Linguistic-cultural validation of the oral health assessment tool (OHAT) for the Italian context

Abstract

Background The increase in the ageing population and the consequent establishment of a network of adequate structures to respond effectively to the welfare needs of institutionalized elderly people have stimulated the discussion by healthcare professionals on the subject of oral hygiene. Literature data show that the same attention has not been paid to oral health care compared to other health needs. Many studies have demonstrated that oral health has a significant impact on the quality of life, especially for older people. Poor oral health also has a considerable role on the physical condition of the elderly because it affects their ability to eat, feed themselves, forcing them to have unbalanced diets. The consequence of this condition is dehydration, malnutrition and impairment of communication skills. The essential nursing activity for oral care is the assessment of the state of oral health, an activity that should be conducted by means of valid tools. To date there are no tools for assessing the health of the oral cavity validated for the Italian linguistic-cultural context. The aim of this study is to conduct a linguistic-cultural validation for the Italian context, of the original Australian version of the Oral Health Assessment Tool (OHAT) scale. Methods Study design: Linguistic-cultural validation and adaptation of a tool for the assessment of oral health. The Beaton and Sousa & Rojjanasrirat (2011) models were used to conduct the linguistic-cultural validation and adaptation process. This validation involved 368 inmates/patients aged over 65 years with cognitive deficit. Results The face validity was confirmed by a score for each item related to clarity equal to or greater than 80%. The content validity was confirmed by an content validity index for items (I-CVI) score equal to or greater than 0.8 for each item and an content validity index for scales (S-CVI) of 0.93 for the entire tool. For the reliability of the internal consistency the Cronbach alpha was calculated, which was found to be 0.82. The test-retest was calculated by means of the Pearson coefficient correlation which turned out to be 0.5. Conclusions The Italian version of the OHAT is a tool that can help to consider oral health at the same level as other health needs aimed at increasing the quality of nursing care provided. This tool can be used by nurses to assess the health of the oral cavity in elderly subjects also with cognitive deficit.

A systematic review of measurement instruments for oral health assessment of older adults in long‐term care facilities by nondental professionals

“…The OHSTNP was translated and applied in Japanese. The OHAT was translated into Portuguese, 15 Italian, 16 Turkish, 17 and German 18 languages. All versions were included in this review because different measurement properties were measured.…”

(In) Competências De Linguagem Oral E Perceção Auditiva Em Crianças Com Atraso De Linguagem

“…análise linguística/semiótica em perspectiva funcionalista. 13,24,39,43,48,90,131,145,148,149,150,154,158,159 Autoritarismo 42,126,128,129,135,138,141,142,143,144,145 23,62,84,85,90,94,95,96,97,98,106,148,149,150,151,154,157,159,160,174,176,183 Embodiment 49…”

“…A atividade linguística oral implica três momentos fundamentais: receber, processar e produzir (Amoli, 2020;Finotto et al, 2020). Tais momentos apelam ao funcionamento do sistema auditivo periférico e central e do sistema fonoarticulatório (Lazard et al, 2012;Lima, 2009;Monteiro & Santos, 1995;Syka, 2002).…”

Development of the European Portuguese version of the oral health assessment tool: Content validity and reliability study in an elderly population

“…18 The oral health assessment tool (OHAT) is a screening tool to evaluate the oral health of nursing home residents with or without dementia and can be used by non-dental health professionals. Its original version and other studies with OHAT [19][20][21] has been described as a reliable and valid screening tool. 15 The purpose of this study was to develop a European Portuguese (EP) version of the OHAT (OHAT-EP), to create its instruction manual and investigate the tool's content validity and reliability for the assessment of elderly nursing home residents at risk of OD.…”

“…The oral health assessment tool (OHAT) is a screening tool to evaluate the oral health of nursing home residents with or without dementia and can be used by non‐dental health professionals. Its original version and other studies with OHAT 19–21 has been described as a reliable and valid screening tool 15 …”