Online Program

Uncovering the evidence: Systematic review of interventions to reduce oral health disparities between adults with intellectual disability and the general population

Monday, November 4, 2013

Christine Clifford, MHP, Center for Developmental Disabilities Evaluation and Research, E.K. Shriver Center, University of Massachusetts Medical School, Worcester, MA
Alexandra Bonardi, OTR/L, MHA, CDDER/EK Shriver Center, UMass Medical School, Boston, MA
Matthew Holder, MD, MBA, AADMD, Prospect, KY
Nancy Harger, RN, MS LIS, Lamar Soutter Library, UMass Medical School, Worcester, MA
Oral health is a public health concern for people with intellectual or developmental disabilities (I/DD). Research consistently shows that the population with I/DD experiences poorer oral hygiene, higher prevalence and severity of periodontal disease, and higher incidence of untreated caries when compared to the general population. Poor oral health can cause chronic pain, affect the ability to eat and communicate, and adversely affect physical health and quality of life. Intervention strategies include enhanced prevention, increased routine care, expanded insurance coverage, and training for dentists and hygienists. Research is needed to identify the most effective interventions. A standard systematic literature review for evidence-based practices is not adequate for identifying and evaluating the evidence in areas such as health policy and individual health behaviors. This presentation describes the structured processes used in uncovering evidence where there is limited published literature that includes 1) the I/DD population and 2) traditional scientific reviews of interventions addressing their oral health. By adapting a transdisciplinary conceptual model, which could be applied to a multitude of disciplines, we identify the best available evidence as collected through a conventional systematic review, allowing for additional emphasis on the personal, social and environmental factors that affect the I/DD population. The process includes search strategies to include peer reviewed and gray literature, along with other associated programs, policies, and practices, resulting in a unique evidence base from varied sources. Additionally, we frame and refine a formal plan to review the outcomes and establish a level of evidence for the identified interventions.

Learning Areas:

Public health or related public policy
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe strategies for collection and review of evidence in a systematic review of oral health interventions for adults with intellectual and developmental disability.

Keyword(s): Evidence Based Practice, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Research Coordinator at the Center for Developmental Disabilities Evaluation and Research (CDDER) at the UMMS/Eunice Kennedy Shriver Center. I am well versed in public health research methodology and underserved populations. Recent projects include a Family Supports Survey, pharmacy claims analysis for the dual eligible population and Quality Assurance projects. My experience also includes project design, data collection and analysis, including enrollment data, claims data and survey data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.