Oral health screening: feasibility and reliability of the oral health assessment tool as used by speech pathologists.

Background: The aim of this study was to investigate the feasibility and reliability of the Oral Health Assessment Tool (OHAT) as used by speech pathologists, to become part of a comprehensive clinical swallowing examination.Methods: A multicentre study in 132 elderly subjects was conducted by speec...

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Publicado en:International Dental Journal Vol. 66; no. 3; pp. 178 - 190
Autores principales: Simpelaere, Ingeborg S., Van Nuffelen, Gwen, Vanderwegen, Jan, Wouters, Kristien, De Bodt, Marc
Formato: research Journal Article
Publicado: Elsevier B.V. Jun2016
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Dental Journal
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      dt: Jun2016
      vid: 66
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      pub: Elsevier B.V.
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        10.1111/idj.12220
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        115562113
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        atl: Oral health screening: feasibility and reliability of the oral health assessment tool as used by speech pathologists.
      aug:
        au:
          Simpelaere, Ingeborg S.
          Van Nuffelen, Gwen
          Vanderwegen, Jan
          Wouters, Kristien
          De Bodt, Marc
        affil: VIVES University College, Bruges Belgium
      sug:
        subj:
          Speech-Language Pathology
          Surveys
          Geriatric Assessment Methods
          Oral Health
          Pilot Studies
          Female
          Reproducibility of Results
          Human
          Aged
          Oral Hygiene
          Male
          Middle Age
          Aged, 80 and Over
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Clinical Assessment Tools
          Aged: 65+ years
          Middle Aged: 45-64 years
          Aged, 80 & over
          Female
          Male
      ab: Background: The aim of this study was to investigate the feasibility and reliability of the Oral Health Assessment Tool (OHAT) as used by speech pathologists, to become part of a comprehensive clinical swallowing examination.Methods: A multicentre study in 132 elderly subjects was conducted by speech pathologists. The inter-rater, test-retest and intra-rater reliabilities of the OHAT were assessed in R statistics, version 3.0.1. Intraclass correlation coefficients (ICCs) were used for the total OHAT, and Kappa statistics were used for the individual categories.Results: Total OHAT scores showed good inter-rater (ICC = 0.96), intra-rater (ICC ≥ 0.95) and test-retest (ICC ≥ 0.78) agreement. The inter-rater Kappa statistics were almost perfect (κ ≥ 0.83) for seven of the eight individual categories of the OHAT and perfect for 'dental pain' (κ = 1.00). The test-retest Kappa statistics indicated excellent agreement for 'natural teeth' and 'dentures' (κ ≥ 0.86). The intra-rater per cent agreement was excellent for all categories except 'gums and tissues'.Conclusions: This is the first study to examine the feasibility and reliability of the OHAT as used by speech pathologists. As the results showed both good feasibility and reliability, the OHAT has the potential to add to the clinical swallowing examination. However, future research investigating actual referral strategies and adaptation of care strategies following assessment with OHAT is needed.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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