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Oral health interventions for people living with mental disorders: protocol for a realist systematic review

International Journal of Mental Health Systems. 2020;14(1):1-9 DOI 10.1186/s13033-020-00357-8

 

Journal Homepage

Journal Title: International Journal of Mental Health Systems

ISSN: 1752-4458 (Online)

Publisher: BMC

LCC Subject Category: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry

Country of publisher: United Kingdom

Language of fulltext: English

Full-text formats available: PDF, HTML, ePUB

 

AUTHORS


Amanda Kenny (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Virginia Dickson-Swift (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Mark Gussy (College of Social Science University of Lincoln)

Susan Kidd (Mental Health Nursing, Mental Health Nurse Practitioner, Victoria University)

Dianne Cox (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Mohd Masood (LaTrobe Rural Health School, Health School, Dentistry and Oral Health)

David Azul (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Carina Chan (School of Psychology and Public Health, LaTrobe University)

Bradley Christian (LaTrobe Rural Health School, Health School, Dentistry and Oral Health)

Jacqui Theobold (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Brad Hodge (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Ron Knevel (LaTrobe Rural Health School, Health School, Dentistry and Oral Health)

Carol McKinstry (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Danielle Couch (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Nerida Hyett (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Prabhakar Veginadu (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

Nastaran Doroud (Violet Vines Marshman Centre for Rural Health Research, LaTrobe Rural Health School)

EDITORIAL INFORMATION

Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 13 weeks

 

Abstract | Full Text

Abstract Background The increasing number of people who experience mental disorders is a global problem. People with mental disorders have high rates of co-morbidity and significantly poorer oral health outcomes than the general public. However, their oral health remains largely a hidden and neglected issue. A complex range of factors impact the oral health of this group. These include anxiety and dental phobia, dietary habits, including the heavy consumption of sugary drinks, substance misuse of tobacco, alcohol, and/or psychostimulants, the adverse orofacial side effects of anti-psychotic and anti-depression medications, and financial, geographic, and social barriers to accessing oral health care. Methods The aim of this realist systematic review is to (a) identify and synthesise evidence that explores oral health interventions for people living with mental disorders; (b) explore the context and mechanisms that have contributed to the success of interventions or the barriers and challenges; (c) produce program theories on causal, contextual and mechanistic factors to facilitate outcomes and (d) produce recommendations and guidelines to guide future oral health interventions for people with mental disorders at both the policy and practice level. Using a five-step process, that incorporates primary data collection from key stakeholders, a beginning theoretical framework will be developed to describe contextual and mechanistic factors and how they might impact on the success or failure of oral health interventions for people with mental disorders. Key database searches will be conducted, with data extraction focused on the factors that might have impacted on intervention implementation and outcomes. Quality appraisal of studies will occur, and the theoretical framework will be populated with extracted data. Stakeholder input will support the development and refinement of a theory on oral health interventions for people with mental disorders. Discussion This will be the first review to take a realist approach to explore the broad scope of causal factors that impact on the success or failure of oral health interventions for people with mental disorders. The approach includes extensive stakeholder engagement and will advance realist systematic review methodology. Review outcomes will be important in guiding policy and practice to ensure oral health interventions better meet the needs of people with mental disorders. Systematic review registration This review protocol is registered with PROSPERO (Number) 155969.