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Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward

Andersson, Pia; Rahm Hallberg, Ingalill LU and Renvert, Stefan (2002) In Special Care in Dentistry 22(5). p.181-186
Abstract
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... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Special Care in Dentistry
volume
22
issue
5
pages
181 - 186
publisher
Wiley-Blackwell
external identifiers
  • pmid:12580356
  • scopus:0037516829
ISSN
0275-1879
DOI
10.1111/j.1754-4505.2002.tb00268.x
language
English
LU publication?
yes
id
cb0f3dda-aacc-4cf3-81ac-f30b28ee52f4 (old id 1124150)
date added to LUP
2008-05-16 13:14:05
date last changed
2017-12-10 04:34:19
@article{cb0f3dda-aacc-4cf3-81ac-f30b28ee52f4,
  abstract     = {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.},
  author       = {Andersson, Pia and Rahm Hallberg, Ingalill and Renvert, Stefan},
  issn         = {0275-1879},
  language     = {eng},
  number       = {5},
  pages        = {181--186},
  publisher    = {Wiley-Blackwell},
  series       = {Special Care in Dentistry},
  title        = {Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward},
  url          = {http://dx.doi.org/10.1111/j.1754-4505.2002.tb00268.x},
  volume       = {22},
  year         = {2002},
}