Ağız Sağlığı Değerlendirme Aracı Türkçe versiyonunun psikometrik özellikleri

Year 2019, Volume: 44 Issue: Supplement 1, 513 - 520, 29.12.2019

Nilay Ercan Şahin , Rita Anne Jablonski

https://doi.org/10.17826/cumj.567995

Cited By: 5

Abstract

maç: Bu çalışmanın amacı, Ağız Sağlığı Değerlendirme Aracı'nın Türkçe versiyonunun geçerlilik ve güvenilirlik değerlendirmelerini yapmaktır.

Gereç ve Yöntem: Ağız Sağlığı Değerlendirme Aracı’nın Türkçe ve geri çevirileri yapılarak kapsam geçerlilik indeksi değerlendirilmiştir. Son hali verilen araç ile huzurevinde yaşayan 100 yaşlının ağız sağlığı değerlendirilmiştir. Gözlemciler arası güvenirlik ve iç tutarlık değerlendirmeleri yapılmıştır. Üst ve alt gruplar için madde ortalama puanları kullanılarak diskriminant geçerlik analizleri yapılmıştır.

Bulgular: Araç altı uzman tarafından değerlendirilmiş ve kapsam geçerlilik indeksi 0,80'inin üzerinde bulunmuştur. Üst ve alt ortalama puanları kullanan diskriminant geçerlik, diş ağrısı kategorisi hariç tüm kategoriler için desteklenmiştir. Her bir kategori için gözlemciler arası güvenilirlik, 0.54-1.00 (Kappa istatistiği) arasında değiştiği, toplam puan için Spearman’ın Korelasyon katsayısı 0.72 bulunmuştur.

Sonuç: Ağız Sağlığı Değerlendirme Aracı Türkçe versiyonu huzurevinde yaşayan bilişsel olarak sağlam yaşlılar için geçerli ve güvenilir bulunmuştur. Huzurevinde yaşayan bilişsel bozukluğu olan yaşlılar için de geçerlik ve güvenirlik çalışmasının yapılması önerilmektedir. 

Keywords

Oral health, aged, nursing

Psychometric properties of the Oral Health Assessment Tool Turkish Version

Abstract

Purpose: The aims of this study were to conduct validity and reliability assessments of Turkish version of Oral Health Assessment Tool. 

Materials and Method: The Oral Health Assessment Tool underwent forward and backward Turkish translations and content validity assessments. After modifications, the final instrument was used to assess the oral health of 100 Turkish nursing home residents. Inter-rater reliability and internal consistency assessments were obtained based on its use in this sample. Discriminant validity analyses were conducted using item average points for the top and bottom groups.

Results: Content validity indices from 6 experts exceeded 0.80. Discriminative validity, using the top and bottom averaged scores, was supported for all of the categories save dental pain. Inter-rater reliability for the individual categories ranged from 0.54-1.00 (Kappa statistic) and was 0.72 (Spearman’s Correlation Coefficient) for the overall instrument. 

Conclusion: The Turkish version of Oral Health Assessment Tool was found to be both valid and reliable for cognitively intact nursing home residents. Additional testing with cognitively-impaired nursing home residents is warranted.

Keywords

Oral health, aged, nursing

References

• 1. Berkey DB, Scannapieco FA. Medical considerations relating to the oral health of older adults. Spec Care Dentist 2013; 33(4): 164-176.
• 2. Locker D, Clarke MA, Payne B. Self-perceived oral health status, psychological well-being, and life satisfaction in an older adult population. J Dent Res 2000; 79(4): 970-975.
• 3. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemio 2005; 33(2): 81-92.
• 4. Jung YM, Shin D. Oral health, nutrition, and oral health-related quality of life among Korean older adults. J Gerontol Nurs 2008; 34(10): 28-35.
• 5. Vedin O, Hagström E, Budaj A, et al. Tooth loss is independently associated with poor outcomes in stable coronary heart disease. Eur J Prev Cardiol 2016; 23(8): 839-846.
• 6. Kampits C, Montenegro MM, Ribeiro IW, et al. Periodontal disease and inflammatory blood cytokines in patients with stable coronary artery disease. J Appl Oral Sci 2016; 24(4): 352-358.7. Zanella SM, Pereira SS, Barbisan JN, et al. Periodontal disease, tooth loss and coronary heart disease assessed by coronary angiography: a cross‐sectional observational study. Journal of Periodontal Research 2016; 51(2), 221-227.
• 8. Beck JD, Moss KL, Morelli T, Offenbacher S. Periodontal profile class is associated with prevalent diabetes, coronary heart disease, stroke, and systemic markers of C‐reactive protein and interleukin‐6. J Periodontol 2018; 89(2): 157-165.
• 9. Tonetti MS, Van Dyke TE, Working Group 1 of the Joint EFP/AAP Workshop. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases. J Periodontol 2013; 40: 24-S29.
• 10. Beukers NG, Van Der Heijden GJ, Van Wijk AJ, Loos BG. Periodontitis is an independent risk indicator for atherosclerotic cardiovascular diseases among participants in a large dental school in the Netherlands. J Epidemiol Community Health 2017; 71(1): 37-42.11. Sen S, Giamberardino LD, Moss K, et al. Periodontal disease, regular dental care use, and incident ischemic stroke. Stroke 2018; 49(2): 355-362. (PMID:29335336).
• 12. Cheng F, Zhang M, Wang Q, et al.Tooth loss and risk of cardiovascular disease and stroke: A dose-response meta analysis of prospective cohort studies. PloS one 2018; 13(3): e0194563.
• 13. Pradeep AR, Hadge P, Arjun Raju P, et al. Periodontitis as a risk factor for cerebrovascular accident: a case–control study in the Indian population. J Periodontol Res 2010; 45(2): 223-228.
• 14. Wu T, Trevisan M, Genco RJ, Dorn JP, Falkner KL, Sempos CT. Periodontal disease and risk of cerebrovascular disease: the first national health and nutrition examination survey and its follow-up study. Arch Intern Med. 2000; 160(18): 2749-2755.
• 15. Bascones-Martinez A, Gonzalez-Febles J, Sanz-Esporrin J. Diabetes and periodontal disease. Review of the literature. Am J Dent 2014; 27(2): 63-67.
• 16. Wijnand A. Effect of periodontal treatment on glycemic control of diabetic patients: a systematic review and meta-analysis. Diabetes Care 2010; 33(2): 421-427.
• 17. Kaye EK, Valencia A, Baba N, Spiro IIIA, Dietrich T, Garcia RI. Tooth loss and periodontal disease predict poor cognitive function in older men. J Am Geriatr Soc 2010; 58(4): 713-718.
• 18. Syrjälä AMH, Ylöstalo P, Ruoppi P, et al. Dementia and oral health among subject saged 75 years or older. Gerodontology 2012; 29(1):36-42.
• 19. Kikutani T, Tamura F, Tashiro H, Yoshida M, Konishi K, Hamada R. Relationship between oral bacteria count and pneumonia onset in elderly nursing home residents. Geriatr Gerontol Int 2015; 15(4): 417-421. 20. Müller F. Oral hygiene reduces the mortality from aspiration pneumonia in frail elders. J Dent Res 2015; 94:14-16.
• 21. van der Maarel‐Wierink, CD, Vanobbergen JN, Bronkhorst EM, Schols JM, de Baat C. Oral health care and aspiration pneumonia in frail older people: a systematic literature review. Gerodontology 2013; 30(1): 3-9.22. van der Maarel‐Wierink, CD, Vanobbergen JN, Bronkhorst EM, Schols JM, de Baat C. Meta-analysis of dysphagia and aspiration pneumonia in frail elders. J Dent Res 2011; 90:1398–1404.
• 23. Gaszynska E, Szatko F, Godala M, Gaszynski T. Oral health status, dental treatment needs, and barriers to dental care of elderly care home residents in Lodz, Poland. Clin Interv Aging 2014: 19; 1637.
• 24. Karki AJ, Monaghan N, Morgan M. Oral health status of older people living in care homes in Wales. Br Dent J 2015; 219(7): 331.
• 25. Ohrui T, Matsui T, Yoshida M, Yoneyama T, Adachi M, Akagawa Y. Dental status and mortality in institutionalized elderly people. Geriatr Gerontol Int 2006; 6(2): 101-108. 26. Chalmers JM, King PL, Spencer AJ, Wright FA, Carter KD. The oral health assessment tool—Validity and reliability. Aust Dent J 2005; 50: 191–199.
• 27. Polit DF, Yang FM. Measurement and the Measurement of Change. Philadelphia, PA: Wolters Kluwer; 2016.28. X
• 29. XX
• 30. Mello ALSFD, Zimermann K, Gonçalves LHT. Nurse's assessment of oral health of elderly people: OHAT validity and reliability. Rev Gaucha Enferm 2012; 33(2): 36-44.
• 31. Matsuo K, Nakagawa K. Reliability and Validity of the Japanese Version of the Oral Health Assessment Tool (OHAT-J). Journal of the Japanese Society for Disability and Oral Health 2016; 37: 1-7.32. XXX
• 33. Babacan-Yildiz G, Isik AT, Ur E, et. al. COST: Cognitive State Test, a brief screening battery for Alzheimer disease in illiterate and literate patients. Int Psychogeriatr 2013; 25(3), 403-412.
• 34. Lotfi MS, Tagharrobi Z, Sharifi K, Abolhasani J. Diagnostic Accuracy of the Cognitive State Test in the Detection of Dementia Among Iranian Older Adults. Res Gerontol Nurs 2015; 8(6): 293-299.