Facilitating oral self-care in stroke survivors: The STOP-toolkit study

Craig Smith; Matthew Lievesley; Rachael Powell

Facilitating oral self-care in stroke survivors: The STOP-toolkit study

Craig Smith^*, Matthew Lievesley, Rachael Powell

^*Corresponding author for this work

Research output: Contribution to conference › Paper › peer-review

Abstract

BACKGROUND/AIMS: Dental disease is highly prevalent among stroke survivors, 48% may have untreated tooth decay and 61% may have gum disease. [1]Little is known about the experiences of stroke survivors with regard to their oral health care; there is a need to identify barriers and facilitators to oral self-care behaviours and access to community services after stroke. The aim this study was two-fold: 1. to use qualitative methods to explore these experiences in depth with community dwelling stroke survivors and relevant health and social care professionals (HCPs); and 2. to develop prototypical interventions to address the needs of stroke-survivors and their carers.

PRESENTATION: This presentation provides a visual account of the set of prototype intervention components developed in the project - providing a Toolkit of approaches to increase attention-to and take-up of mouthcare after stroke. Some interventions address experiences soon after admission to hospital, whilst others help those discharged maintain good behaviours and access appropriate care from dental practice. Drawing on theory-informed intervention development best-practice, all integrate a curated selection of behaviour-change techniques known to have a higher likelihood of effectiveness.

IMAGES: Two additional images are provided of the collection of intervention prototypes produced in the project. The first shows elements used on-the-ward. The second shows elements for use in-the-community setting.

ACKNOWLEDGEMENTS: We are especially grateful to all those who made this research possible - our participants. A big thank you to the 23 Stroke Survivors (and their families), and the 19 Health and Social Care Professionals who contributed their time and expertise.

Full list or researchers participating in the STOPtoolkit study:
Lucy O'Malley1, Rachael Powell1, Sharon Hulme1,2, Matthew Lievesley3, Wendy Westoby4, Jess Zadik2, Audrey Bowen1, Paul Brocklehurst5, Craig J. Smith1,2.
1.University of Manchester, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK 2.Salford Royal NHS Foundation Trust. 3.Northumbria
School of Design, University of Northumbria, 4.Public Member. 5.NWORTH Clinical Trials Unit, School of Health Sciences, Bangor University

Original language	English
Pages	1-40
Number of pages	40
Publication status	Published - 1 Dec 2022
Event	UK Stroke Forum 2022 - Liverpool, United Kingdom Duration: 29 Nov 2022 → 1 Dec 2022 https://www.stroke.org.uk/sites/default/files/conferences/uksf/uksf_2022_preliminary_programme.pdf

Conference

Conference	UK Stroke Forum 2022
Abbreviated title	UKSF22
Country/Territory	United Kingdom
City	Liverpool
Period	29/11/22 → 1/12/22
Internet address	https://www.stroke.org.uk/sites/default/files/conferences/uksf/uksf_2022_preliminary_programme.pdf

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Intervention development
human-centred design
Design for Behaviour Change
Co-Design
Experience-based co-design
stroke care
Oral Health

Co-designing for behaviour change: The development of a theory-informed oral-care intervention for stroke survivors
Lievesley, M., Powell, R., Carey, D., Hulme, S., Westoby, W., O'Malley, L., Zadik, J., Bowen, A., Brocklehurst, P. & Smith, C., 2022, In: Design for Health. 6, 2, p. 221-243 23 p.
Research output: Contribution to journal › Article › peer-review

Open Access
File
114 Downloads (Pure)
NIHR Research for Patient Benefit - STOPtoolkit Phase 1 results: a qualitative exploration of oral health care among stroke survivors living in the community
O'Malley, L., Powell, R., Hulme, S., Lievesley, M., Westoby, W., Zadik, J., Bowen, A., Brocklehurst, P. & Smith, C. J., 29 Nov 2022, p. 1-1. 1 p.
Research output: Contribution to conference › Poster › peer-review

Open Access
File
A qualitative exploration of oral health care among stroke survivors living in the community
O'Malley, L., Powell, R., Hulme, S., Lievesley, M., Westoby, W., Zadik, J., Bowen, A., Brocklehurst, P. & Smith, C. J., 1 Oct 2020, In: Health Expectations. 23, 5, p. 1086-1095 10 p., hex13074.
Research output: Contribution to journal › Article › peer-review

Open Access
File
11 Citations (Scopus)

140 Downloads (Pure)

Development and refinement of a STroke-friendly Oral health Promoting (STOP) tool-kit to improve oral self-care practices after discharge from hospital stroke services
Lievesley, M. (PI)
National Institute for Health Research
4/09/17 → 3/09/19
Project: Research

Cite this

@conference{228bc2138e624dcfa21d46fe082d3e6b,

title = "Facilitating oral self-care in stroke survivors: The STOP-toolkit study",

abstract = "BACKGROUND/AIMS: Dental disease is highly prevalent among stroke survivors, 48\% may have untreated tooth decay and 61\% may have gum disease. [1]Little is known about the experiences of stroke survivors with regard to their oral health care; there is a need to identify barriers and facilitators to oral self-care behaviours and access to community services after stroke. The aim this study was two-fold: 1. to use qualitative methods to explore these experiences in depth with community dwelling stroke survivors and relevant health and social care professionals (HCPs); and 2. to develop prototypical interventions to address the needs of stroke-survivors and their carers. PRESENTATION: This presentation provides a visual account of the set of prototype intervention components developed in the project - providing a Toolkit of approaches to increase attention-to and take-up of mouthcare after stroke. Some interventions address experiences soon after admission to hospital, whilst others help those discharged maintain good behaviours and access appropriate care from dental practice. Drawing on theory-informed intervention development best-practice, all integrate a curated selection of behaviour-change techniques known to have a higher likelihood of effectiveness. IMAGES: Two additional images are provided of the collection of intervention prototypes produced in the project. The first shows elements used on-the-ward. The second shows elements for use in-the-community setting. ACKNOWLEDGEMENTS: We are especially grateful to all those who made this research possible - our participants. A big thank you to the 23 Stroke Survivors (and their families), and the 19 Health and Social Care Professionals who contributed their time and expertise. Full list or researchers participating in the STOPtoolkit study: Lucy O'Malley1, Rachael Powell1, Sharon Hulme1,2, Matthew Lievesley3, Wendy Westoby4, Jess Zadik2, Audrey Bowen1, Paul Brocklehurst5, Craig J. Smith1,2. 1.University of Manchester, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK 2.Salford Royal NHS Foundation Trust. 3.Northumbria School of Design, University of Northumbria, 4.Public Member. 5.NWORTH Clinical Trials Unit, School of Health Sciences, Bangor University ",

keywords = "Intervention development, human-centred design, Design for Behaviour Change, Co-Design, Experience-based co-design, stroke care, Oral Health",

author = "Craig Smith and Matthew Lievesley and Rachael Powell",

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language = "English",

pages = "1--40",

note = "UK Stroke Forum 2022, UKSF22 ; Conference date: 29-11-2022 Through 01-12-2022",

url = "https://www.stroke.org.uk/sites/default/files/conferences/uksf/uksf\_2022\_preliminary\_programme.pdf",

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TY - CONF

T1 - Facilitating oral self-care in stroke survivors: The STOP-toolkit study

AU - Smith, Craig

AU - Lievesley, Matthew

AU - Powell, Rachael

PY - 2022/12/1

Y1 - 2022/12/1

N2 - BACKGROUND/AIMS: Dental disease is highly prevalent among stroke survivors, 48% may have untreated tooth decay and 61% may have gum disease. [1]Little is known about the experiences of stroke survivors with regard to their oral health care; there is a need to identify barriers and facilitators to oral self-care behaviours and access to community services after stroke. The aim this study was two-fold: 1. to use qualitative methods to explore these experiences in depth with community dwelling stroke survivors and relevant health and social care professionals (HCPs); and 2. to develop prototypical interventions to address the needs of stroke-survivors and their carers. PRESENTATION: This presentation provides a visual account of the set of prototype intervention components developed in the project - providing a Toolkit of approaches to increase attention-to and take-up of mouthcare after stroke. Some interventions address experiences soon after admission to hospital, whilst others help those discharged maintain good behaviours and access appropriate care from dental practice. Drawing on theory-informed intervention development best-practice, all integrate a curated selection of behaviour-change techniques known to have a higher likelihood of effectiveness. IMAGES: Two additional images are provided of the collection of intervention prototypes produced in the project. The first shows elements used on-the-ward. The second shows elements for use in-the-community setting. ACKNOWLEDGEMENTS: We are especially grateful to all those who made this research possible - our participants. A big thank you to the 23 Stroke Survivors (and their families), and the 19 Health and Social Care Professionals who contributed their time and expertise. Full list or researchers participating in the STOPtoolkit study: Lucy O'Malley1, Rachael Powell1, Sharon Hulme1,2, Matthew Lievesley3, Wendy Westoby4, Jess Zadik2, Audrey Bowen1, Paul Brocklehurst5, Craig J. Smith1,2. 1.University of Manchester, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK 2.Salford Royal NHS Foundation Trust. 3.Northumbria School of Design, University of Northumbria, 4.Public Member. 5.NWORTH Clinical Trials Unit, School of Health Sciences, Bangor University

AB - BACKGROUND/AIMS: Dental disease is highly prevalent among stroke survivors, 48% may have untreated tooth decay and 61% may have gum disease. [1]Little is known about the experiences of stroke survivors with regard to their oral health care; there is a need to identify barriers and facilitators to oral self-care behaviours and access to community services after stroke. The aim this study was two-fold: 1. to use qualitative methods to explore these experiences in depth with community dwelling stroke survivors and relevant health and social care professionals (HCPs); and 2. to develop prototypical interventions to address the needs of stroke-survivors and their carers. PRESENTATION: This presentation provides a visual account of the set of prototype intervention components developed in the project - providing a Toolkit of approaches to increase attention-to and take-up of mouthcare after stroke. Some interventions address experiences soon after admission to hospital, whilst others help those discharged maintain good behaviours and access appropriate care from dental practice. Drawing on theory-informed intervention development best-practice, all integrate a curated selection of behaviour-change techniques known to have a higher likelihood of effectiveness. IMAGES: Two additional images are provided of the collection of intervention prototypes produced in the project. The first shows elements used on-the-ward. The second shows elements for use in-the-community setting. ACKNOWLEDGEMENTS: We are especially grateful to all those who made this research possible - our participants. A big thank you to the 23 Stroke Survivors (and their families), and the 19 Health and Social Care Professionals who contributed their time and expertise. Full list or researchers participating in the STOPtoolkit study: Lucy O'Malley1, Rachael Powell1, Sharon Hulme1,2, Matthew Lievesley3, Wendy Westoby4, Jess Zadik2, Audrey Bowen1, Paul Brocklehurst5, Craig J. Smith1,2. 1.University of Manchester, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK 2.Salford Royal NHS Foundation Trust. 3.Northumbria School of Design, University of Northumbria, 4.Public Member. 5.NWORTH Clinical Trials Unit, School of Health Sciences, Bangor University

KW - Intervention development

KW - human-centred design

KW - Design for Behaviour Change

KW - Co-Design

KW - Experience-based co-design

KW - stroke care

KW - Oral Health

M3 - Paper

SP - 1

EP - 40

T2 - UK Stroke Forum 2022

Y2 - 29 November 2022 through 1 December 2022

ER -

Facilitating oral self-care in stroke survivors: The STOP-toolkit study

Abstract

Conference

UN SDGs

Keywords

Fingerprint

Research output

Co-designing for behaviour change: The development of a theory-informed oral-care intervention for stroke survivors

NIHR Research for Patient Benefit - STOPtoolkit Phase 1 results: a qualitative exploration of oral health care among stroke survivors living in the community

A qualitative exploration of oral health care among stroke survivors living in the community

Projects

Development and refinement of a STroke-friendly Oral health Promoting (STOP) tool-kit to improve oral self-care practices after discharge from hospital stroke services

Cite this