Oral health screening: feasibility and reliability of the oral health assessment tool as used by speech pathologists

Simpelaere, Ingeborg; Nuffelen, Gwen Van; Vanderwegen, Jan; Wouters, Kristien; Bodt, Marc De

doi:10.1111/idj.12220

Cited by 34 publications

(45 citation statements)

References 45 publications

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“…Most nondental healthcare professionals involved were nurses, sub-classified as Registered Nurse (RN), Licensed Vocational Nurse (LVN), Clinical Nurse (CN) or Licensed Practical Nurse (LPN). In the study of Simpelaere et al (2016), speech pathologists were included [38]. The population on which the oral health assessment was used was heterogeneous and consisted of rehabilitation residents, nursing home residents, hospitalized older people, community-dwelling older people and older people with mental problems ( Table 2).…”

Section: Included Studiesmentioning

confidence: 99%

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Measurement properties of oral health assessments for non-dental healthcare professionals in older people: a systematic review

et al. 2020

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Background: Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral-and general health-related problems. Assessments to inspect the oral cavity have been designed for nondental healthcare professionals, like nurses. The purpose of this systematic review was to evaluate the content and the measurement properties of oral health assessments for use by non-dental healthcare professionals in assessing older peoples' oral health, in order to provide recommendations for practice, policy, and research.Methods: A systematic search in PubMed, EMBASE.com, and Cinahl (via Ebsco) has been performed. Search terms referring to 'oral health assessments ' , 'non-dental healthcare professionals' and 'older people (60+)' were used. Two reviewers individually performed title/abstract, and full-text screening for eligibility. The included studies have investigated at least one measurement property (validity/reliability) and were evaluated on their methodological quality using "The Consensus-based Standards for the selection of health Measurement Instruments" (COSMIN) checklist. The measurement properties were then scored using quality criteria (positive/negative/indeterminate).Results: Out of 879 hits, 18 studies were included in this review. Five studies showed good methodological quality on at least one measurement property and 14 studies showed poor methodological quality on some of their measurement properties. None of the studies assessed all measurement properties of the COSMIN. In total eight oral health assessments were found: the Revised Oral Assessment Guide (ROAG); the Minimum Data Set (MDS), with oral health component; the Oral Health Assessment Tool (OHAT); The Holistic Reliable Oral Assessment Tool (THROAT); Dental Hygiene Registration (DHR); Mucosal Plaque Score (MPS); The Brief Oral Health Screening Examination (BOHSE) and the Oral Assessment Sheet (OAS). Most frequently assessed items were: lips, mucosa membrane, tongue, gums, teeth, denture, saliva, and oral hygiene. Conclusion: Taken into account the scarce evidence of the proposed assessments, the OHAT and ROAG are most complete in their included oral health items and are of best methodological quality in combination with positive quality criteria on their measurement properties. Non-dental healthcare professionals, policymakers and researchers should be aware of the methodological limitations of the available oral health assessments and realize that the quality of the measurement properties remains uncertain.

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Section: Included Studiesmentioning

confidence: 99%

“…because of its high ICC and unweighted kappas were reported ( Table 5). Simpelaere et al (2016) investigated the intra-, inter-and test-retest reliability in speech pathologists [38]. However, intra-rater reliability was of "poor" methodological quality as described earlier and will not be further described.…”

Section: Mdsmentioning

confidence: 99%

Measurement properties of oral health assessments for non-dental healthcare professionals in older people: a systematic review

et al. 2020

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“…Using the OHAT provided insight into oral health problems. A recent literature review concluded it is the most complete in its items and of best methodological quality in comparison with other oral health assessments (Everaars et al ), but the OHAT is not yet validated in hospitalised patients (Chalmers et al, ; Simpelaere et al, ). Moreover, the OHAT was categorised on a two‐point scale (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…The total OHAT score is the sum of the scores for each item. Validation of the OHAT in residential care (Chalmers et al, ; Simpelaere, Van Nuffelen, Vanderwegen, Wouters, & De Bodt, ) showed adequate inter‐rater reliability (interclass correlation coefficient: 0.74–0.96; kappa statistic 0.48–0.80 and 0.83–1.00). In this study, a translated version of the OHAT had been used.…”

Section: Methodsmentioning

confidence: 99%

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

Noort

Witteman

Hertog-Voortman

et al. 2019

Journal of Clinical Nursing

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Aims and Objectives:To analyse oral care delivery in one hospital through exploring experiences from both nurses' and patients' perspectives and examining patients' oral health.Background: Oral health problems are associated with undernutrition and other general health outcomes. Although oral care belongs to the essentials of nursing, it is often neglected. Improving oral health may require behaviour change of both nurses and patients. Defining tailored strategies need a clear view on the context. Design:A context analysis in one hospital using a convergent parallel mixed-methods design was reported following the EQUATOR guidelines using two checklists:COnsolidated criteria for REporting Qualitative research (qualitative research) and STROBE (observational research).Methods: Semi-structured interviews were conducted with 19 nurses and 11 patients. The topic list was based on the Integrated Change Model. Prospective oral examination was performed among 91 surgical patients using the Oral Health Assessment Tool (OHAT).Results: Nurses acknowledged that they did not prioritise oral care in daily practice. Furthermore, they lacked knowledge and skills to identify and provide care for oral problems. Nurses mentioned helpful resources to perform oral care, like standardised language and instruments. However, they had no access to or were unaware of them. Patients admitted that they did not prioritise oral care due to their sickness during hospitalisation, were unaware of the importance of oral care, but felt responsible for their oral care. The most prominent oral problems identified with the OHAT were unclean mouths (n = 75, 82%), unhealthy gum and tissues (n = 55, 60%) and dry mouth (n = 42, 46%). Conclusions:This context analysis identified inadequate oral care due to lack of positive attitude and knowledge in both nurses and patients, skills for nurses, and resources. S U PP O RTI N G I N FO R M ATI O NAdditional supporting information may be found online in the Supporting Information section. How to cite this article: van Noort HHJ, Witteman BJM, den Hertog-Voortman R, Everaars B, Vermeulen H, Huismande Waal G. A context analysis on how oral care is delivered in hospitalised patients: A mixed-methods study. J Clin Nurs.

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“…The OHAT consists of eight categories ('lips', 'tongue', 'gums and tissues', 'saliva', 'natural teeth', 'dentures', 'oral cleanliness', and 'dental pain') with three possible scores (0: healthy, 1: some changes present and 2: unhealthy condition) 17) . Scoring of each category is based on structured observation with clear operational definitions.…”

Section: Ohatmentioning

confidence: 99%

The Oral Health Assessment Tool score is an independent risk factor for postoperative pneumonia after esophagectomy for esophageal cancer

Tamagawa

Aoyama

Hara

et al. 2019

Ann. Cancer Res. Therap.

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Background: The present study explored whether or not the Oral Health Assessment tool (OHAT) score is a risk factor of postoperative pneumonia after esophagectomy for esophageal cancer. Methods: This study included 47 patients who underwent curative surgery for esophageal cancer between 2008 and 2018. The rate of postoperative pneumonia was measured by the revised Uniform Pneumonia Score. Univariate and multivariate logistic regression analyses were performed to identify the risk factors for postoperative pneumonia. Results: Postoperative pneumonia was found in 18 of the 47 patients (38.3%). Among the various factors examined (age, gender, preoperative chemotherapy status, operative type, operative duration, blood loss, lymph node dissection, alcohol habit, OHAT score), the OHAT score (p = 0.006) and age (p = 0.040) were identified as significant independent risk factors for postoperative pneumonia in univariate and multivariate analyses. The incidence of postoperative pneumonia was 5% (1 of 20) in the OHAT ≤2 group and 51.9% (14 of 27) in the OHAT ≥3 group. Conclusion: The OHAT score is a risk factor for postoperative pneumonia in patients who have undergone curative esophagectomy for esophageal cancer. To improve the oncological outcomes of patients with esophageal cancer, it is necessary to carefully plan perioperative oral/dental care using the OHAT score.

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Oral health screening: feasibility and reliability of the oral health assessment tool as used by speech pathologists

Cited by 34 publications

References 45 publications

Measurement properties of oral health assessments for non-dental healthcare professionals in older people: a systematic review

Measurement properties of oral health assessments for non-dental healthcare professionals in older people: a systematic review

A context analysis on how oral care is delivered in hospitalised patients: A mixed‐methods study

The Oral Health Assessment Tool score is an independent risk factor for postoperative pneumonia after esophagectomy for esophageal cancer

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