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Updated: Jun 2, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
A Framework for Implementing Sustainable Oral Health Promotion Interventions
1S. B. Sells Distinguished Professor of Psychology and Emeritus Director of Institute of Behavioral Research (IBR), Texas Christian University, TCU Box 298740, Fort Worth Texas, USA.
This study presents a four-stage model for implementing sustainable oral health interventions, addressing barriers and contextual factors. It offers tools and strategies for effective research and practice in oral health care delivery.
Area of Science:
- Implementation science
- Behavioral and social interventions in oral health
Background:
- Effective implementation of oral health interventions is crucial for research and practice.
- Existing research requires robust models to address barriers and ensure sustainability.
Purpose of the Study:
- To present a comprehensive model for implementing sustainable oral health behavioral and social interventions.
- To identify core components, stages, and sustaining influences for intervention success.
- To provide assessment tools and research strategies for evaluating implementation.
Main Methods:
- Development of a four-stage implementation model (training, adoption, implementation, practice).
- Inclusion of sustaining influences (preparation, maintenance).
- Focus on organizational and contextual factors impacting implementation.
- Illustration with examples from addiction and mental health treatment systems.
Main Results:
- The proposed model systematically addresses common barriers to innovation success and permanence.
- Measurement and impact of organizational and contextual influences are detailed.
- Recommended assessment tools and research strategies are provided.
Conclusions:
- The model offers a framework for effective and sustainable implementation of oral health interventions.
- The tools and strategies are applicable to various oral health care delivery systems, including research networks.
- This research contributes to advancing oral health interventions research methodologies.
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