PMID- 34444121 OWN - NLM STAT- MEDLINE DCOM- 20210903 LR - 20210903 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 18 IP - 16 DP - 2021 Aug 7 TI - Clinical Outcomes and Oral Health-Related Quality of Life after Periodontal Treatment with Community Health Worker Strategy in Patients with Type 2 Diabetes: A Randomized Controlled Study. LID - 10.3390/ijerph18168371 [doi] LID - 8371 AB - Interventions engaging community health workers (CHW) for diabetes management aim to improve diabetes care and self-management behaviors among patients. We evaluated the effects of nonsurgical periodontal treatment (NSPT) with the CHW strategy on oral self-care behaviors, periodontal status and oral health-related quality of life (OHQoL) in patients with type 2 diabetes mellitus (T2DM). The participants were randomly assigned to experimental (EG; n = 35) and control (CG; n = 33) groups. All participants received NSPT, whereas the patients in the EG also received one-on-one 30 min lessons from a CHW over 4 weeks. The EG exhibited greater improvement in the probing pocket depth (beta = -0.2, effect size [ES] = 0.61) and clinical attachment level (beta = -0.2, ES = 0.59) at 1-month follow-up than the CG did. The ES increased over the 1-, 3- and 6-month follow-ups, indicating an increase in OHQoL (ES = 0.19, 0.60, and 0.62, respectively) in the EG. The patients in the EG were more likely to change their oral self-care behaviors than patients in the CG were. The NSPT with CHW strategy had a positive effect on 1-month periodontal treatment outcomes, long-term OHQoL and oral self-care behaviors in patients with T2DM. FAU - Hsu, Yuan-Jung AU - Hsu YJ AUID- ORCID: 0000-0002-1330-7525 AD - School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan. FAU - Chen, Yi-Hui AU - Chen YH AD - Dental Department, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan. FAU - Lin, Kun-Der AU - Lin KD AUID- ORCID: 0000-0003-1148-5915 AD - Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan. AD - Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung 80145, Taiwan. FAU - Lee, Mei-Yueh AU - Lee MY AUID- ORCID: 0000-0001-8950-064X AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan. AD - Division of Endocrinology and Metabolism, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 81267, Taiwan. FAU - Lee, Yu-Li AU - Lee YL AD - Division of Endocrinology and Metabolism, Cishan Hospital, Kaohsiung 84247, Taiwan. FAU - Yu, Chih-Kai AU - Yu CK AD - Dental Department, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung 81267, Taiwan. FAU - Kabasawa, Yuji AU - Kabasawa Y AUID- ORCID: 0000-0002-6485-5847 AD - Oral Care for Systemic Health Support, Faculty of Dentistry, School of Oral Health Care Sciences, Graduate School, Tokyo Medical and Dental University, Tokyo 113-8510, Japan. FAU - Huang, Hsiao-Ling AU - Huang HL AUID- ORCID: 0000-0002-1180-9011 AD - Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20210807 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Community Health Workers MH - *Diabetes Mellitus, Type 2/therapy MH - Humans MH - Quality of Life MH - *Self-Management MH - Treatment Outcome PMC - PMC8394731 OTO - NOTNLM OT - community health workers OT - periodontal disease OT - quality of life OT - type 2 diabetes mellitus COIS- The authors declare no conflict of interest. EDAT- 2021/08/28 06:00 MHDA- 2021/09/04 06:00 PMCR- 2021/08/07 CRDT- 2021/08/27 01:18 PHST- 2021/06/05 00:00 [received] PHST- 2021/07/20 00:00 [revised] PHST- 2021/08/05 00:00 [accepted] PHST- 2021/08/27 01:18 [entrez] PHST- 2021/08/28 06:00 [pubmed] PHST- 2021/09/04 06:00 [medline] PHST- 2021/08/07 00:00 [pmc-release] AID - ijerph18168371 [pii] AID - ijerph-18-08371 [pii] AID - 10.3390/ijerph18168371 [doi] PST - epublish SO - Int J Environ Res Public Health. 2021 Aug 7;18(16):8371. doi: 10.3390/ijerph18168371.