31 Oral health experiences and needs among young adults after a first episode psychosis Data collection The data were collected through in-depth and open-ended interviews between April and October 2016. During the interviews, an aide memoire in the form of a list of relevant topics was used to provide flexibility during the interviews (table 1.). The interviews started with a broad and open-ended question to address lived experiences: “What does oral health mean to you, how do you report your oral health, and do you have needs to improve it?” Follow‐up questions were then asked based on the information provided by the patients. Due to the characteristics of the interview approach used, issues were less standardized, and the patients had the opportunity to provide their perspectives. Table 1. An aide memoire Oral health Is defined as: “Is multi-faceted and includes the ability to speak, smile, smell, taste, touch, chew, swallow and convey a range of emotions through facial expressions with confidence and without pain, discomfort and disease of the craniofacial complex. Oral health is a fundamental component of health and physical and mental wellbeing. It exists along a continuum influenced by the values and attitudes of individuals and communities; Reflects the physiological, social and psychological attributes that are essential to the quality of life; Is influenced by the individual’s changing experiences, perceptions, expectations and ability to adapt to circumstances” (P3)[11] Patients experience Patients diagnosed with SMI report many problems, e.g.: eating, social acceptance, self-esteem, feeling comfortable [3] Riskfactors Risk factors for poor oral health in patients diagnosed with SMI were ,e.g., type and stage of mental illness; a lack of motivation and low self-esteem; a lack of perception of oral health problems; lifestyle (e.g., eating, substance use, smoking, and nutrition) and the ability to sustain self-care and dental attendance; socioeconomic factors (e.g., low income or low education); and the oral side effects of medication [6–8] The interviews were conducted by nursing students (bachelor students in the final phase of their study) under the supervision of a research team (SK. and NB.). After written informed consent was given, the interviews were documented using a voice recorder. The duration of the interviews was between 30 and 90 minutes. The iterative process of sampling, data collection, and analysis was continued until data saturation was reached; no new codes were found in the last five interviews. 2
RkJQdWJsaXNoZXIy MTk4NDMw