Randomised clinical trial: Efficacy of strategies to provide oral hygiene activities to nursing home residents with dementia who resist mouth care

Objectives The purpose of this study was to test the efficacy of MOUTh (Managing Oral Hygiene Using Threat Reduction), a non-pharmacologic, relationship-based intervention versus control on 2 primary outcomes for nursing home (NH) residents with dementia who resisted mouth care: 1) reduction in the occurrence and intensity of care-resistant behaviors (CRBs), and 2) improvement in oral health. Two secondary outcomes were also examined, 1) the duration of mouth care and 2) the completion of oral hygiene activities.