| Title | 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 |
| Publication Type | Journal Article |
| Year of Publication | 2021 |
| Authors | Krausch-Hofmann S, Tran TDung, Janssens B, Declerck D, Lesaffre E, Mello Jde Almeida, Declercq A, De Lepeleire J, Duyck J |
| Journal | Clinical Oral Investigations |
| Volume | 25 |
| Issue | 6 |
| Pagination | 3475-3486 |
| Date Published | 2021/06/01 |
| ISBN Number | 1436-3771 |
| 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.Objectives 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.Methods 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).Results 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. Intracaregiver 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.Conclusions 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. |
| DOI | 10.1007/s00784-020-03669-8 |
| Link | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8137625/pdf/784_2020_Articl... |
