The Oral Hygiene Performance Test: Development and validation of dental dexterity scale for the elderly

Doherty, S. Adele; Ross, Angela; Bennett, C. Ray

doi:10.1111/j.1754-4505.1994.tb01122.x

Cited by 13 publications

(11 citation statements)

References 15 publications

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“… multiple medical/nursing descriptions of dementia and philosophies of dementia care and oral hygiene care, including nurse/carer oral assessment tools and procedures 19,50–59 many clinically based discussions of approaches for the dental management of people with dementia (including discussions of ethics and oral hygiene care) and deterioration of oral health in older adults with dementia 20,55,60–101 …”

Section: Resultsmentioning

confidence: 99%

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Oral hygiene care for adults with dementia in residential aged care facilities

Pearson

Chalmers

2004

JBI Reports

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Executive summary Objective The objective of this systematic review was to report on the best available evidence relating to oral hygiene for adults with dementia in residential aged care facilities, including: documenting the prevalence and incidence, as well as the experiences and increments, of oral diseases and conditions the use of assessment tools by carers to evaluate oral health oral hygiene care strategies to prevent oral diseases and conditions the provision of dental treatment and the ongoing management of oral diseases and conditions. Inclusion criteria This review considered any randomised or non‐randomised controlled studies, cohort studies, case‐control studies, multiple time series studies, uncontrolled studies, descriptive studies and opinions of respected authorities (including theses and other publications) related to residents with dementia living in residential aged care facilities in Australia and overseas; community‐dwelling adults with dementia; and special needs adult populations (for preventive oral hygiene care strategies and interventions). The review considered studies and publications designed to: quantify the oral health status of older adults living in residential aged care facilities; quantify the oral health status of adults with dementia living in the community and in residential aged care facilities; evaluate tools used to assess the oral health of residents by staff and carers working in residential aged care facilities; evaluate preventive oral hygiene care strategies and interventions used in special needs adult populations (including adults with dementia); and evaluate oral health care training and oral hygiene care provision, staff and carers working in residential aged care facilities. Dental outcome measures of interest were those relating to the prevalence, incidence, experiences and increments of oral diseases and conditions including: denture problems, coronal and root caries, periodontal diseases (plaque accumulation, gingivitis, loss‐of‐attachment), oral mucosal conditions, xerostomia and salivary gland hypofunction, tooth loss, difficulty chewing, behavioural problems and pain/discomfort. Related characteristics and outcomes of interest included: medical conditions, medications, cognitive status, functional status, nutritional status and sociodemographics. Search strategy The aim of the search was to locate relevant English‐language studies and publications appearing between 1980 and 2002. The search utilised a two‐step approach, involving an initial search of electronic databases using combinations of key words followed by a second extensive search carried out using the identified key words. This was supplemented with a secondary search of the references cited in the identified studies. Electronic database searched were: Cinahl, Embase, Psycinfo, Medline and Current Contents. Methodological quality All selected studies were critically appraised by two reviewers prior to inclusion in the review. Results In regards to relevance, incidence, experiences, ...

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Section: Resultsmentioning

confidence: 99%

“…multiple medical/nursing descriptions of dementia and philosophies of dementia care and oral hygiene care, including nurse/carer oral assessment tools and procedures 19,50–59 …”

Section: Resultsmentioning

confidence: 99%

Oral hygiene care for adults with dementia in residential aged care facilities

Pearson

Chalmers

2004

JBI Reports

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“…These instruments are mostly based on plaque‐recording indices that give an image of a person's oral status at a specific moment but say nothing about why their oral hygiene is poor or impaired. Only a few published instruments assess the cause of impaired oral hygiene in older adults, and they mostly focus on upper motor function and are rarely used in the clinical setting …”

Section: Discussionmentioning

confidence: 99%

“…The Tooth brushing Ability Test (TAT) and the Activities of Daily Oral Hygiene instrument (ADOH) are mainly intended to measure upper motor skills or the result of oral cleaning (plaque). The third instrument, the Oral Hygiene Performance Test (OHPT), also assesses upper motor skills, but tooth brushing is done on a typodont and does not involve the person's mouth.…”

Section: Introductionmentioning

confidence: 99%

Development of an instrument to assess oral hygiene ability in older adults: The oral hygiene ability instrument

et al. 2019

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Objectives To describe the development process of an instrument to assess the ability to manage daily oral hygiene and the cause of impaired oral hygiene. The instrument is initially aimed for use by the dental team in the ageing population. Background Oral hygiene is an important component of oral health. Inability to manage oral hygiene combined with other risk factors often results in poor oral health and impaired quality of life. Methods A guideline for instrument development was used during the construction of the instrument. The method included three phases: I. planning: the purpose and target group of the instrument were determined, and a literature review and qualitative focus‐group study were conducted; II. construction: objectives were formulated, and a pool of items was built; and III. evaluation and validation, which included two pilot studies, interviews, item analyses and revision of the instrument. Results The planning and construction phases resulted in an instrument with 47 items comprising three parts: (a) interview, (b) clinical examination and (c) observation of activities of daily living (oral hygiene). After two pilot studies, the instrument was found to have good content validity. Analyses of qualitative and quantitative data resulted in a reduction in the number of items to 33. Conclusion OHAI can be a valuable tool as a preventive method to identify older adults at risk of impaired oral health. However, the instrument needs further evaluation before wider use.

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“…(12). Instruments are available for objectively measuring the degree of disability for oral hygiene practice, such as the Index of Activities of Daily Oral Hygiene (ADOH) (12), the Toothbrushing Ability Test (TAT) (13), and the Oral Hygiene Performance Test (OHPT) (14). These instruments facilitate the assessment of special oral care needs and the planning of staffing requirements for assisting dependent individuals (3, 12, 15).…”

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confidence: 99%