Validity and reproducibility of the revised oral assessment guide applied by community health workers.
Identifieur interne : 000201 ( Main/Exploration ); précédent : 000200; suivant : 000202Validity and reproducibility of the revised oral assessment guide applied by community health workers.
Auteurs : Marco Tulio F. Ribeiro [Brésil] ; Raquel C. Ferreira ; Andrea M D. Vargas ; Efigênia Ferreira E FerreiraSource :
- Gerodontology [ 1741-2358 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Agents de santé communautaire (MeSH), Brésil (MeSH), Femelle (MeSH), Gingivite (diagnostic), Humains (MeSH), Maladies de la bouche (diagnostic), Maladies de la langue (diagnostic), Maladies de la lèvre (diagnostic), Maladies des dents (diagnostic), Mâle (MeSH), Reproductibilité des résultats (MeSH), Salive (métabolisme), Santé buccodentaire (statistiques et données numériques), Sensibilité et spécificité (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Troubles de la déglutition (diagnostic), Troubles de la voix (diagnostic), Xérostomie (diagnostic), Études transversales (MeSH), Évaluation gériatrique (statistiques et données numériques).
- MESH :
- diagnostic : Gingivite, Maladies de la bouche, Maladies de la langue, Maladies de la lèvre, Maladies des dents, Troubles de la déglutition, Troubles de la voix, Xérostomie.
- métabolisme : Salive.
- statistiques et données numériques : Santé buccodentaire, Évaluation gériatrique.
- Adulte d'âge moyen, Agents de santé communautaire, Brésil, Femelle, Humains, Mâle, Reproductibilité des résultats, Sensibilité et spécificité, Sujet âgé, Sujet âgé de 80 ans ou plus, Études transversales.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Brazil (MeSH), Community Health Workers (MeSH), Cross-Sectional Studies (MeSH), Deglutition Disorders (diagnosis), Female (MeSH), Geriatric Assessment (statistics & numerical data), Gingivitis (diagnosis), Humans (MeSH), Lip Diseases (diagnosis), Male (MeSH), Middle Aged (MeSH), Mouth Diseases (diagnosis), Oral Health (statistics & numerical data), Reproducibility of Results (MeSH), Saliva (metabolism), Sensitivity and Specificity (MeSH), Tongue Diseases (diagnosis), Tooth Diseases (diagnosis), Voice Disorders (diagnosis), Xerostomia (diagnosis).
- MESH :
- diagnosis : Deglutition Disorders, Gingivitis, Lip Diseases, Mouth Diseases, Tongue Diseases, Tooth Diseases, Voice Disorders, Xerostomia.
- metabolism : Saliva.
- statistics & numerical data : Geriatric Assessment, Oral Health.
- Aged, Aged, 80 and over, Brazil, Community Health Workers, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Reproducibility of Results, Sensitivity and Specificity.
Abstract
OBJECTIVE
To determine the validity and reproducibility of the Revised Oral Assessment Guide (ROAG) as pre-diagnostic tool used in elderly citizens by community health workers (CHWs) of the Family Health Strategy (FHS).
MATERIAL AND METHODS
Initially, we adjusted the English version to Portuguese and then developed a training program for use of ROAG, with the participation of CHWs, in selected districts that had the highest enrolled number of elderly people in the city. The elderly persons were distributed among 10 previously trained CHWs. To assess the validity of the ROAG, a CHW and a dentist (considered as the gold standard) independently evaluated the same individual. The reproducibility of the ROAG was evaluated by each of the CHWs examining 5-6 elderly individuals twice with a 7-day interval.
RESULTS
The sensitivity ranged from 0.17 for evaluation of saliva to 0.80 for voice. The specific ranged from 0.69 for teeth/dentures to 0.98 for saliva using mirror and the accuracy ranged from 0.92 for swallow to 0.64 for mucosa. The intra-rater reproducibility of the ROAG was perfect for evaluation of voice, lips and swallow (κ=1.000).
CONCLUSION
When used by trained CHWs, the ROAG is a tool with high sensitivity and specificity to assess voice, swallowing, tongue and teeth/dentures. Moreover, it can efficiently detect patients showing no alteration in lips, saliva, mucosa and gums. High reproducibility was observed in almost all the categories. Trained CHWs can use this tool to improve the access of elderly patients to dental services.
DOI: 10.1111/ger.12014
PubMed: 23294324
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Vargas</name></author><author><name sortKey="Ferreira E Ferreira, Efigenia" sort="Ferreira E Ferreira, Efigenia" uniqKey="Ferreira E Ferreira E" first="Efigênia" last="Ferreira E Ferreira">Efigênia Ferreira E Ferreira</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:23294324</idno><idno type="pmid">23294324</idno><idno type="doi">10.1111/ger.12014</idno><idno type="wicri:Area/Main/Corpus">000258</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000258</idno><idno type="wicri:Area/Main/Curation">000258</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000258</idno><idno type="wicri:Area/Main/Exploration">000258</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Validity and reproducibility of the revised oral assessment guide applied by community health workers.</title><author><name sortKey="Ribeiro, Marco Tulio F" sort="Ribeiro, Marco Tulio F" uniqKey="Ribeiro M" first="Marco Tulio F" last="Ribeiro">Marco Tulio F. 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Vargas</name></author><author><name sortKey="Ferreira E Ferreira, Efigenia" sort="Ferreira E Ferreira, Efigenia" uniqKey="Ferreira E Ferreira E" first="Efigênia" last="Ferreira E Ferreira">Efigênia Ferreira E Ferreira</name></author></analytic><series><title level="j">Gerodontology</title><idno type="eISSN">1741-2358</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Brazil (MeSH)</term><term>Community Health Workers (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Deglutition Disorders (diagnosis)</term><term>Female (MeSH)</term><term>Geriatric Assessment (statistics & numerical data)</term><term>Gingivitis (diagnosis)</term><term>Humans (MeSH)</term><term>Lip Diseases (diagnosis)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Mouth Diseases (diagnosis)</term><term>Oral Health (statistics & numerical data)</term><term>Reproducibility of Results (MeSH)</term><term>Saliva (metabolism)</term><term>Sensitivity and Specificity (MeSH)</term><term>Tongue Diseases (diagnosis)</term><term>Tooth Diseases (diagnosis)</term><term>Voice Disorders (diagnosis)</term><term>Xerostomia (diagnosis)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Agents de santé communautaire (MeSH)</term><term>Brésil (MeSH)</term><term>Femelle (MeSH)</term><term>Gingivite (diagnostic)</term><term>Humains (MeSH)</term><term>Maladies de la bouche (diagnostic)</term><term>Maladies de la langue (diagnostic)</term><term>Maladies de la lèvre (diagnostic)</term><term>Maladies des dents (diagnostic)</term><term>Mâle (MeSH)</term><term>Reproductibilité des résultats (MeSH)</term><term>Salive (métabolisme)</term><term>Santé buccodentaire (statistiques et données numériques)</term><term>Sensibilité et spécificité (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Troubles de la déglutition (diagnostic)</term><term>Troubles de la voix (diagnostic)</term><term>Xérostomie (diagnostic)</term><term>Études transversales (MeSH)</term><term>Évaluation gériatrique (statistiques et données numériques)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Deglutition Disorders</term><term>Gingivitis</term><term>Lip Diseases</term><term>Mouth Diseases</term><term>Tongue Diseases</term><term>Tooth Diseases</term><term>Voice Disorders</term><term>Xerostomia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Gingivite</term><term>Maladies de la bouche</term><term>Maladies de la langue</term><term>Maladies de la lèvre</term><term>Maladies des dents</term><term>Troubles de la déglutition</term><term>Troubles de la voix</term><term>Xérostomie</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Geriatric Assessment</term><term>Oral Health</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Santé buccodentaire</term><term>Évaluation gériatrique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Brazil</term><term>Community Health Workers</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Agents de santé communautaire</term><term>Brésil</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Reproductibilité des résultats</term><term>Sensibilité et spécificité</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine the validity and reproducibility of the Revised Oral Assessment Guide (ROAG) as pre-diagnostic tool used in elderly citizens by community health workers (CHWs) of the Family Health Strategy (FHS).</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>Initially, we adjusted the English version to Portuguese and then developed a training program for use of ROAG, with the participation of CHWs, in selected districts that had the highest enrolled number of elderly people in the city. The elderly persons were distributed among 10 previously trained CHWs. To assess the validity of the ROAG, a CHW and a dentist (considered as the gold standard) independently evaluated the same individual. The reproducibility of the ROAG was evaluated by each of the CHWs examining 5-6 elderly individuals twice with a 7-day interval.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The sensitivity ranged from 0.17 for evaluation of saliva to 0.80 for voice. The specific ranged from 0.69 for teeth/dentures to 0.98 for saliva using mirror and the accuracy ranged from 0.92 for swallow to 0.64 for mucosa. The intra-rater reproducibility of the ROAG was perfect for evaluation of voice, lips and swallow (κ=1.000).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>When used by trained CHWs, the ROAG is a tool with high sensitivity and specificity to assess voice, swallowing, tongue and teeth/dentures. Moreover, it can efficiently detect patients showing no alteration in lips, saliva, mucosa and gums. High reproducibility was observed in almost all the categories. Trained CHWs can use this tool to improve the access of elderly patients to dental services.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23294324</PMID><DateCompleted><Year>2016</Year><Month>07</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1741-2358</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>2</Issue><PubDate><Year>2014</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Gerodontology</Title><ISOAbbreviation>Gerodontology</ISOAbbreviation></Journal><ArticleTitle>Validity and reproducibility of the revised oral assessment guide applied by community health workers.</ArticleTitle><Pagination><MedlinePgn>101-10</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/ger.12014</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the validity and reproducibility of the Revised Oral Assessment Guide (ROAG) as pre-diagnostic tool used in elderly citizens by community health workers (CHWs) of the Family Health Strategy (FHS).</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Initially, we adjusted the English version to Portuguese and then developed a training program for use of ROAG, with the participation of CHWs, in selected districts that had the highest enrolled number of elderly people in the city. The elderly persons were distributed among 10 previously trained CHWs. To assess the validity of the ROAG, a CHW and a dentist (considered as the gold standard) independently evaluated the same individual. The reproducibility of the ROAG was evaluated by each of the CHWs examining 5-6 elderly individuals twice with a 7-day interval.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The sensitivity ranged from 0.17 for evaluation of saliva to 0.80 for voice. The specific ranged from 0.69 for teeth/dentures to 0.98 for saliva using mirror and the accuracy ranged from 0.92 for swallow to 0.64 for mucosa. The intra-rater reproducibility of the ROAG was perfect for evaluation of voice, lips and swallow (κ=1.000).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">When used by trained CHWs, the ROAG is a tool with high sensitivity and specificity to assess voice, swallowing, tongue and teeth/dentures. Moreover, it can efficiently detect patients showing no alteration in lips, saliva, mucosa and gums. High reproducibility was observed in almost all the categories. Trained CHWs can use this tool to improve the access of elderly patients to dental services.</AbstractText><CopyrightInformation>© 2013 The Gerodontology Society and John Wiley & Sons A/S.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ribeiro</LastName><ForeName>Marco Tulio F</ForeName><Initials>MT</Initials><AffiliationInfo><Affiliation>Fundação Hospitalar de Minas Gerais, Belo Horizonte, MG, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferreira</LastName><ForeName>Raquel C</ForeName><Initials>RC</Initials></Author><Author ValidYN="Y"><LastName>Vargas</LastName><ForeName>Andrea M D</ForeName><Initials>AM</Initials></Author><Author ValidYN="Y"><LastName>Ferreira e Ferreira</LastName><ForeName>Efigênia</ForeName><Initials>E</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>01</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Gerodontology</MedlineTA><NlmUniqueID>8215850</NlmUniqueID><ISSNLinking>0734-0664</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001938" MajorTopicYN="N">Brazil</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003150" MajorTopicYN="Y">Community Health Workers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003680" MajorTopicYN="N">Deglutition Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015577" MajorTopicYN="N">Geriatric Assessment</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005891" MajorTopicYN="N">Gingivitis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008047" MajorTopicYN="N">Lip Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009059" MajorTopicYN="N">Mouth Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009909" MajorTopicYN="N">Oral Health</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014060" MajorTopicYN="N">Tongue Diseases</DescriptorName><QualifierName UI="Q000175" 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PubStatus="entrez"><Year>2013</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>7</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23294324</ArticleId><ArticleId IdType="doi">10.1111/ger.12014</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country><region><li>Minas Gerais</li></region></list><tree><noCountry><name sortKey="Ferreira E Ferreira, Efigenia" sort="Ferreira E Ferreira, Efigenia" uniqKey="Ferreira E Ferreira E" first="Efigênia" last="Ferreira E Ferreira">Efigênia Ferreira E Ferreira</name><name sortKey="Ferreira, Raquel C" sort="Ferreira, Raquel C" uniqKey="Ferreira R" first="Raquel C" last="Ferreira">Raquel C. Ferreira</name><name sortKey="Vargas, Andrea M D" sort="Vargas, Andrea M D" uniqKey="Vargas A" first="Andrea M D" last="Vargas">Andrea M D. Vargas</name></noCountry><country name="Brésil"><region name="Minas Gerais"><name sortKey="Ribeiro, Marco Tulio F" sort="Ribeiro, Marco Tulio F" uniqKey="Ribeiro M" first="Marco Tulio F" last="Ribeiro">Marco Tulio F. Ribeiro</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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