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Article

Impact of Sensitization of Family Caregivers upon Treatment Compliance among Geriatric Patients Suffering from Elder Abuse and Neglect

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Department of Prosthodontics, Kalka Dental College, CCSU, Meerut 250005, India
2
Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
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Department of Prosthodontics, King George Dental College, KGMU, Lucknow 226020, India
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Department of Oral and Maxillofacial Surgery, KKUCOD, Abha 61421, Saudi Arabia
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Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
*
Author to whom correspondence should be addressed.
Academic Editor: Pedram Sendi
Healthcare 2021, 9(2), 226; https://doi.org/10.3390/healthcare9020226
Received: 12 January 2021 / Revised: 1 February 2021 / Accepted: 13 February 2021 / Published: 18 February 2021
(This article belongs to the Section Healthcare Quality and Patient Safety)
Geriatric patients in various outpatient department (OPDs) have been found to agonize from elder abuse and neglect (EAN). Such suffering imposes depressive states within individuals, which in turn affects treatment compliance. The objective of this study was to evaluate the impact of sensitization (psychotherapeutic) of family caregivers (FCGs) upon two denture treatment parameters (maintenance and treatment satisfaction) among EAN patients and compare the differences in outcome with non-abused patients. A survey of completely edentulous subjects (n = 860, aged 41–80 years) provided a sampling frame of 332 EAN patients from which 150 patients (including FCGs) fulfilling the study criteria were distributed (simple random, convenient) into two groups (Group A—control, Group B—test). FCG sensitization for subjects in Group B was performed by a clinical psychologist in 2–4 short (30 min) sessions. Demographic characteristics (frequency) were measured using a self-reported questionnaire, denture maintenance was measured using a denture hygiene index (scores), and treatment satisfaction was analyzed on a 10-point visual analog scale. Relevant data were calculated for means and absolute/relative frequencies. Any difference between two groups was estimated using an unpaired t-test while the level of relationship was determined by Karl Pearson’s test at a p-value of < 0.05. The results showed highest frequency (38.6%) for neglect, with elder neglect (EN) being most common (38.14% alone and 14% in combination). EN was found more if the FCG was a son (52%), in the age group (21–30 years), and with low education and low income (75%). Patients whose FCGs were counselled (Group B) demonstrated low denture plaque scores (mean = 1.38 ± 0.618), while demonstrating comparatively higher scores in six different parameters of treatment satisfaction. Differences between the two groups for both parameters were also found to be statistically significant. Psychotherapeutic counselling in the form of FCG sensitization brings better results of denture maintenance and treatment satisfaction. View Full-Text
Keywords: complete denture; elder mistreatment; denture hygiene; treatment compliance; family neglect complete denture; elder mistreatment; denture hygiene; treatment compliance; family neglect
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MDPI and ACS Style

Garg, R.; Mattoo, K.; Kumar, L.; Khalid, I.; Baig, F.; Elnager, M.; Faridi, M.A. Impact of Sensitization of Family Caregivers upon Treatment Compliance among Geriatric Patients Suffering from Elder Abuse and Neglect. Healthcare 2021, 9, 226. https://doi.org/10.3390/healthcare9020226

AMA Style

Garg R, Mattoo K, Kumar L, Khalid I, Baig F, Elnager M, Faridi MA. Impact of Sensitization of Family Caregivers upon Treatment Compliance among Geriatric Patients Suffering from Elder Abuse and Neglect. Healthcare. 2021; 9(2):226. https://doi.org/10.3390/healthcare9020226

Chicago/Turabian Style

Garg, Rishabh, Khurshid Mattoo, Lakshya Kumar, Imran Khalid, Fawaz Baig, Mutassim Elnager, and Mukram Ali Faridi. 2021. "Impact of Sensitization of Family Caregivers upon Treatment Compliance among Geriatric Patients Suffering from Elder Abuse and Neglect" Healthcare 9, no. 2: 226. https://doi.org/10.3390/healthcare9020226

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