The Oral Health Assessment Tool — Validity and reliability

Chalmers, Jane; King, Pamela L.; Spencer, A. John; Wright, F. A. C.; Carter, Knute D.

doi:10.1111/j.1834-7819.2005.tb00360.x

Cited by 339 publications

(461 citation statements)

References 28 publications

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“…Clinical assessment of swallowing was conducted by the first author or by an experienced speech-language pathologist from the rehabilitation facility and included an oro-motor assessment, mealtime observation [17], a timed 150ml water test [18,19] and an oral health assessment [20]. To be classified as non-dysphagic and therefore eligible for inclusion, participants needed a 'no abnormality detected' rating on the oro-motor and mealtime assessment according to the AusTOMS criteria [17] for dysphagia and aspiration and pass the water test according to the norms for age and gender.…”

Section: Methodsmentioning

confidence: 99%

A Descriptive Study of the Fluid Intake, Hydration, and Health Status of Rehabilitation Inpatients without Dysphagia Following Stroke

Murray

Doeltgen

Miller

et al. 2015

Journal of Nutrition in Gerontology and Geriatrics

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Abstract:Adequate hydration is important for all people particularly when hospitalized with illness.Individuals with dysphagia following stroke are considered to be at risk of inadequate fluid intake and, therefore, dehydration but there is little information about the fluid intake or hydration of individuals without dysphagia post-stroke. This cohort study measured the average beverage intake, calculated the urea/creatinine ratio as a measure of hydration, and documented specific health outcomes of 86 people without dysphagia post-stroke who were inpatients in rehabilitation centres. Participants drank on average 1504ml per day (SD 359ml) which typically represented 67% of their estimated daily requirement. Approximately 44% of the participants in the sample were dehydrated based on a Blood Urea Nitrogen/Creatinine ratio >20:1. Sixteen percent of participants were diagnosed with one or more of the health outcomes of dehydration/hypernatremia, urinary tract infection or constipation. A greater level of dependence was associated with poorer beverage intake and higher risk of an adverse health outcome. Those in the older/elderly age range (particularly older women) and those with poor mobility were most at risk of poor hydration. This study highlights that patients in rehabilitation facilities post-stroke, even without dysphagia, may be at risk of sub-optimal fluid intake and hydration.

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Section: Methodsmentioning

confidence: 99%

A Descriptive Study of the Fluid Intake, Hydration, and Health Status of Rehabilitation Inpatients without Dysphagia Following Stroke

Murray

Doeltgen

Miller

et al. 2015

Journal of Nutrition in Gerontology and Geriatrics

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“…O instrumento Oral Health Assessment Tool (OHAT) (16) tem como objetivo fornecer aos cuidadores em ILPI um instrumento simples, com oito categorias de análise para acessar a saúde bucal dos residentes, inclusive aqueles com comprometimen-to cognitivo. Foi testado em 21 ILPI australianas, sendo reaplicado aos três e seis meses para testar a confiabilidade intra e inter cuidadores.…”

Section: O Instrumentounclassified

“…Desse modo, a coleta destas informações e registro desses dados demanda um instrumento validado, adequado à realidade sócio-cultural das instituições, dos profissionais de saúde e também dos idosos. (16,19) O receio de não diagnosticar adequadamente algum agravo ou até mesmo deixar de observar alguma condição clínica importante, que fosse determinante para o encaminhamento do idoso à assistência odontológica pode ter contribuído para a tendência do examinador Enfermeiro, em algumas categorias, de superestimar, negativamente, a condição bucal do idoso.…”

Section: Análise Dos Dados: Tratamento Estatísticounclassified

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Avaliação da saúde bucal de idosos por enfermeiros: validade e confiabilidade do instrumentO ASBTO

Mello

Zimermann²,

Gonçalves

2012

Rev. Gaúcha Enferm.

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36 RESUMOO objetivo do estudo foi aplicar o Instrumento "Avaliação da Saúde Bucal para Triagem Odontológica" (ASBTO) em idosos institucionalizados para determinação dos índices de validade e confiabilidade, quando da aplicação por Enfermeiros. Os exames foram executados por um Enfermeiro e por um Cirurgião-Dentista (CD) em 50 idosos de uma instituição de longa permanência. A determinação da consistência interna foi verificada por meio do Coeficiente Alfa de Cronbach e ANOVA. Para determinação da estabilidade e confiabilidade foram considerados os percentuais de concordância e teste Kappa. Não houve diferença estatística significante entre as médias finais obtidas pelo CD e pelo Enfermeiro (p=0,41). Houve maior consistência interna nos exames procedidos pelo CD. Os percentuais de concordância variaram de 60%, na categoria Lábio, até 90%, na categoria "Dentes naturais". O Kappa total do instrumento alcançou 0,46. A utilização do ASBTO é passível por Enfermeiros. Faz-se necessária adequada capacitação e treinamento prático para padronização de critérios.Descritores: Idoso. Saúde Bucal. Instituição de Longa Permanência para Idosos. RESUMEN Se objetivó aplicar el Instrumento Evaluación de la Salud Bucal (IESB) para la determinación de la fiabilidad y validez, cuando de la aplicación por enfermeros. Los exámenes fueron ejecutados por un Enfermero y por un

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“…Clinical assessment of swallowing was conducted by the first author or by an experienced speech-language pathologist from the facility and included an oro-motor assessment, mealtime observation with a rating of the severity of dysphagia and aspiration [35], a timed 150ml water test [36] and an oral health assessment [37]. A videofluoroscopic swallow study (VFSS) was conducted by a trained speech pathologist using a formal research protocol to confirm each participant's eligibility for the study.…”

Section: Introductionmentioning

confidence: 99%

Does a Water Protocol Improve the Hydration and Health Status of Individuals with Thin Liquid Aspiration Following Stroke? A Randomized Controlled Trial

et al. 2016

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The benefit of water protocols for individuals with thin-liquid aspiration remains controversial, with mixed findings from a small number of randomized controlled trials (RCTs). This study aimed to contribute to the evidence of the effectiveness of water protocols with a particular emphasis on health outcomes, especiallyhydration. An RCT was conducted with patients with known thin-liquid aspiration post-stroke randomized to receiving thickened liquids only or a water protocol. For the 14 participants in rehabilitation facilities whose data proceeded to analysis, there was no difference in the total amount of beverages consumed between the water protocol group (mean=1103ml per day, SD=215ml) and the thickened liquids only group (mean=1103ml, SD=247ml). Participants in the water protocol group drank on average 299ml (SD 274) of water but offset this by drinking less of the thickened liquids. Their hydration improved over time compared with participants in the thickened liquids only group, but differences between groups were not significant. Twenty-one percent of the total sample was diagnosed with dehydration and no participants in either group were diagnosed with pneumonia. There were significantly more diagnoses of urinary tract infection in the thickened liquids only group compared to the water protocol group (χ 2 =5.091, p=0.024), but no differences between groups with regard to diagnoses of dehydration (χ 2 = 0.884, p=0.347) or constipation (χ 2 =0.117, p=0.733). The findings reinforce evidence about the relative safety of water protocols for patients in rehabilitation post-stroke and provide impetus for future research into the potential benefits for hydration status and minimizing adverse health outcomes.Drinking, deglutition, deglutition disorders, stroke, water, water-electrolyte imbalance [6]. The premise is that thickening a liquid makes it more cohesive and dense, reducing its flow rate. This enables many patients to better control the bolus intra-orally, thereby reducing aspiration risk before and during swallowing [7,8].There has been growing concern, however, about the blanket prescription of thickened liquids for a number of [14,18,19]. By far the greatest concern about thickened liquid prescription is that individuals with dysphagia do not consume enough fluids. Researchers have demonstrated that the bioavailability of water from a quantity of thickened liquids is equivalent to that from the same quantity of thin liquid [20][21][22] confirming that thickened liquids themselves are not the cause of dehydration. Furthermore, it is recognised that, in addition to beverages, food contributes to approximately 20% of overall fluid intake with an even greater percentage if individuals are on pureed food [23,24]. Notably, food was found to be the greatest contributor to oral fluid intake in a cohort of patients with dysphagia in acute settings [25]. However, total fluid intake has consistently been found to be inadequate for individuals with dysphagia on modified diet and liquids, especially if reliant o...

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The Oral Health Assessment Tool — Validity and reliability

Cited by 339 publications

References 28 publications

A Descriptive Study of the Fluid Intake, Hydration, and Health Status of Rehabilitation Inpatients without Dysphagia Following Stroke

A Descriptive Study of the Fluid Intake, Hydration, and Health Status of Rehabilitation Inpatients without Dysphagia Following Stroke

Avaliação da saúde bucal de idosos por enfermeiros: validade e confiabilidade do instrumentO ASBTO

Does a Water Protocol Improve the Hydration and Health Status of Individuals with Thin Liquid Aspiration Following Stroke? A Randomized Controlled Trial

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