{"id":"https://openalex.org/W7225345121","doi":"https://doi.org/10.1186/s12877-026-08607-z","title":"Process evaluation of a complex intervention to improve the oral health of nursing home residents (MundZaRR): a multimethod study","display_name":"Process evaluation of a complex intervention to improve the oral health of nursing home residents (MundZaRR): a multimethod study","publication_year":2026,"publication_date":"2026-11-05","ids":{"openalex":"https://openalex.org/W7225345121","doi":"https://doi.org/10.1186/s12877-026-08607-z"},"language":"en","primary_location":{"id":"doi:10.1186/s12877-026-08607-z","doi":"https://doi.org/10.1186/s12877-026-08607-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-08607-z","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12877-026-08607-z","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5107624951","display_name":"Lisa-Maria Wobst","orcid":"https://orcid.org/0000-0003-3111-9154","observed_orcids":["https://orcid.org/0000-0003-3111-9154"]},"institutions":[{"id":"https://openalex.org/I68956291","display_name":"Martin Luther University Halle-Wittenberg","ror":"https://ror.org/05gqaka33","country_code":"DE","type":"education","lineage":["https://openalex.org/I68956291"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Lisa-Maria Wobst","raw_affiliation_strings":["Institute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Halle (Saale), Germany"],"raw_orcid":"https://orcid.org/0000-0003-3111-9154","affiliations":[{"raw_affiliation_string":"Institute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Halle (Saale), Germany","institution_ids":["https://openalex.org/I68956291"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080924112","display_name":"Gabriele Meyer","orcid":"https://orcid.org/0000-0002-3188-2902","observed_orcids":["https://orcid.org/0000-0002-3188-2902"]},"institutions":[{"id":"https://openalex.org/I68956291","display_name":"Martin Luther University Halle-Wittenberg","ror":"https://ror.org/05gqaka33","country_code":"DE","type":"education","lineage":["https://openalex.org/I68956291"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Gabriele Meyer","raw_affiliation_strings":["Institute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Halle (Saale), Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Halle (Saale), Germany","institution_ids":["https://openalex.org/I68956291"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115425838","display_name":"Sarah Habig","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210112713","display_name":"University Hospital Schleswig-Holstein","ror":"https://ror.org/01tvm6f46","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210112713"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sarah Habig","raw_affiliation_strings":["Clinic of Oral and Maxillofacial Surgery, University Hospital Schleswig-Holstein, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic of Oral and Maxillofacial Surgery, University Hospital Schleswig-Holstein, Kiel, Germany","institution_ids":["https://openalex.org/I4210112713"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115425839","display_name":"Saskia Gabelmann","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210112713","display_name":"University Hospital Schleswig-Holstein","ror":"https://ror.org/01tvm6f46","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210112713"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Saskia Gabelmann","raw_affiliation_strings":["Clinic of Oral and Maxillofacial Surgery, University Hospital Schleswig-Holstein, Kiel, Germany","praxisHochschule, University of Applied Sciences, Cologne, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic of Oral and Maxillofacial Surgery, University Hospital Schleswig-Holstein, Kiel, Germany","institution_ids":["https://openalex.org/I4210112713"]},{"raw_affiliation_string":"praxisHochschule, University of Applied Sciences, Cologne, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005491005","display_name":"Katrin Hertrampf","orcid":"https://orcid.org/0000-0003-1589-0619","observed_orcids":["https://orcid.org/0000-0003-1589-0619"]},"institutions":[{"id":"https://openalex.org/I4210112713","display_name":"University Hospital Schleswig-Holstein","ror":"https://ror.org/01tvm6f46","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210112713"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Katrin Hertrampf","raw_affiliation_strings":["Clinic of Oral and Maxillofacial Surgery, University Hospital Schleswig-Holstein, Kiel, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic of Oral and Maxillofacial Surgery, University Hospital Schleswig-Holstein, Kiel, Germany","institution_ids":["https://openalex.org/I4210112713"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058499123","display_name":"Georg Ga\u00dfmann","orcid":"https://orcid.org/0000-0001-5416-1975","observed_orcids":["https://orcid.org/0000-0001-5416-1975","https://orcid.org/0000-0003-4125-7286"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Georg Ga\u00dfmann","raw_affiliation_strings":["praxisHochschule, University of Applied Sciences, Cologne, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"praxisHochschule, University of Applied Sciences, Cologne, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063934370","display_name":"Falk Schwendicke","orcid":"https://orcid.org/0000-0003-1223-1669","observed_orcids":["https://orcid.org/0000-0003-1223-1669"]},"institutions":[{"id":"https://openalex.org/I3018771216","display_name":"LMU Klinikum","ror":"https://ror.org/02jet3w32","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]},{"id":"https://openalex.org/I8204097","display_name":"Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen","ror":"https://ror.org/05591te55","country_code":"DE","type":"education","lineage":["https://openalex.org/I8204097"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Falk Schwendicke","raw_affiliation_strings":["Clinic for Conservative Dentistry and Periodontology, LMU University Hospital, LMU Munich, Munich, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic for Conservative Dentistry and Periodontology, LMU University Hospital, LMU Munich, Munich, Germany","institution_ids":["https://openalex.org/I3018771216","https://openalex.org/I8204097"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085406499","display_name":"Peter Schlattmann","orcid":"https://orcid.org/0000-0001-7420-7707","observed_orcids":["https://orcid.org/0000-0001-7420-7707"]},"institutions":[{"id":"https://openalex.org/I4210134900","display_name":"Jena University Hospital","ror":"https://ror.org/035rzkx15","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210134900"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Peter Schlattmann","raw_affiliation_strings":["Institute for Medical Statistics, Computer and Data Sciences, University Hospital Jena, Jena, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Medical Statistics, Computer and Data Sciences, University Hospital Jena, Jena, Germany","institution_ids":["https://openalex.org/I4210134900"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091184688","display_name":"Helmut Orawa","orcid":"https://orcid.org/0000-0003-0236-2534","observed_orcids":["https://orcid.org/0000-0003-0236-2534"]},"institutions":[{"id":"https://openalex.org/I4210134900","display_name":"Jena University Hospital","ror":"https://ror.org/035rzkx15","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210134900"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Helmut Orawa","raw_affiliation_strings":["Institute for Medical Statistics, Computer and Data Sciences, University Hospital Jena, Jena, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Medical Statistics, Computer and Data Sciences, University Hospital Jena, Jena, Germany","institution_ids":["https://openalex.org/I4210134900"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5083220485","display_name":"Jens Abraham","orcid":"https://orcid.org/0000-0001-6985-1530","observed_orcids":["https://orcid.org/0000-0001-6985-1530"]},"institutions":[{"id":"https://openalex.org/I68956291","display_name":"Martin Luther University Halle-Wittenberg","ror":"https://ror.org/05gqaka33","country_code":"DE","type":"education","lineage":["https://openalex.org/I68956291"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Jens Abraham","raw_affiliation_strings":["Institute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Halle (Saale), Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute of Health, Midwifery and Nursing Science, Medical Faculty of Martin Luther University Halle-Wittenberg, University Medicine Halle, Halle (Saale), Germany","institution_ids":["https://openalex.org/I68956291"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5107624951"],"corresponding_institution_ids":["https://openalex.org/I68956291"],"apc_list":{"value":3190,"currency":"USD","value_usd":3190},"apc_paid":{"value":3190,"currency":"USD","value_usd":3190},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.035599999129772186,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.0044999998062849045,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/oral-health","display_name":"oral health","score":0.949999988079071},{"id":"https://openalex.org/keywords/nursing-home-residents","display_name":"nursing home residents","score":0.996999979019165},{"id":"https://openalex.org/keywords/complex-interventions","display_name":"complex interventions","score":0.781000018119812},{"id":"https://openalex.org/keywords/implementation-fidelity","display_name":"implementation fidelity","score":0.5910000205039978},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.5860000252723694},{"id":"https://openalex.org/keywords/oral-care","display_name":"oral care","score":0.6380000114440918},{"id":"https://openalex.org/keywords/dentists","display_name":"dentists","score":0.6759999990463257},{"id":"https://openalex.org/keywords/dental-assistants","display_name":"dental assistants","score":0.9950000047683716},{"id":"https://openalex.org/keywords/nursing-home-staff","display_name":"nursing home staff","score":0.8539999723434448},{"id":"https://openalex.org/keywords/staff-shortage","display_name":"staff shortage","score":0.7789999842643738},{"id":"https://openalex.org/keywords/interdental-cleaning","display_name":"interdental cleaning","score":0.8299999833106995},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.6669999957084656}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8101000189781189},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.7537000179290771},{"id":"https://openalex.org/C64136018","wikidata":"https://www.wikidata.org/wiki/Q1665967","display_name":"Interdental consonant","level":2,"score":0.7233999967575073},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5942000150680542},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.5885999798774719},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.5597000122070312},{"id":"https://openalex.org/C3019398978","wikidata":"https://www.wikidata.org/wiki/Q837142","display_name":"Nursing homes","level":2,"score":0.5230000019073486},{"id":"https://openalex.org/C2992672162","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Oral health","level":2,"score":0.461899995803833},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4530999958515167},{"id":"https://openalex.org/C140988679","wikidata":"https://www.wikidata.org/wiki/Q7140444","display_name":"Participatory action research","level":2,"score":0.42340001463890076},{"id":"https://openalex.org/C515851188","wikidata":"https://www.wikidata.org/wiki/Q13445028","display_name":"Oral hygiene","level":2,"score":0.4165000021457672},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.374099999666214},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3587000072002411},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.34850001335144043},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.34389999508857727},{"id":"https://openalex.org/C2911207394","wikidata":"https://www.wikidata.org/wiki/Q1078096","display_name":"Nursing Assistant","level":3,"score":0.33959999680519104},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.32899999618530273},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.32690000534057617},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.32269999384880066},{"id":"https://openalex.org/C162446236","wikidata":"https://www.wikidata.org/wiki/Q653137","display_name":"Content analysis","level":2,"score":0.3089999854564667},{"id":"https://openalex.org/C106881830","wikidata":"https://www.wikidata.org/wiki/Q1252626","display_name":"Team nursing","level":3,"score":0.2879999876022339},{"id":"https://openalex.org/C2776459999","wikidata":"https://www.wikidata.org/wiki/Q2119376","display_name":"Fidelity","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C126397004","wikidata":"https://www.wikidata.org/wiki/Q2005404","display_name":"Nursing Outcomes Classification","level":4,"score":0.2793000042438507},{"id":"https://openalex.org/C2779909229","wikidata":"https://www.wikidata.org/wiki/Q5154595","display_name":"Community-based participatory research","level":3,"score":0.2791000008583069},{"id":"https://openalex.org/C203663800","wikidata":"https://www.wikidata.org/wiki/Q848979","display_name":"Citizen journalism","level":2,"score":0.2720000147819519},{"id":"https://openalex.org/C2984889486","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing care","level":2,"score":0.2648000121116638},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.26460000872612},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.2538999915122986},{"id":"https://openalex.org/C105913360","wikidata":"https://www.wikidata.org/wiki/Q7243152","display_name":"Primary nursing","level":3,"score":0.2513999938964844}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12877-026-08607-z","doi":"https://doi.org/10.1186/s12877-026-08607-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-08607-z","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12877-026-08607-z","doi":"https://doi.org/10.1186/s12877-026-08607-z","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-08607-z","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F7936191613","display_name":"Martin-Luther-Universit\u00e4t Halle-Wittenberg","ror":"https://ror.org/05gqaka33"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7140186355","https://openalex.org/W3034256514","https://openalex.org/W2114383605","https://openalex.org/W3088962206","https://openalex.org/W6964894655","https://openalex.org/W4411222369","https://openalex.org/W3169897105","https://openalex.org/W4385295883","https://openalex.org/W2900782538","https://openalex.org/W2146562514"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"The":[2,59,65,152,224,254,311],"oral":[3,23,196,214,325],"health":[4,24,250,326],"of":[5,45,55,104,161,206,237,241,273,288,307,323],"nursing":[6,29,97,163,188,242,305,330],"home":[7,98,189,331],"residents":[8],"is":[9],"often":[10],"poor.":[11],"In":[12],"the":[13,43,53,56,72,105,172,207,228,262,270,274,278,284,289,293,301,304,308,318,329],"cluster-randomised":[14],"controlled":[15],"MundZaRR":[16],"trial,":[17],"a":[18,258],"complex":[19],"intervention":[20,153,174,290,309],"to":[21,41,166,227,277],"improve":[22],"was":[25,67],"investigated":[26],"across":[27,303],"18":[28],"homes":[30,164,306],"(":[31],"n":[32],"=":[33],"271":[34],"participants).":[35],"A":[36],"comprehensive":[37],"process":[38,60],"evaluation":[39,61],"aimed":[40],"explore":[42],"experiences":[44],"various":[46],"target":[47,280,294],"groups":[48,92],"and":[49,71,80,83,89,100,102,115,141,149,168,171,182,187,210,233,244,321],"gain":[50],"insights":[51],"into":[52],"implementation":[54,180,230,302,322],"intervention.":[57],"Methods":[58],"followed":[62],"international":[63],"guidelines.":[64],"study":[66],"conducted":[68],"in":[69,158,179,203,300,328],"Germany":[70],"data":[73,119,124],"collection":[74],"took":[75],"place":[76],"between":[77,184],"July":[78],"2022":[79],"October":[81,343],"2023":[82],"comprised":[84],"23":[85],"individual,":[86],"semi-structured":[87],"interviews":[88],"three":[90],"focus":[91],"with":[93],"dentists,":[94],"dental":[95,142,185],"assistants,":[96],"managers":[99],"staff,":[101,243],"members":[103],"resident":[106,246],"council,":[107],"20":[108],"participatory":[109],"observations,":[110],"written":[111],"surveys,":[112],"structured":[113],"protocols":[114],"document":[116],"analysis.":[117,129],"Quantitative":[118],"were":[120,125,144,199,220,231],"analysed":[121,126],"descriptively;":[122],"qualitative":[123],"using":[127],"content":[128],"Results":[130],"Three":[131],"educational":[132],"training":[133],"courses":[134],"over":[135],"approximately":[136],"nine":[137,162],"hours":[138],"for":[139,317],"dentists":[140],"assistants":[143,186],"performed":[145],"largely":[146],"as":[147],"planned":[148],"evaluated":[150],"positively.":[151],"could":[154],"not":[155,268],"be":[156],"implemented":[157,202],"one":[159],"out":[160],"due":[165],"staff":[167,232],"time":[169,234],"shortages,":[170,235],"remaining":[173],"clusters":[175],"showed":[176],"considerable":[177],"variations":[178],"fidelity":[181],"cooperation":[183],"staff.":[190],"Participatory":[191],"observations":[192],"revealed":[193],"that":[194,211],"individual":[195,245],"care":[197,215],"recommendations":[198],"only":[200,221],"completely":[201],"around":[204],"half":[205],"observed":[208],"participants":[209],"more":[212],"specific":[213],"measures":[216],"(e.g.,":[217,248],"interdental":[218],"cleaning)":[219],"rarely":[222],"performed.":[223],"main":[225],"barriers":[226,247,312],"intervention\u2019s":[229],"lack":[236],"interest":[238],"or":[239],"engagement":[240],"poor":[249],"condition,":[251],"uncooperative":[252],"behaviour).":[253],"COVID-19":[255],"pandemic":[256],"posed":[257],"major":[259],"challenge":[260],"during":[261],"recruitment":[263],"phase,":[264],"but":[265],"predominantly":[266],"did":[267],"affect":[269],"further":[271],"course":[272],"study,":[275],"according":[276],"participating":[279],"groups.":[281],"Conclusion":[282],"Despite":[283],"overall":[285],"positive":[286],"perception":[287],"concept":[291],"by":[292],"groups,":[295],"we":[296],"found":[297],"several":[298],"inconsistencies":[299],"group.":[310],"identified":[313],"can":[314],"provide":[315],"indications":[316],"future":[319],"development":[320],"comparable":[324],"interventions":[327],"setting.":[332],"Trial":[333],"registration":[334,337],"ClinicalTrials.gov":[335],"(Trial":[336],"number":[338],"NCT04140929).":[339],"Registered":[340],"on":[341],"24":[342],"2019,":[344],"https://clinicaltrials.gov/study/NCT04140929":[345],".":[346]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-11-06T00:00:00"}