Maturation of the MOUTh intervention: From reducing threat to relationship-centered care

Rita A. Jablonski-Jaudon, Ann M. Kolanowski, Vicki Winstead, Corteza Jones-Townsend, Andres Azuero

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


The purpose of the current article is to describe a personalized practice originally conceived as a way to prevent and minimize care-resistant behavior to provide mouth care to older adults with dementia. The original intervention, Managing Oral Hygiene Using Threat Reduction Strategies (MOUTh), matured during the clinical trial study into a relationship-centered intervention, with emphasis on developing strategies that support residents' behavioral health and staffinvolved in care. Relationships that were initially pragmatic (i.e., focused on the task of completing mouth care) developed into more personal and responsive relationships that involved deeper engagement between mouth care providers and nursing home (NH) residents. Mouth care was accomplished and completed in a manner enjoyable to NH residents and mouth care providers. The MOUTh intervention may also concurrently affirm the dignity and personhood of the care recipient because of its emphasis on connecting with older adults.

Original languageEnglish (US)
Pages (from-to)15-23
Number of pages9
JournalJournal of gerontological nursing
Issue number3
StatePublished - 2016

All Science Journal Classification (ASJC) codes

  • General Nursing
  • Gerontology


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