Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway.
Gerodontology. 2023 Jun;40(2):148-160. doi: 10.1111/ger.12648. Epub 2022 Jul 31.
Regular oral health assessment of older adults living in Long-term Care Facilities (LTCF) can improve their oral health.
This study aimed to systematically review studies describing the development of instruments employed by nondental professionals to assess the oral health of older adults in LTCF and to evaluate their measurement properties.
MATERIAL & METHODS: Electronic searches were conducted in the MEDLINE (PubMed), Embase, Web of Science, Scopus, and LILACS databases. Measurement properties of the identified instruments were evaluated using the Consensus-based Standards to select health Measurement Instruments (COSMIN) checklist. Studies assessing at least one measurement property (validity, reliability, or responsiveness) of instruments used to assess oral health of older adults living in LTCF by nondental professionals were considered. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) checklist was used to evaluate the quality of evidence.
Fifteen studies reporting measurement properties of seven instruments were selected. The ohr-interRAI and the OHAT were considered to have sufficient content validity, with high and moderate evidence quality, respectively. OHAT, BOHSE, and DHI showed acceptable results on reliability but with very low quality of evidence. DHI and OHSTNP also showed acceptable results for criterion validity, but, with low quality of evidence, insufficient or unclear results were observed for the remaining measurement properties. Studies evaluating the validity criteria of BOHSE and hypotheses testing of ohr-MDS were considered to have high evidence quality.
The ohr-interRAI can be provisionally recommended for use until further evidence is provided. Further methodologically rigorous studies are needed to assess the measurement properties of the existing instruments.
定期对长期护理机构（LTCF）中的老年人进行口腔健康评估可以改善他们的口腔健康。
本研究旨在系统回顾描述非牙科专业人员用于评估 LTCF 中老年人口腔健康的工具的发展，并评估其测量特性。
在 MEDLINE（PubMed）、Embase、Web of Science、Scopus 和 LILACS 数据库中进行电子检索。使用共识基础的健康测量仪器选择标准（COSMIN）检查表评估确定工具的测量特性。评估了评估非牙科专业人员用于评估居住在 LTCF 中的老年人口腔健康的仪器的至少一项测量特性（有效性、可靠性或反应性）的研究。使用推荐分级、评估、制定与评价（GRADE）检查表评估证据质量。
选择了 15 项报告了 7 种仪器测量特性的研究。ohr-interRAI 和 OHAT 被认为具有足够的内容有效性，具有较高和中等的证据质量。OHAT、BOHSE 和 DHI 在可靠性方面表现出可接受的结果，但证据质量非常低。DHI 和 OHSTNP 也在标准有效性方面表现出可接受的结果，但对于其余的测量特性，观察到证据质量低、不足或不明确的结果。评估 BOHSE 的有效性标准和 ohr-MDS 的假设检验的研究被认为具有高证据质量。
可以暂时推荐使用 ohr-interRAI，直到提供更多证据。需要进一步进行方法学严谨的研究来评估现有工具的测量特性。
