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212 results on '"Paisi, Martha"'

10. A Scoping Review of the Oral Health Status, Oral Health Behaviours and Interventions to Improve the Oral Health of Children and Young People in Care and Care Leavers

Author

Booth, Joelle, primary, Erwin, Jo, additional, Burns, Lorna, additional, Axford, Nick, additional, Horrell, Jane, additional, Wheat, Hannah, additional, Witton, Robert, additional, Shawe, Jill, additional, Doughty, Janine, additional, Kaddour, Sarah, additional, Boswell, Skye, additional, Devalia, Urshla, additional, Nelder, Abigail, additional, and Paisi, Martha, additional

Published
2024
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11. Access to Dental Care for Children and Young People in Care and Care Leavers: A Global Scoping Review

Author

Erwin, Jo, primary, Horrell, Jane, additional, Wheat, Hannah, additional, Axford, Nick, additional, Burns, Lorna, additional, Booth, Joelle, additional, Witton, Robert, additional, Shawe, Jill, additional, Doughty, Janine, additional, Kaddour, Sarah, additional, Boswell, Skye, additional, Devalia, Urshla, additional, Nelder, Abigail, additional, and Paisi, Martha, additional

Published
2024
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12. Obesity and dental caries in children in Plymouth

Author

Paisi, Martha

Subjects
618.92, Obesity, Caries, Children, Inequalities, Spatial
Abstract

Background: Obesity and dental caries are two of the most common conditions affecting children and both have significant implications on children’s wellbeing and future health. Even though research into the relationship between the two conditions has been conducted for many years, results to date remain equivocal. Furthermore, the majority of the studies only examined individual-level determinants of the two conditions. Aim: The current work aimed to examine the nature, direction and effect size of the relationship between obesity and caries in children in Plymouth, United Kingdom. It also aimed to better understand the individual and the broader environmental determinants of the two conditions. Methods: The study was divided into three parts: a systematic review examining the relationship between the two conditions in children and adolescents using a validated and study design specific tool; an analysis of extant data concerning Plymouth children’s weight status and dental caries using a spatial approach; and lastly a school survey of local children aged four to six years, where different types of obesity were examined in relation to dental caries. In the latter survey, several neighbourhood-level and individual characteristics were also examined in relation to the two conditions. Results: The systematic review indicated that there was no consistent association between high Body Mass Index and caries in individuals less than 18 years old. The ecological study identified spatial clusters of obesity and caries in Plymouth children and the results supported the importance of developing geographically focused prevention and intervention strategies which take into account the presence of spatial heterogeneity. The school survey did not find evidence of a relationship between any type of obesity and caries in Plymouth children but identified several indicators that affect the distribution of the two conditions. Conclusions: This work has given insight into the nature, direction and size of the relationship between obesity and caries in Plymouth children and has highlighted several indicators which need to be considered when developing local public health interventions.

Published
2017

13. Interventions to improve oral health and related health behaviours of substance use, smoking, and diet in people with severe and multiple disadvantage: a systematic review of effectiveness and cost-effectiveness

Author

John, Deepti A, primary, McGowan, Laura J, additional, Kenny, Ryan P W, additional, Joyes, Emma C, additional, Adams, Emma A, additional, Shabaninejad, Hosein, additional, Richmond, Catherine, additional, Beyer, Fiona, additional, Landes, David, additional, Watt, Richard G, additional, Sniehotta, Falko F, additional, Paisi, Martha, additional, Bambra, Clare, additional, Craig, Dawn, additional, Kaner, Eileen, additional, and Ramsay, Sheena E, additional

Published
2023
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14. Improving oral health and related health behaviours (substance use, smoking, diet) in people with severe and multiple disadvantage: A systematic review of effectiveness and cost-effectiveness of interventions.

Author

McGowan, Laura J., John, Deepti A., Kenny, Ryan P. W., Joyes, Emma C., Adams, Emma A., Shabaninejad, Hosein, Richmond, Catherine, Beyer, Fiona R., Landes, David, Watt, Richard G., Sniehotta, Falko F., Paisi, Martha, Bambra, Claire, Craig, Dawn, Kaner, Eileen, and Ramsay, Sheena E.

Subjects
BIBLIOGRAPHIC databases, HEALTH behavior, SUBSTANCE abuse, SMOKING cessation, NICOTINE replacement therapy, ORAL health, CONTINGENT employment, EVIDENCE gaps
Abstract

Background: People experiencing homelessness co-occurring with substance use or offending ('severe and multiple disadvantage' SMD) often have high levels of poor oral health and related health behaviours (particularly, substance use, smoking, poor diet). This systematic review aimed to assess the effectiveness and cost-effectiveness of interventions in adults experiencing SMD to improve oral health and related health behaviours. Methods and findings: From inception to February 2023, five bibliographic databases (MEDLINE, EMBASE, PsycINFO, CINAHL, and Scopus) and grey literature were searched. Two researchers independently screened the search results. Randomized controlled trials (RCTs), comparative studies and economic evaluations were included that reported outcomes on oral health and the related health behaviours. Risk of bias was assessed and results narratively synthesized. Meta-analyses were performed where appropriate. This review was registered with PROSPERO (reg. no: CRD42020202416). Thirty-eight studies were included (published between 1991 and 2023) with 34 studies reporting about effectiveness. Most studies reported on substance use (n = 30). Interventions with a combination of housing support with substance use and mental health support such as contingent work therapy appeared to show some reduction in substance use in SMD groups. However, meta-analyses showed no statistically significant results. Most studies had short periods of follow-up and high attrition rates. Only one study reported on oral health; none reported on diet. Three RCTs reported on smoking, of which one comprising nicotine replacement with contingency management showed improved smoking abstinence at 4 weeks compared to control. Five studies with economic evaluations provided some evidence that interventions such as Housing First and enhanced support could be cost-effective in reducing substance use. Conclusion: This review found that services such as housing combined with other healthcare services could be effective in improving health behaviours, particularly substance use, among SMD groups. Gaps in evidence also remain on oral health improvement, smoking, and diet. High quality studies on effectiveness with adequate power and retention are needed to address these significant health challenges in SMD populations. [ABSTRACT FROM AUTHOR]

Published
2024
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15. Co‐production of health and social science research with vulnerable children and young people: A rapid review.

Author

Erwin, Jo, Burns, Lorna, Devalia, Urshla, Witton, Robert, Shawe, Jill, Wheat, Hannah, Axford, Nick, Doughty, Janine, Kaddour, Sarah, Nelder, Abigail, Brocklehurst, Paul, Boswell, Skye, and Paisi, Martha

Subjects
SOCIAL sciences, MEDICAL information storage & retrieval systems, HEALTH status indicators, RESEARCH funding, AT-risk people, CINAHL database, SYSTEMATIC reviews, MEDLINE, MEDICAL research, PSYCHOLOGY information storage & retrieval systems, PEOPLE with disabilities, MEDICAL care costs, ADOLESCENCE, CHILDREN
Abstract

Background: The term 'care‐experienced' refers to anyone who is currently in care or has been in care at any stage in their life. A complex interplay of factors leads to care‐experienced children and young people (CECYP) experiencing poorer oral health and access to dental care than their peers. A rapid review of the co‐production of health and social care research with vulnerable children and young people (CYP) was carried out to inform the development of a co‐produced research project exploring the oral health behaviours and access to dental services of CECYP. Here, 'co‐production' refers to the involvement of CYP in the planning or conduct of research with explicit roles in which they generate ideas, evidence and research outputs. Aim: To learn how to meaningfully involve vulnerable CYP in the co‐production of health and social science research. Objectives: To identify: Different approaches to facilitating the engagement of vulnerable CYP in co‐production of health and social science research; different activities carried out in such approaches, challenges to engaging vulnerable CYP in co‐production of health and social science research and ways to overcome them and areas of best practice in relation to research co‐production with vulnerable CYP. Search Strategy: A rapid review of peer‐reviewed articles was conducted in six databases (MEDLINE, Embase, SocINDEX, CINAHL, PsycINFO and Web of Science) and grey literature to identify studies that engaged vulnerable CYP in co‐approaches to health and social research. Main Results: Of 1394 documents identified in the search, 40 were included and analysed. A number of different approaches to co‐production were used in the studies. The CYP was involved in a range of activities, chiefly the development of data collection tools, data collection and dissemination. Individual challenges for CYP and researchers, practical and institutional factors and ethical considerations impacted the success of co‐production. Discussion and Conclusion: Co‐production of health and social science with vulnerable CYP presents challenges to researchers and CYP calling for all to demonstrate reflexivity and awareness of biases, strengths and limitations. Used appropriately and well, co‐production offers benefits to researchers and CYP and can contribute to research that reflects the needs of vulnerable CYP. Adherence to the key principles of inclusion, safeguarding, respect and well‐being facilitates this approach. Patient and Public Contribution: Members of our patient and public involvement and stakeholder groups contributed to the interpretation of the review findings. This manuscript was written together with a young care leaver, Skye Boswell, who is one of the authors. She contributed to the preparation of the manuscript, reviewing the findings and their interpretation. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Strategies to improve oral health behaviours and dental access for people experiencing homelessness: a qualitative study

Author

Paisi, Martha, Witton, Robert, Withers, Lyndsey, Plessas, Anastasios, Burrows, Martin, Morrison, Stephan, McDonald, Louisa, and Kay, Elizabeth

Abstract

ObjectivesThe present study aimed to identify strategies to improve oral health behaviours as well as access to and provision of dental care for people experiencing homelessness.

Published
2024
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26. Frontline experiences and perceptions of Urgent Dental Care centre staff in England during the COVID-19 pandemic: a qualitative study

Author

Plessas, Anastasios, Paisi, Martha, Baines, Rebecca, Wheat, Hannah, Delgado, Maria Bernardes, Mills, Ian, and Witton, Robert

Abstract

IntroductionFollowing the World Health Organisation declaration of COVID-19 as a global pandemic, routine dental care in the UK ceased, and Urgent Dental Care centres (UDCs) were established to offer remote and face-to-face urgent dental treatment for those in need.

Published
2024
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29. Interventions to Improve Oral Health and Related Health Behaviours of Substance Use, Smoking and Diet in People with Severe and Multiple Disadvantage: A Systematic Review of Effectiveness and Cost-Effectiveness

Author

McGowan, Laura, primary, John, Deepti Anna, additional, Kenny, Ryan, additional, Joyes, Emma, additional, Adams, Emma, additional, Shabaninejad, Hossien, additional, Richmond, Catherine, additional, Beyer, Fiona, additional, Landes, David, additional, Watt, Richard, additional, Sniehotta, Falko, additional, Paisi, Martha, additional, Bambra, Clare, additional, Craig, Dawn, additional, Kaner, Eileen, additional, and Ramsay, Sheena, additional

Published
2023
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31. Mental health and wellbeing interventions in the dental sector: a systematic review

Author

Plessas, Anastasios, Paisi, Martha, Bryce, Marie, Burns, Lorna, O’brien, Timothy, Hanoch, Yaniv, and Witton, Robert

Abstract

Introduction UK dentists experience high levels of stress, anxiety and burnout. Poor mental health can lead practitioners to exit the profession, contributing to workforce and service loss. Therefore, there is a need to focus on interventions to protect the mental health and wellbeing of dental teams. Three levels of intervention can be deployed in the workplace to support mental health and wellbeing: primary prevention, secondary prevention, and tertiary prevention. Aim The aim of this systematic review was to identify evidence on interventions used to prevent, improve or tackle mental health issues among dental team members and dental profession students in countries of very high development. Methods This systematic review was conducted according to a predefined protocol and reported according to PRISMA guidelines. The MEDLINE, Embase CINAHL, DOSS, Scopus, and PsycINFO databases were searched. Prospective empirical studies were considered for inclusion. The Effective Public Health Practice Project Quality Assessment Tool (EPHPP) was used to assess the methodological quality of the included studies. The identified interventions were categorised according to level of prevention. Results The search yielded 12,919 results. Eight studies met the inclusion criteria. All of the studies concerned dentists or dental students. There were no studies for other groups of dental professionals. No primary prevention-level studies were identified. Secondary prevention-level studies (n = 4) included various psychoeducational interventions aiming to raise awareness and improve coping skills and led to significant improvements in stress levels and burnout of dentists and dental students. Tertiary prevention-level studies (n = 4) mainly employed counselling which was shown to be beneficial for dentists and students experiencing psychological ill-health. Conclusions Mental wellbeing awareness should be put at the centre of dental education and the workplace. Leadership and innovation are required to design primary-level interventions which can be implemented in the UK dental sector, with its distinct organisational and service characteristics.

Published
2022

39. Scoping review: Scope of practice of nurse-led services and access to care for people experiencing homelessness

Author

McWilliams, Lucy, Paisi, Martha, Middleton, Sandy, Shawe, Jill, Thornton, Anna, Larkin, Matthew, Taylor, Joanne, Currie, Jane, McWilliams, Lucy, Paisi, Martha, Middleton, Sandy, Shawe, Jill, Thornton, Anna, Larkin, Matthew, Taylor, Joanne, and Currie, Jane

Abstract

Aims To investigate the scope of practice of nurse-led services for people experiencing homelessness, and the impact on access to healthcare. Design A scoping review. Data Sources On 20th November, 2020, the following databases were searched: CINAHL, Embase, MEDLINE, PubMed and Scopus. Review Methods Included studies focused on people experiencing homelessness aged 18 years and over, nurse-led services in any setting, and described the nursing scope of practice. Studies were peer-reviewed primary research, published in English from the year 2000. Three authors performed quality appraisal using the Mixed Methods Assessment Tool. Results were synthesised and discussed narratively, and reported according to the PRISMA-ScR 2020 Statement. Results Seventeen studies were included from the United States (n=9), Australia (n=3), United Kingdom (n=3), and Canada (n=2). Total participant sample size was n=6,248. Studies focused on registered nurses (n=5), nurse practitioners (n=5), or both (n=4), in outpatient or community settings. The nursing scope of practice was broad and covered a range of skills, knowledge and attributes. Key skills identified include assessment and procedural skills, client support, and health education. Key attributes were a trauma informed approach and building trust through communication. Important knowledge included understanding the impact of homelessness, knowledge of available services, and the capacity to undertake holistic assessments. Findings suggest that nurse-led care facilitated access to healthcare through building trust and supporting clients to access services. Conclusion An optimised nursing scope of practice can facilitate access to healthcare for people experiencing homelessness. Key factors in enabling this include autonomy in nursing practice, organisational support, and education. Impact The broad range of skills, knowledge and attributes reported

Published
2022

43. Factors Influencing Oral Health Behaviours, Access and Provision of Dental Care for Autistic Children and Adolescents in Countries with a Very High Human Development Index: Protocol for a Mixed Methods Systematic Review

Author

Erwin, Jo, primary, Paisi, Martha, additional, Witton, Robert, additional, Neill, Sarah, additional, Burns, Lorna, additional, Vassallo, Isaac, additional, Nelder, Abigail, additional, Facenfield, Jemma, additional, Devalia, Urshla, additional, and Vassallo, Tara, additional

Published
2021
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44. Exploring Interventions to Improve the Oral Health and Related Health Behaviours of Adults Experiencing Severe and Multiple Disadvantage: Protocol for a Qualitative Study with Stakeholders

Author

Joyes, Emma C., primary, McGowan, Laura J., additional, Adams, Emma A., additional, Paisi, Martha, additional, Burrows, Martin, additional, Shabaninejad, Hosein, additional, Beyer, Fiona, additional, Haddow, Kate, additional, Coyte, Aishah, additional, Landes, David, additional, Moffatt, Suzanne, additional, Watt, Richard G., additional, Sniehotta, Falko F., additional, Bambra, Clare, additional, Craig, Dawn, additional, Kaner, Eileen, additional, and Ramsay, Sheena E., additional

Published
2021
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45. Investigating the Effectiveness and Acceptability of Oral Health and Related Health Behaviour Interventions in Adults with Severe and Multiple Disadvantage: Protocol for a Mixed-Methods Systematic Review

Author

McGowan, Laura J., primary, Joyes, Emma C., additional, Adams, Emma A., additional, Coyte, Aishah, additional, Gavin, Richard, additional, Richmond, Catherine, additional, Shabaninejad, Hosein, additional, Beyer, Fiona, additional, Broadbridge, Angela, additional, Dobson, Kevin, additional, Landes, David, additional, Moffatt, Suzanne, additional, Watt, Richard G., additional, Sniehotta, Falko F., additional, Freeman, Ruth, additional, Paisi, Martha, additional, Bambra, Clare, additional, Craig, Dawn, additional, Kaner, Eileen, additional, and Ramsay, Sheena E., additional

Published
2021
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