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dc.contributor.authorPaisi, Martha
dc.contributor.authorWitton, Robert
dc.contributor.authorBurrows, M
dc.contributor.authorAllen, Z
dc.contributor.authorPlessas, Anastasios
dc.contributor.authorWithers, L
dc.contributor.authorMcDonald, L
dc.contributor.authorKay, E

Introduction People who experience homelessness have poor oral health and limited access to dental services. Aim To examine whether ‘peer education’ could yield improved plaque management among people experiencing homelessness. Methods A quasi-experimental, one-group pre-test-post-test study was conducted, with follow-up at one and two months. Participants were living in temporary accommodation in Plymouth, UK. Plaque levels were assessed using the simplifed oral hygiene index. A questionnaire and the oral health impact profle (OHIP-14) were administered. Patient satisfaction and barriers to dental care were explored by interviews. Results The baseline sample included 24 people with a mean age of 36.88 ± 10.26 years. The mean OHIP-14 score was 25.08 ± 19.56; fnding it uncomfortable to eat and being embarrassed attracted the highest values (2.46 ± 1.53 and 2.33 ± 1.63, respectively). Plaque levels decreased by month one and month two, though the changes were not statistically signifcant. Positive changes in confdence in toothbrushing at month two were identifed (p = 0.01). Conclusion Experiencing pain and the opportunity to access treatment were key drivers of study participation. The study indicated that it is feasible to conduct oral health promotion projects for people in temporary accommodation. Adequately powered studies examining the impact of peer education on improving homeless people’s oral health are warranted.

dc.subjectDental/Oral and Craniofacial Disease
dc.subjectInfectious Diseases
dc.subjectClinical Research
dc.subjectHealth Services
dc.subject7.1 Individual care needs
dc.titleManagement of plaque in people experiencing homelessness using 'peer education': a pilot study
plymouth.journalBritish Dental Journal
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Dental School
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
plymouth.organisational-group/Plymouth/Users by role/Researchers in ResearchFish submission
dc.rights.embargoperiodNot known
rioxxterms.typeJournal Article/Review

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