Chengfengyi Yang, Xiaoke Li, Ran An, Yajing Gao, Xiaoyan Zhao, Jing Zhang, Qiaoqin Wan, Yue Yang
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引用次数: 0
Abstract
Background: Oral frailty is widespread in older adults, which may gradually contribute to multiple adverse health outcomes. The current assessment tools may not comprehensively assess oral frailty; thus, a practical and feasible oral frailty scale is needed.
Objective: The study aimed to develop an oral frailty assessment tool and evaluate its psychometric properties.
Methods: Based on the Gilbert Multidimensional Conceptual Model of Oral Health, the items were generated through a literature review and Delphi expert consultants. For psychometric analysis, content, structure, concurrent, convergent and discriminant validity, and internal consistency reliability of the scale were assessed. Data were collected from a convenient sample of 372 Chinese older adults, and exploratory and confirmatory factor analyses were used. The diagnostic accuracy was conducted through receiver operating characteristic curve analysis.
Results: The newly developed scale consisted of five dimensions and 16 items. The content validity of the scale was 0.974, with 0.649 for concurrent validity, and the aggregation and differentiation validity were ideal. In addition, the samples were cross-validated by exploratory factor analysis and confirmatory factor analysis. The internal consistency reached 0.865, and the retest reliability was 0.940. Meanwhile, by comparing the diagnostic accuracy with the Oral Frailty Instrument-6, it was found that the cutoff value was 6.5.
Conclusion: Oral Frailty Assessment Tool has acceptable content validity, structure validity and reliability, which can be used to guide the formulation and implementation of reasonable early intervention measures for oral frailty. A wider range of cultures and samples is needed to refine the scale, as validation was performed in only one culture.
期刊介绍：
Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function.
Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology.
The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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