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The goal of interventional study is to for the elderly who have poor chewing and eating ability after installing removable dentures through the intervention of oral mastication training and texture and diet education, the effects on oral health, eating ability, nutrition, and physical function changes are confirmed in Elderly individuals residing in Chiayi County who are 65 years of age or older, capable of self-care, conscious, and able to communicate in Mandarin and Taiwanese. The main question it aims to answer is:
•Are there significant benefits to oral health, eating ability, nutrition, and physical function through the intervention of oral mastication training and texture and diet education? Researchers will compare changes in oral health, eating ability, nutrition, and physical functioning results to see if oral mastication training is effective.
Participants will:
Expected Results:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Oral Mastication Training and Texture and Diet Education | Experimental | Participants in this arm will receive oral mastication training combined with texture and diet education. |
|
| Texture and Diet Education | Active Comparator | Participants in this arm will receive texture and diet education without the oral mastication training component. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| oral mastication training | Behavioral | Through specific exercises and techniques aimed at enhancing masticatory function and overall oral health. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Oral Frailty Index-8 | The total score was 11 points. 0-2 points: low risk, 3 points: medium risk, and 4 points or above: high risk. | Baseline, 1 month, 6 months. |
| Iowa Oral Performance Instrument | It is considered abnormal for values below the 5th percentile. | Baseline, 1 month, 6 months. |
| Food Intake Questionnaire | A subject with four or more 'difficult-to-eat' responses to the 14-food group questionnaire would be classified as abnormal. | Baseline, 1 month, 6 months. |
| Comfort Eating Scale | On a scale of 1 to 10, where 1 represents very good (no impact, no pain) and 10 represents very bad (impact, pain). | Baseline, 1 month, 6 months. |
| Mini Nutritional Assessment-Short Form | 0 - 7 points: malnourished; 8 - 11 points: at risk of malnutrition; or 12 - 14 points: well-nourished. | Baseline, 1 month, 6 months. |
| Study of Osteoporotic Fracture | One component was considered to be in a pre-frailty state, while two or more components indicated frailty. | Baseline, 1 month, 6 months. |
| Handgrip strength | Weak hand grip strength was defined as < 26 kg for men and < 18 kg for women. | Baseline, 1 month, 6 months. |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| D003680 | Deglutition Disorders |
| D055948 | Sarcopenia |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
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| ID | Term |
|---|---|
| D015596 | Nutrition Assessment |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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| texture and diet education | Behavioral | Teach the knowledge and techniques of softening food textures. |
|
| D004066 | Digestive System Diseases |
| D010608 | Pharyngeal Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D009133 | Muscular Atrophy |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D001284 | Atrophy |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D015991 | Epidemiologic Measurements |
| D011634 | Public Health |
| D004778 | Environment and Public Health |