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Assessment of oral health in older adults by non-dental professional caregivers-development and validation of a photograph-supported oral health-related section for the interRAI suite of instruments.

Authors
  • Krausch-Hofmann, Stefanie1
  • Tran, Trung Dung2
  • Janssens, Barbara3
  • Declerck, Dominique1
  • Lesaffre, Emmanuel2
  • de Almeida Mello, Johanna4
  • Declercq, Anja4, 5
  • De Lepeleire, Jan6
  • Duyck, Joke7
  • 1 KU Leuven Department of Oral Health Sciences, Population Studies in Oral Health, Kapucijnenvoer 7/a - box 7001, 3000, Leuven, Belgium. , (Belgium)
  • 2 KU Leuven Department of Public Health and Primary Care, Biostatistics and Statistical Bioinformatics Centre (L-BioStat), Kapucijnenvoer 35/a - box 7001, 3000, Leuven, Belgium. , (Belgium)
  • 3 Ghent University Department of Oral Health Sciences, Special Needs in Oral Health, Gerodontology, C.-Heymanslaan 10, entrance 25, 9000, Ghent, Belgium. , (Belgium)
  • 4 KU Leuven LUCAS, Centre for Care Research and Consultancy, Minderbroedersstraat 8 - box 5310, 3000, Leuven, Belgium. , (Belgium)
  • 5 KU Leuven CESO, Center for Sociological Research, Parkstraat 45 - box 3601, 3000, Leuven, Belgium. , (Belgium)
  • 6 KU Leuven Department of Public Health and Primary Care, Academic Centre for General Practice, Kapucijnenvoer 33/j - box 7001, 3000, Leuven, Belgium. , (Belgium)
  • 7 KU Leuven Department of Oral Health Sciences, Biomaterials/BIOMAT, Kapucijnenvoer 7/a - box 7001, 3000, Leuven, Belgium. [email protected] , (Belgium)
Type
Published Article
Journal
Clinical Oral Investigations
Publisher
Springer-Verlag
Publication Date
Nov 16, 2020
Identifiers
DOI: 10.1007/s00784-020-03669-8
PMID: 33196870
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

An optimized oral health-related section and a video training were developed and validated for the interRAI suite of instruments. The latter is completed by professional non-dental caregivers and used in more than 40 countries to assess care needs of older adults. The optimized oral health-related section (ohr-interRAI) consists of nine items and a video training that were developed in consecutive phases. To evaluate psychometric properties, a study was conducted in 260 long-term care residents. Each resident was assessed by a dentist and by four caregivers (two who received the video training, two who did not). Mean kappa values and percent agreement between caregivers and dentist ranged between κ = 0.60 (80.2%) for dry mouth and κ = 0.13 (54.0%) for oral hygiene. The highest inter-caregiver agreement was found for dry mouth with κ = 0.63 [95% CI: 0.56-0.70] (81.6%), while for the item palate/lips/cheeks only κ = 0.27 [95% CI: 0.18-0.36] (76.7%) was achieved. Intra-caregiver agreement ranged between κ = 0.93 [95% CI: 0.79-1.00] (96.4%) for dry mouth and κ = 0.45 [95% CI: 0.06-0.84] (82.8%) for gums. Logistic regression analysis showed only small differences between caregivers who watched the video training and those who did not. Psychometric properties of the optimized ohr-interRAI section were improved compared to previous versions. Nevertheless, particularly the items based on inspection of the mouth require further refinement and caregiver training needs to be improved. Valid assessment of oral health by professional caregivers is essential due to the impaired accessibility of regular dental care for care-dependent older adults.

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