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Table 3 Psychometric analysis of oral health assessment instruments

From: The development and psychometric properties of oral health assessment instruments used by non-dental professionals for nursing home residents: a systematic review

Name of the instrument

ADOH [35]

BOHSE [34]

DHR [52]

GOHAI [53]

MPS [36]

OAS [54]

OHAT [43]

OHSTNP [31]

RAI-MDS [55]

ROAG-J [56]

1. Content validity

a. Were the methods of selecting items appropriate?

Not stated

Yes

Not stated

Not stated

Not stated

Not stated

Yes

Not stated

Not stated

Not stated

b. Is the definition of what is being measured clearly specified?

No

Yes

Partially

No

Not stated

Not stated

Partially

Partially

Partially

Not stated

c. Were intended categories (i.e. relevant areas to be included and excluded) clearly stated?

Not stated

Partially

Partially

Not stated

Not stated

Not stated

Partially

Not stated

Not stated

No

d. Are all relevant components of each category included?

Not stated

Yes

Not stated

Not stated

Not stated

Not stated

Yes

Not stated

Not stated

Not stated

2. Face Validity

a. On the face of it does it describe the intended purpose?

Not stated

Yes

Not stated

Not stated

Not stated

Not stated

Yes

Not stated

Not stated

Not stated

3. Construct Validity

a. Does the instrument perform in expected ways when compared with other oral health assessment indices?

Not stated

Not stated

Yes, good correlation with OHI-S. Spearman’s correlation coefficient Rs = 0.78, and MPS Rs = 0.83.

Significant correlation with Single-item self-rating of dental health Pearson’s correlation coefficients r = 0.47

Not stated

Not stated

Not stated

Not stated

Not stated

Not stated

4. Reliability

a. Has the reliability been measured?

No

Yes, Test-retest coefficients 0.79–0.88

Yes

Yes

Yes

Yes

Yes

Yes

Yes

No

b. Inter-rater reliability

No

< 0.80

1st time kappa (k) = 0.5

2nd time k = 0.8

No

Test 1

Weighted kappa (k) = 0.70; Test 2 k = 0.77

Not stated

Correlation coefficient = 0.74

Spearman’s correlation coefficient 0.81, 0.84 and 0.83

r = 0.46

No

c. Intra-rater reliability

No

No

1st time k = 0.7

2nd time k = 0.8

No

Weighted kappa k = 0.62

Not stated

Correlation coefficient = 0.78

No

Not stated

No

d. Internal consistency

No

No

No

Yes, Cronbach’s alpha α = 0.79

No

Yes, Cronbach’s alpha α = 0.72

No

No

Not stated

No

5. Feasibility

a. Are special skills tools and/or training required?

No

In-service education

No

No

No

Yes

Yes

Yes

No

No

b. Is it easy to perform and administer?

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

c. How long does it take to perform?

5–15 min

Average 7–9 min

≤1 min

30 min

2–4 min

Not stated

Average 7.8 min

Average 114–202 s

Average 30 min

3–4 min

  1. ADOH: Activities of Daily Oral Hygiene, BOHSE: Brief Oral Health Status Examination, DHR: Dental Hygiene Registration, GOHAI: Geriatric Oral Health Assessment Index, MPS: Mucosal Plaque Score, OAS: Oral Assessment Sheet, OHAT: Oral Health Assessment Tool, OHSTNP: Oral Health Screening Tool for Nursing Personnel, RAI-MDS: Resident Assessment Instrument-Minimum Data Set, ROAG-J: Revised Oral Assessment Guide-Jonkoping