《口腔健康评估工具》荷兰语版:社区护士中的翻译和评分者间信度。
The Dutch version of the Oral Health Assessment Tool: Translation and inter-rater reliability among community nurses.
机构信息
Department of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Department of Nutrition, Physical Activity and Sports, Gelderse Vallei Hospital, Ede, The Netherlands.
出版信息
Int J Dent Hyg. 2024 Feb;22(1):140-147. doi: 10.1111/idh.12678. Epub 2023 Apr 24.
OBJECTIVES
Translating the Oral Health Assessment Tool (OHAT) into Dutch and assessing the inter-rater reliability among community nurses.
METHODS
The original version of the OHAT was translated following the five stages of the 'Guidelines for the Process of Cross-Cultural Adaptation'. After a forward and backward translation, consensus on the pre-final version was obtained in an expert panel discussion. This version was pre-tested on its comprehensibility among 31 nurses and hereafter finalized. Then, inter-rater reliability of the OHAT-NL was determined by two trained nurses during oral assessments of 37 care-dependent community-dwelling older people. Intraclass correlation coefficient (ICC) and the Cohen's kappa statistic for individual items were estimated.
RESULTS
Feedback from nurses in the pre-test did lead to minor changes of the OHAT-NL. Inter-rater reliability was good (ICC 0.79; 95% CI 0.63-0.89) on the total score. Agreement on item level ranged from fair to very good, the kappa ranged from 0.36-0.89.
CONCLUSIONS
OHAT is now available in Dutch having good inter-rater reliability among trained community nurses. Future research can further validate the OHAT-NL and develop intervention according to total OHAT-NL scores.
目的
将口腔健康评估工具(OHAT)翻译成荷兰语,并评估社区护士之间的评分者间信度。
方法
根据“跨文化适应指南的五个阶段”,对 OHAT 的原始版本进行了翻译。在正向和反向翻译之后,在专家小组讨论中就预终版达成了共识。该版本在 31 名护士中进行了预测试,以评估其理解性,之后进行了定稿。然后,由两名经过培训的护士在对 37 名依赖护理的社区居住老年人进行口腔评估时,确定 OHAT-NL 的评分者间信度。估计了个体项目的组内相关系数(ICC)和 Cohen's kappa 统计量。
结果
预测试中护士的反馈确实导致了 OHAT-NL 的一些小的变化。总分的评分者间信度良好(ICC 0.79;95% CI 0.63-0.89)。项目水平的一致性范围从一般到很好,kappa 范围从 0.36-0.89。
结论
现在有了荷兰语的 OHAT,经过培训的社区护士之间具有良好的评分者间信度。未来的研究可以进一步验证 OHAT-NL,并根据总 OHAT-NL 评分制定干预措施。