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Development of an instrument to assess oral hygiene ability in older adults: The oral hygiene ability instrument

Journal article
Authors Ingela Grönbeck-Linden
P. Andersson
Synneve Dahlin-Ivanoff
L. Gahnberg
Catharina Hägglin
Published in Gerodontology
Volume 37
Issue 1
Pages 19-27
ISSN 0734-0664
Publication year 2020
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Institute of Odontology, Section 1
Pages 19-27
Language en
Links dx.doi.org/10.1111/ger.12437
Keywords evaluation, instrument design, older adults, oral hygiene ability, aged, article, clinical examination, content validity, controlled study, daily life activity, female, human, human experiment, interview, male, mouth hygiene, pilot study, quality of life, quantitative analysis, risk factor
Subject categories Gerodontology

Abstract

Objectives: To describe the development process of an instrument to assess the ability to manage daily oral hygiene and the cause of impaired oral hygiene. The instrument is initially aimed for use by the dental team in the ageing population. Background: Oral hygiene is an important component of oral health. Inability to manage oral hygiene combined with other risk factors often results in poor oral health and impaired quality of life. Methods: A guideline for instrument development was used during the construction of the instrument. The method included three phases: I. planning: the purpose and target group of the instrument were determined, and a literature review and qualitative focus-group study were conducted; II. construction: objectives were formulated, and a pool of items was built; and III. evaluation and validation, which included two pilot studies, interviews, item analyses and revision of the instrument. Results: The planning and construction phases resulted in an instrument with 47 items comprising three parts: (a) interview, (b) clinical examination and (c) observation of activities of daily living (oral hygiene). After two pilot studies, the instrument was found to have good content validity. Analyses of qualitative and quantitative data resulted in a reduction in the number of items to 33. Conclusion: OHAI can be a valuable tool as a preventive method to identify older adults at risk of impaired oral health. However, the instrument needs further evaluation before wider use. © 2019 Gerodontology Association and John Wiley & Sons Ltd

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