hygiene in a rehabilitation ward.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010five patient\u2013family caregiver pairs at a South Korean rehabilitation hospital were studied. Patient oral health was assessed via a modified Multi\u2010dimensional Behavioral Oral Evaluation (M\u2010BOE) tool. Family caregivers completed structured interviews on oral care frequency, duration, techniques, and product use. Data were analyzed using descriptive statistics, Spearman's correlation, Kruskal\u2013Wallis, and Mann\u2013Whitney U tests; nonparametric regression (LOWESS) explored potential nonlinear associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients receiving oral care three or more times daily exhibited significantly lower (better) M\u2010BOE scores. Improvements were most pronounced in gingival and buccal mucosal moisture, tongue hygiene, and denture cleanliness. Family caregiver use of oral care products correlated positively with patient swallowing ability and mucosal condition. Interestingly, extending care duration from one to two minutes was paradoxically associated with higher (worse) M\u2010BOE scores, suggesting that technique quality outweighs time spent. No significant relationships were found between oral health and patient cognitive function (MMSE), functional independence (K\u2010MBI), or number of medications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Family caregiver oral care practices substantially influence oral health status among inpatients with dysphagia who are unable to perform oral self\u2010care independently. Educational interventions should prioritize optimal frequency, appropriate product use, and effective technique training. These findings highlight the importance of family caregiver\u2010focused programs to improve oral health outcomes in rehabilitation patients with functional limitations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70260","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:23:12Z","timestamp":1790774592000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Family Caregiver Oral Care Practices and Oral Health Status in Rehabilitation Ward Patients With Dysphagia"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1274-4181","authenticated-orcid":false,"given":"Youmi","family":"Kim","sequence":"first","affiliation":[{"name":"Ministry of Health and Welfare National Rehabilitation Center  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7234-9226","authenticated-orcid":false,"given":"Sojung","family":"Mun","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene, College of Health Sciences Yonsei University Wonju, Republic of Korea Wonju South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"2","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1111\/jocn.70059","article-title":"Is the Active Involvement of Family Caregivers in Adult Hospital Care Effective to Improve Patient Outcomes?","volume":"35","author":"Bloemberg D.","year":"2025","journal-title":"Journal of Clinical Nursing"},{"issue":"3","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0300101","article-title":"The Relationship Between Caregiver Contribution to Self\u2010Care and Patient Quality of Life in Heart Failure: A Longitudinal Mediation Analysis","volume":"19","author":"Caggianelli G.","year":"2024","journal-title":"PLoS One"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000190056.76543.eb"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S23404"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4162\/nrp.2018.12.5.406"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4040\/jkan.2015.45.1.1"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814549156"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2007.01088.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0211040"},{"issue":"3","key":"e_1_2_9_11_1","first-page":"45","article-title":"Oral Health Status in Patients With Dysphagia: A Case Series","volume":"25","author":"Kim Y. 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