Document Detail

Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward.
MedLine Citation:
PMID:  12580356     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to test the inter-rater reliability of a revised oral assessment guide (ROAG) for patients residing in a geriatric rehabilitation ward. A consecutive sample of 140 patients was recruited for the study. Oral assessments were performed for 133 newly admitted patients by one registered nurse (RN) during a period of six months. A dental hygienist (DH) carried out 103 oral assessments during the same half-year. For 66 patients, the RN and the DH performed independent assessments. There was an agreement between the RN and the DH in the majority of the independent assessments, except for tongue and teeth/dentures. The percentage agreement exceeded 80 percent. Inter-rater agreement measured by Cohen's Kappa coefficient ranged from moderate to very good and percentage agreement had a range of 58 to 91 percent. The agreement was highest in assessment of voice and swallowing (91%). Assessments of teeth and dentures seemed to be most difficult for the RN to evaluate. ROAG was found to be a clinically useful assessment tool. Additional education and training is needed to improve the reliability of the oral assessments and should include continuous support from a dental hygienist as well as a pictorial manual on how to use the ROAG.
Pia Andersson; Ingalill R Hallberg; Stefan Renvert
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry     Volume:  22     ISSN:  0275-1879     ISO Abbreviation:  Spec Care Dentist     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2003-02-12     Completed Date:  2003-05-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8103755     Medline TA:  Spec Care Dentist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  181-6     Citation Subset:  D    
Department of Nursing, Medical Faculty, Lund University, Sweden.
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MeSH Terms
Aged, 80 and over
Deglutition Disorders / classification
Dental Hygienists
Dentures / classification
Geriatric Assessment*
Geriatric Nursing / education
Inservice Training
Middle Aged
Mouth Diseases / classification*
Observer Variation
Reproducibility of Results
Statistics as Topic
Stroke / nursing,  rehabilitation
Tongue Diseases / classification
Tooth Diseases / classification*
Voice Disorders / classification

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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