Background/Objectives: Older adults need specialised dental care due to age-related changes and chronic conditions, but inadequate coordination and capacity hinder access to domiciliary oral care. This review explores the characteristics, barriers, facilitators, caregiver education, and outcomes of domiciliary oral care to improve services for frail older adults. Methods: A systematic scoping search was conducted following the PRISMA guidelines. A literature search was performed to identify the key search terms and the databases that were relevant to the objectives. A total of 454 documents were retrieved, 31 of which were included in the final synthesis. Results: Overall, the barriers and facilitators in delivering domiciliary dental service for the elderly can be categorised into four groups: system, oral healthcare provider, caregiver, and patient. Having policies or guidelines supporting domiciliary oral care was one of the most frequently reported factors. Six studies reported outcomes of educational programme for caregivers and all were with positive results. Conclusions: The review highlights the need for a multi-pronged approach involving the healthcare system, oral healthcare providers, caregivers, and older adults themselves to improve access to and quality of oral healthcare services for this vulnerable population.

Autism Spectrum Disorder (ASD) has become more prevalent globally. The disorder is predominantly characterised by low social skills noted explicitly in people with High Functioning Autism Spectrum Disorder (HFASD). The individuals usually possess a normal or superior intelligence quotient (IQ) but the disability impedes the achievement of their actual high potential, hence compromising their quality of life (QoL). Managing adversities encountered by children with HFASD often compromises the QoL of the entire family. Thus, this study aimed to identify specific domains of QoL among mothers of high-functioning autistic adolescents. The study assessed seven mothers of adolescents with HFASD using a semi-structured interview format. A thematic qualitative analysis was conducted to analyse the data. The results suggested that mothers perceived their QoL based on physical and emotional well-being, material well-being, interpersonal relationship, and environmental well-being. Intervention for HFASD is multidisciplinary, which targets a broad spectrum of symptoms and skills deficits and customises the programme to meet each individual’s different needs. Nonetheless, intervention facilities in Malaysia are seriously limited, particularly in supporting QoL for children with HFASD. Therefore, by identifying the domains of QoL would improve the mothers’ resilience in raising their children with HFASD.

Cognitive and behavioral techniques have been found effective in teaching social communication skills to high functioning autism spectrum disorder (HFASD) youth, yet little research has explored their integration into video-based instructions like video modeling (VM) and spherical video-based virtual reality (SVVR). We developed a social communication skills intervention by integrating psychoeducation, deep breathing technique, first-person modeling, third-person modeling and skill rehearsal into VM and SVVR. This preliminary study aimed at evaluating the user experiences of the intervention. Ten HFASD youths and five experts went through 5 sessions of learning social communication skills via VM and skill rehearsals using SVVR. Upon completion, they went through semi-structured interviews about their user experience. Results revealed that psychoeducation was perceived as clear and practical, while the combination of first-person modeling and third-person modeling techniques helped them understand the message from different perspectives. The relaxation technique was deemed helpful, while SVVR skill rehearsal was viewed as realistic and immersive but less interactive. Suggestions for improvement included interactive SVVR features and inclusion of homework and parents’ involvement. Our findings underscore the importance of integrating cognitive and behavioral techniques into VM and SVVR for HFASD intervention, shedding light on their practical application and potential benefits. SVVR emerged as a promising platform for skill rehearsal in social communication training due to its immersive nature. This study contributes valuable insights for future research and practice in utilizing VM and SVVR for social communication skills training in HFASD.

Background/Objectives: As the aging population is growing globally, oral health has become integral to ensuring healthy aging and quality of life. This study assessed the oral health status of older adults in a Malaysian long-term care facility and explored caregiver-reported challenges in providing oral care. Methods: A convergent mixed-methods design was applied, involving 115 residents aged ≥60 years and 16 caregivers in a public facility. The residents’ oral health was assessed using interviewer-assisted questionnaires (demography, dependency level, Oral Frailty Five-item Checklist), clinical examinations (dental caries status, number of remaining teeth, oral and denture hygiene), and the Decayed, Missing, and Filled Teeth (DMFT) index. Focus group discussions with caregivers were conducted, transcribed, and thematically analyzed. Quantitative data were descriptively analyzed using SPSS version 29.0. Results: Over one-third of the residents (39%) were moderately to highly dependent on caregivers. All had experienced dental caries, with most having fewer than 20 teeth (92.9%) and requiring dentures (81.7%). Overall, both oral and denture hygiene were poor. Assessment of oral frailty indicated that the majority of residents (94.8%) were at risk of impaired oral function. A thematic analysis identified four key themes influencing oral health: (1) health and oral health conditions of residents; (2) variety in oral care practices; (3) older adults’ attitudes and behaviors; and (4) system factors. These themes were mapped in a conceptual framework demonstrating multilevel influences on oral care. Conclusions: Despite the single-center design, these findings provide actionable insights for improving geriatric oral health policies in Malaysia. Practical recommendations include integrating oral health into aged-care standards, expanding mobile dental services, and establishing oral care champions within facilities. Addressing these challenges is critical to improving quality of life and aligning long-term care practices with the WHO’s healthy aging priorities.

Breast cancer is a common disease among women, and resilience helps them better cope with the illness and experience personal growth. This study used qualitative research methods to conduct semi-structured in-depth interviews with 15 Chinese breast cancer survivors. To explore the psychosocial factors promoting resilience in them. According to the interview data, after coding and refining the themes, it was found that the social resources of breast cancer survivors include: family support, hospital support, government and social organization support, and cultural support. The psychological factors include cognitive, emotional, and behavioral resources. This is comprehensively reflected in high self-efficacy and control, relatedness, and the ability to manage emotions. Society and individuals influence each other and together constitute protective factors of resilience. Health professionals and social workers should view survivors positively, guide them to tap their abilities and environmental resources, stimulate their resilience potential, and achieve self-reconstruction.