Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals

Objectives: This study aims to explore the identification of older people in need of dental consultation, with a Simplified Oral Indicator (SOI) used by home care nurses (HCNs) and with the Geriatric Oral Health Assessment Index (GOHAI-NL) completed by older people themselves, compared with the Ora...

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Main Authors: Lina F. Weening-Verbree, Annemarie A. Schuller, Wim P. Krijnen, Cees P. van der Schans, Sytse U. Zuidema, Johannes S. M. Hobbelen
Format: Article
Language:English
Published: Medical Journals Sweden 2024-12-01
Series:Acta Odontologica Scandinavica
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Online Access:https://medicaljournalssweden.se/actaodontologica/article/view/42487
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author Lina F. Weening-Verbree
Annemarie A. Schuller
Wim P. Krijnen
Cees P. van der Schans
Sytse U. Zuidema
Johannes S. M. Hobbelen
author_facet Lina F. Weening-Verbree
Annemarie A. Schuller
Wim P. Krijnen
Cees P. van der Schans
Sytse U. Zuidema
Johannes S. M. Hobbelen
author_sort Lina F. Weening-Verbree
collection DOAJ
description Objectives: This study aims to explore the identification of older people in need of dental consultation, with a Simplified Oral Indicator (SOI) used by home care nurses (HCNs) and with the Geriatric Oral Health Assessment Index (GOHAI-NL) completed by older people themselves, compared with the Oral Health Assessment Tool (OHAT-NL), performed by dental hygienists. Methods: The HCNs completed SOI based on their professional view, knowledge and experience; scores red/orange/green were given to older people for oral health and oral hygiene. Older people completed the GOHAI-NL and dental hygienists completed the OHAT-NL. Results: Data from 141 older people were analysed. Sensitivity and specificity of SOI –OHAT-NL were low (0.45 and 0.64, respectively); SOI scored only few older people as ‘red’, while only 11 older people did not need a dental referral according to the OHAT-NL. OHAT-NL and GOHAI-NL correlation was significant, but low (r = -0.226, p = 0.012). Conclusion: Simplified Oral Indicator is currently not sensitive enough to identify older people in need of dental consultation. Additional education to HCNs and/or adjusting SOI may be needed. The GOHAI-NL seems not useful in dental triage.
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spelling doaj-art-6bcbce68691b4ca09471d9af9bfcf85d2025-08-20T02:49:21ZengMedical Journals SwedenActa Odontologica Scandinavica0001-63571502-38502024-12-0183110.2340/aos.v83.42487Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionalsLina F. Weening-Verbree0https://orcid.org/0000-0001-9777-6072Annemarie A. Schuller1https://orcid.org/0000-0001-7759-2946Wim P. Krijnen2https://orcid.org/0000-0003-2917-6600Cees P. van der Schans3https://orcid.org/0000-0003-4728-4082Sytse U. Zuidema4https://orcid.org/0000-0002-4991-9507Johannes S. M. Hobbelen5https://orcid.org/0000-0003-1852-0955Research Group Healthy Ageing, Allied Health Care and Nursing and FAITH Research, Hanze University of Applied Sciences, Groningen, The Netherlands; Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Groningen, The NetherlandsCenter for Dentistry and Oral Hygiene, University Medical Center Groningen, Groningen, The Netherlands; TNO the Netherlands Organisation for Applied Scientific Research, Leiden, The NetherlandsResearch Group Healthy Ageing, Allied Health Care and Nursing and FAITH Research, Hanze University of Applied Sciences, Groningen, The Netherlands; Faculty of Science and Engineering, University of Groningen, Groningen, The NetherlandsResearch Group Healthy Ageing, Allied Health Care and Nursing and FAITH Research, Hanze University of Applied Sciences, Groningen, The Netherlands; Department Health Psychology, University Medical Centre Groningen, Groningen, The Netherlands; Department Rehabilitation Medicine, University Medical Centre Groningen, Groningen, The NetherlandsDepartment of Primary and Long-Term Care, University of Groningen, University Medical Center Groningen, Groningen, The NetherlandsResearch Group Healthy Ageing, Allied Health Care and Nursing and FAITH Research, Hanze University of Applied Sciences, Groningen, The Netherlands; Department of Primary and Long-Term Care, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands Objectives: This study aims to explore the identification of older people in need of dental consultation, with a Simplified Oral Indicator (SOI) used by home care nurses (HCNs) and with the Geriatric Oral Health Assessment Index (GOHAI-NL) completed by older people themselves, compared with the Oral Health Assessment Tool (OHAT-NL), performed by dental hygienists. Methods: The HCNs completed SOI based on their professional view, knowledge and experience; scores red/orange/green were given to older people for oral health and oral hygiene. Older people completed the GOHAI-NL and dental hygienists completed the OHAT-NL. Results: Data from 141 older people were analysed. Sensitivity and specificity of SOI –OHAT-NL were low (0.45 and 0.64, respectively); SOI scored only few older people as ‘red’, while only 11 older people did not need a dental referral according to the OHAT-NL. OHAT-NL and GOHAI-NL correlation was significant, but low (r = -0.226, p = 0.012). Conclusion: Simplified Oral Indicator is currently not sensitive enough to identify older people in need of dental consultation. Additional education to HCNs and/or adjusting SOI may be needed. The GOHAI-NL seems not useful in dental triage. https://medicaljournalssweden.se/actaodontologica/article/view/42487Access to dental careolder peopledental triageoral health assessmenthome care nursing
spellingShingle Lina F. Weening-Verbree
Annemarie A. Schuller
Wim P. Krijnen
Cees P. van der Schans
Sytse U. Zuidema
Johannes S. M. Hobbelen
Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
Acta Odontologica Scandinavica
Access to dental care
older people
dental triage
oral health assessment
home care nursing
title Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
title_full Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
title_fullStr Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
title_full_unstemmed Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
title_short Validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
title_sort validation of a simplified oral indicator for home care nurses to refer older people to dental care professionals
topic Access to dental care
older people
dental triage
oral health assessment
home care nursing
url https://medicaljournalssweden.se/actaodontologica/article/view/42487
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