A provider-observed tool to assess Oral Hygiene Skill Mastery (OHSIM) in human immunodeficiency virus-positive (HIV+) adults.

Autor: Vernon LT; Department of Pediatric Dentistry and Community Dentistry, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio.; VA Quality Scholars Fellowship Program, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio., Seacat JD; Department of Psychology, Western New England University, Springfield, Massachusetts., Demko CA; Department of Community Dentistry, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio., Paes B da Silva A; Department of Periodontology, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio., Zyzanski SJ; Department of Family Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Jazyk: angličtina
Zdroj: 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 [Spec Care Dentist] 2019 Mar; Vol. 39 (2), pp. 147-157. Date of Electronic Publication: 2019 Feb 13.
DOI: 10.1111/scd.12355
Abstrakt: Aims: Periodontal diseases (PDs) affect nearly half of Americans ≥30 years old and are common in human immunodeficiency virus-positive (HIV+) adults. A validated measure of oral hygiene skill could improve tailored prevention-focused health communication.
Methods: We developed Oral Hygiene Skill Mastery (OHSIM), a provider-observed measure of toothbrushing and flossing ability. We examined OHSIM's inter-rater reliability (IRR) and concurrent validity using a blinded, cross-sectional study design with a convenience sample of HIV+/- adults. Clinical outcome measures included bleeding on probing (BOP) and abbreviated plaque and gingival indices. Analyses included IRR and, after identifying relevant predictor variables for each outcome, backward elimination regression and structural equation modeling (SEM) were used to demonstrate concurrent validity.
Results: We saw 173 research participants (reliability: n = 61; validity: n = 112). The average IRR was α = 0.73 for toothbrushing and α = 0.84 for flossing. Toothbrushing and flossing skill were moderately correlated (r = 0.49, P < 0.001). SEM analyses demonstrated that OHSIM toothbrushing significantly and independently predicted variance in plaque and gingival indices and BOP, while OHSIM flossing skill significantly and independently predicted plaque index and BOP.
Conclusion: OHSIM is a provisionally reliable and valid provider-observed measure of toothbrushing and flossing skill. Most predictors of clinical outcomes were modifiable behaviors. Toothbrushing quality is a critical component of oral health.
(© 2019 Special Care Dentistry Association and Wiley Periodicals, Inc.)
Databáze: MEDLINE
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