The Dutch version of the Oral Health Assessment Tool: Translation and inter-rater reliability among community nurses

Harm H.J. van Noort; Anne Harderwijk; Babette Everaars; Reinier Akkermans; Gert Jan van der Putten; Getty Huisman de Waal

doi:10.1111/idh.12678

The Dutch version of the Oral Health Assessment Tool: Translation and inter-rater reliability among community nurses

Harm H.J. van Noort^*, Anne Harderwijk, Babette Everaars, Reinier Akkermans, Gert Jan van der Putten, Getty Huisman de Waal

^*Corresponding author for this work

Oral Public Health

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Objectives: Translating the Oral Health Assessment Tool (OHAT) into Dutch and assessing the inter-rater reliability among community nurses. Methods: The original version of the OHAT was translated following the five stages of the ‘Guidelines for the Process of Cross-Cultural Adaptation’. After a forward and backward translation, consensus on the pre-final version was obtained in an expert panel discussion. This version was pre-tested on its comprehensibility among 31 nurses and hereafter finalized. Then, inter-rater reliability of the OHAT-NL was determined by two trained nurses during oral assessments of 37 care-dependent community-dwelling older people. Intraclass correlation coefficient (ICC) and the Cohen's kappa statistic for individual items were estimated. Results: Feedback from nurses in the pre-test did lead to minor changes of the OHAT-NL. Inter-rater reliability was good (ICC 0.79; 95% CI 0.63–0.89) on the total score. Agreement on item level ranged from fair to very good, the kappa ranged from 0.36–0.89. Conclusions: OHAT is now available in Dutch having good inter-rater reliability among trained community nurses. Future research can further validate the OHAT-NL and develop intervention according to total OHAT-NL scores.

Original language	English
Pages (from-to)	140-147
Number of pages	8
Journal	International Journal of Dental Hygiene
Volume	22
Issue number	1
Early online date	24 Apr 2023
DOIs	https://doi.org/10.1111/idh.12678
Publication status	Published - Feb 2024

Bibliographical note

Publisher Copyright:
© 2023 The Authors. International Journal of Dental Hygiene published by John Wiley & Sons Ltd.

Funding

We thank prof. dr. Cees de Baat, dr. Wim de Kluter for their forward translation, dr. Janny Vos and Joan Koulen for their backward translation of the OHAT. We thank Monique Jozen, RN for training the community nurses. Also, we thank dr. Wim de Kluter for participating in the expert panel.

Funders	Funder number
OHAT

Keywords

oral health
oral health assessment tool
reliability
translation
validation

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title = "The Dutch version of the Oral Health Assessment Tool: Translation and inter-rater reliability among community nurses",

abstract = "Objectives: Translating the Oral Health Assessment Tool (OHAT) into Dutch and assessing the inter-rater reliability among community nurses. Methods: The original version of the OHAT was translated following the five stages of the {\textquoteleft}Guidelines for the Process of Cross-Cultural Adaptation{\textquoteright}. After a forward and backward translation, consensus on the pre-final version was obtained in an expert panel discussion. This version was pre-tested on its comprehensibility among 31 nurses and hereafter finalized. Then, inter-rater reliability of the OHAT-NL was determined by two trained nurses during oral assessments of 37 care-dependent community-dwelling older people. Intraclass correlation coefficient (ICC) and the Cohen's kappa statistic for individual items were estimated. Results: Feedback from nurses in the pre-test did lead to minor changes of the OHAT-NL. Inter-rater reliability was good (ICC 0.79; 95% CI 0.63–0.89) on the total score. Agreement on item level ranged from fair to very good, the kappa ranged from 0.36–0.89. Conclusions: OHAT is now available in Dutch having good inter-rater reliability among trained community nurses. Future research can further validate the OHAT-NL and develop intervention according to total OHAT-NL scores.",

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The Dutch version of the Oral Health Assessment Tool: Translation and inter-rater reliability among community nurses

Abstract

Bibliographical note

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